Oxigenoterapia en la emergencia

Riesgos de la oxigenoterapia insuficiente o excesiva

La administración escasa o excesiva de O2 puede causar la muerte. Es posible que muchas muertes relacionadas con la oxigenoterapia no sean fácilmente identificadas.

Autor/a: Dr. Ronan O’Driscoll

Fuente: BMJ 2012;345:e6856

Indice
1. Referencias
2. Artículo

Referencias

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3 O’Driscoll BR, Howard LS, Davison AG, British Thoracic Society. BTS guideline for emergency oxygen use in adult patients. Thorax 2008;63(suppl 6):vi1-68.
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5 Austin MA, Wills KE, Blizzard L, Walters EH, Wood-Baker R. Effect of high flow oxygen on mortality in chronic obstructive pulmonary disease patients in prehospital setting: randomised controlled trial. BMJ 2010;341:c5462.
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13 Eastwood G, Bellomo R, Bailey M, Taori G, Pilcher D, Young P, et al. Arterial oxygen tension and mortality in mechanically ventilated patients. Intensive Care Med 2012;38:91-8.
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16 Roberts CM, Stone RA, Buckingham RJ, Pursey NA, Lowe D, National Chronic Obstructive Pulmonary Disease Resources and Outcomes Project implementation group. Acidosis, non-invasive ventilation and mortality in hospitalised COPD exacerbations. Thorax 2011;66:43-8.
17 Perrin K, Wijesinghe M, Healy B, Wadsworth K, Bowditch R, Bibby S, et al. Randomised controlled trial of high concentration versus titrated oxygen therapy in severe exacerbations of asthma. Thorax 2011;66:937-41.
18 Wijesinghe M, Perrin K, Healy B, Weatherall M, Beasley R. Randomized controlled trial of high concentration oxygen in suspected community-acquired pneumonia. J R Soc Med 2012;105:208-16.
19 Wijesinghe M, Williams M, Perrin K, Weatherall M, Beasley R. The effect of supplemental oxygen on hypercapnia in subjects with obesity-associated hypoventilation: a randomized, crossover, clinical study. Chest 2011;139:1018-24.
20 O’Driscoll BR. Emergency Oxygen use in UK Hospitals: BTS hospital oxygen audits 2008-2011.
21 O’Driscoll BR, Murphy P, Turkington PM. Acute monitoring of patients with chronic respiratory disease during hospital admission. Clin Med 2012;12:79-81.