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Effects of lowering inspiratory oxygen fraction during microvascular decompression on postoperative gas exchange: A pre–post study

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  • Jungchan Park
  • Jeong Jin Min
  • So Jin Kim
  • Jin Hee Ahn
  • Keoungah Kim
  • Jong-Hwan Lee
  • Kwan Park
  • Ik Soo Chung

Abstract

Background: Despite many previous studies, the optimal oxygen fraction during general anesthesia remains controversial. This study aimed to evaluate the effects of lowering intraoperative fraction of inspired oxygen on postoperative gas exchange in patients undergoing microvascular decompression (MVD). Methods: We conducted a pre-post study to compare postoperative gas exchange with different intraoperative oxygen fractions. From April 2010 to June 2017, 1456 consecutive patients who underwent MVD were enrolled. Starting in January 2014, routine oxygen fraction was lowered from 1.0 to 0.3 during anesthetic induction/awakening and from 0.5 to 0.3 during anesthetic maintenance. Postoperative gas exchange, presented as the minimum value of PaO2/FIO2 ratio within 48 hours, were compared along with adverse events. Results: Among 1456 patients, 623 (42.8%) patients were stratified into group H (high FIO2) and 833 (57.2%) patients into group L (low FIO2). Intraoperative positive end-expiratory pressure was used in 126 (15.1%) patients in group H and 90 (14.4%) patients in group L (p = 0.77).The minimum value of PaO2/ FIO2 ratio within 48 hours after surgery was significantly greater in the group L (226.13 vs. 323.12; p

Suggested Citation

  • Jungchan Park & Jeong Jin Min & So Jin Kim & Jin Hee Ahn & Keoungah Kim & Jong-Hwan Lee & Kwan Park & Ik Soo Chung, 2018. "Effects of lowering inspiratory oxygen fraction during microvascular decompression on postoperative gas exchange: A pre–post study," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-9, November.
    • Handle: RePEc:plo:pone00:0206371
    DOI: 10.1371/journal.pone.0206371
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