Acute hypoxic respiratory failure: Lower versus Higher Oxygenation targets
DISEASE INTERVENTION COMPARISON RESULTS
Lancet. 2018 Apr 28;391(10131):1693-1705 Systematic Review
IN acutely ill adults, emergency care The Use of
conservative oxygen therapy with a SpO2 of 94-96% as objective
As Treatment, Acute
Is better Than
liberal oxygen therapy, with SpO2 > 96%
To reduce overall mortality at 30 days and longuer: liberal oxygen therapy increased mortality (RR 1.14 at 30 days)
N Engl J Med. 2021 Jan 20. doi: 10.1056/NEJMoa2032510. Online ahead of print Randomized Controlled Trial, Multicenter Study
IN respiratory failure, acute, hypoxic, acutely ill adults, emergency care The Use of
oxygen therapy targeting a Pao2 of 60 mm Hg
As Treatment, Acute
Is equal Than
oxygen therapy targeting a Pao2 of 90 mm Hg
To modify death at 3 months (42% in both groups). No difference neither in days that patients were alive without life support, episodes of shock, myocardial ischemia, ischemic stroke, or intestinal ischemia