Jan J van Wijk, Sanne E Hoeks, Irwin K M Reiss, Robert Jan Stolker, Lonneke M Staals
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引用次数: 0
Abstract
Aims: At present, there is a growing body of knowledge regarding the benefits and risks associated with oxygen use in medical practice. In the perioperative period, high fractions of inspiratory oxygen are used during airway management. However, oxygen can have direct toxic effects, as well as systemic effects. In different fields of medicine, protocols exist to limit the use of oxygen, for example, in the intensive care unit and emergency department. However, in pediatric perioperative care, such protocols do not exist. We conducted an international survey among pediatric anesthesiologists to assess their daily practices regarding oxygen use during non-cardiac surgery. The objective of this survey was to determine self-reported perioperative oxygen use across several key areas: the default oxygen settings on anesthesia machines, the prevalence of preoxygenation, the fraction of inspiratory oxygen used intraoperatively, and considerations regarding the intraoperative administration of oxygen.
Methods: An online digital survey consisting of up to 21 questions in LimeSurvey was developed and sent to 5667 members of various international pediatric anesthesia societies (ESPA, APAGBI, SPA, SPANZA).
Results: A total of 828 responses were received (response rate 15%). The median reported default inspiratory oxygen (FiO2) value of anesthesia machines was 100% (IQR 30%-100%). Preoxygenation was used by 50% of the respondents, usually with 100% oxygen. 87% of respondents reported to titrate FiO2 intraoperatively, mainly based on pulse oximetry values. Median standard percentage of oxygen intraoperatively was 35% (IQR 30%-40%).
Conclusions: Oxygen administration practices during pediatric anesthesia are hardly regulated. There are opportunities to further limit the use of oxygen. For instance, default settings can be lowered, and intraoperative FiO2 can be further titrated, mainly based on SpO2.
期刊介绍：
Devoted to the dissemination of research of interest and importance to practising anesthetists everywhere, the scientific and clinical content of Pediatric Anesthesia covers a wide selection of medical disciplines in all areas relevant to paediatric anaesthesia, pain management and peri-operative medicine. The International Editorial Board is supported by the Editorial Advisory Board and a team of Senior Advisors, to ensure that the journal is publishing the best work from the front line of research in the field. The journal publishes high-quality, relevant scientific and clinical research papers, reviews, commentaries, pro-con debates, historical vignettes, correspondence, case presentations and book reviews.
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