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January 1, 1993Critical Care Medicine

Relationship between oxygen consumption and oxygen delivery during anesthesia in high-risk surgical patients

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Why the study?

Does the intraoperative period alter critical oxygen delivery and oxygen extraction ratio compared to the preoperative period in high-risk surgical patients?

Population

20 high-risk surgical patients undergoing major noncardiac surgery

Comparison

Intraoperative period (anesthesia) vs Preoperative period

Design

Cohort

Follow-up

perioperative period

Authors

GLGustavo LugoUniversidade Tecnológica Federal do ParanáDADaniel ArizpeInstituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránGDGuillermo Domínguez‐CheritInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

Discussion

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Implication

May increase tissue hypoxia risk intraoperatively; leaves open whether DO2 optimization alters outcomes in high-risk surgery.

Structured PICO

Does the intraoperative period alter critical oxygen delivery and oxygen extraction ratio compared to the preoperative period in high-risk surgical patients?

P
Population
20 high-risk surgical patients undergoing major noncardiac surgery
I
Intervention
Intraoperative period (anesthesia)
C
Comparator
Preoperative period
O
Outcome
Critical oxygen delivery (DO2) and oxygen extraction ratiosurrogate

The intraoperative period in high-risk surgical patients is associated with a significant reduction in tissue oxygen extraction ability, potentially increasing the risk of tissue oxygenation debt.

Cite This Study

Lugo et al. (1993) studied this question.

synapsesocial.com/papers/6a8c28408dc4dced60d485bchttps://doi.org/10.1097/00003246-199301000-00014
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Critical level of oxygen delivery in anesthetized man1983 · 390 citations
  2. 2Oxygen delivery during cardiopulmonary bypass and postoperative mortality: A retrospective cohort study2026
  3. 3Transitions from Aerobic to Anaerobic Metabolism and Oxygen Debt during Elective Major and Emergency Non-Cardiac Surgery2024 · 4 citations
  4. 4A randomized clinical trial of the effect of deliberate perioperative increase of oxygen delivery on mortality in high-risk surgical patients1993 · 200 citations
  5. 5Tissue oxygenation as a target for goal-directed therapy in high-risk surgery: a pilot study2014 · 27 citations