Podcast 570: Oh no no no to O2

<p><strong>Contributor: Aaron Lessen, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;"><span style= "font-weight: 400;">Supplemental oxygen is not a completely benign intervention. </span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">A recent meta-analysis found that O2 saturations above 96% while on supplemental O2 were associated with worse outcomes.</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">Only start a patient on supplemental oxygen if</span> <em><span style= "font-weight: 400;">absolutely</span></em> <span style= "font-weight: 400;">necessary and aim for a goal of no higher than 96%</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Derek K Chu, Lisa H-Y Kim, Paul J Young, Nima Zamiri, Saleh A Almenawer, Roman Jaeschke, Wojciech Szczeklik, Holger J Schünemann, John D Neary, Waleed Alhazzani. </span><span style="font-weight: 400;">Mortality and morbidity in acutely ill adults treated with liberal versus conservative oxygen therapy (IOTA): a systematic review and meta-analysis. The Lancet. Volume 391, Issue 10131. 2018. Pages 1693-1705,</span></p> <p> </p> <p><span style="font-size: 10pt;"><em><span style= "font-weight: 400;">Summarized by Will Dewispelaere, MD | Edited by Erik Verzemnieks, MD</span></em></span></p> <p><br /> <br /></p>