Preoxygenation: Physiologic basis, benefits, and potential risks

Anesthesia and Analgesia

Volumn 124, Issue 2, 2017, Pages 507-517

  Nimmagadda, Usharani ^a,b   Salem, M Ramez ^a,b   Crystal, George J ^b  

^a ADVOCATE ILLINOIS MASONIC MEDICAL CENTER   (United States)

^b UNIVERSITY OF ILLINOIS   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HEMOGLOBIN; OXYHEMOGLOBIN; REACTIVE OXYGEN METABOLITE; OXYGEN;

AIRWAY PRESSURE; ALTITUDE; APNEA; ARTERIAL OXYGEN TENSION; ATELECTASIS; BLOOD OXYGEN TENSION; CONFERENCE PAPER; DELAYED DIAGNOSIS; END TIDAL CARBON DIOXIDE TENSION; ENDOTRACHEAL INTUBATION; ESOPHAGUS INTUBATION; FUNCTIONAL RESIDUAL CAPACITY; HIGH RISK PATIENT; HUMAN; LUNG VENTILATION; NEUROMUSCULAR BLOCKING; NITROGEN CONCENTRATION; OBESITY; OXYGEN CONCENTRATION; OXYGEN DESATURATION; OXYGEN DIFFUSION; OXYGEN SUPPLY; OXYGENATION; POSITIVE END EXPIRATORY PRESSURE; PREGNANT WOMAN; PREOXYGENATION; PRIORITY JOURNAL; RISK FACTOR; SURGICAL PATIENT; ADVERSE EFFECTS; AGED; ANESTHESIA; CHILD; FEMALE; META ANALYSIS; OXYGEN THERAPY; PREGNANCY; PROCEDURES; RISK ASSESSMENT; VERY ELDERLY;

AGED; AGED, 80 AND OVER; ANESTHESIA; CHILD; FEMALE; HUMANS; OXYGEN; OXYGEN INHALATION THERAPY; PREGNANCY; RISK ASSESSMENT; RISK FACTORS;

EID: 85010001768     PISSN: 00032999     EISSN: 15267598     Source Type: Journal    
DOI: 10.1213/ANE.0000000000001589     Document Type: Conference Paper

References (120)

1. Dillon JB, Darsi ML. Oxygen for acute respiratory depression due to administration of thiopental sodium. JAMA. 1955; 159: 1114-1116
2. Hamilton WK, Eastwood DW. A study of denitrogenation with some inhalation anesthetic systems. Anesthesiology. 1955; 16: 861-867
3. Heller ML, Watson TR Jr. Polarographic study of arterial oxygenation during apnea in man. N Engl J Med. 1961; 264: 326-330
4. Snow RG, Nunn JF. Induction of anaesthesia in the footdown position for patients with a full stomach. Br J Anaesth. 1959; 31: 493-497
5. Sellick BA. Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia. Lancet. 1961; 2: 404-406
6. Wylie WD. The use of muscle relaxants at the induction of anaesthesia of patients with a full stomach. Br J Anaesth. 1963; 35: 168-173
7. Salem MR, Wong AY, Collins VJ. The pediatric patient with a full stomach. Anesthesiology. 1973; 39: 435-440
8. Benumof JL. Preoxygenation: best method for both efficacy and efficiency. Anesthesiology. 1999; 91: 603-605
9. Kung MC, Hung CT, Ng KP, Au TK, Lo R, Lam A. Arterial desaturation during induction in healthy adults: should preoxygenation be a routine? Anaesth Intensive Care. 1991; 19: 192-196
10. American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for the management of the difficult airway. Anesthesiology. 2003; 98: 1269-1277
11. Lake A. A response to "Avoiding adverse outcomes when faced with ?difficulty with ventilation", Bell D, Anaesthesia 2003; 58: 945-948. Anaesthesia. 2004; 59: 202-203
12. Frerk C, Mitchell VS, McNarry AF, et al. Difficult airway society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth. 2015; 115: 827-848
13. Ericson LI. The effects of residual neuromuscular blockade and volatile anesthetics on the control of ventilation. Anesth Analg. 1999; 89: 243-251
14. Eriksson LI, Sundman E, Olsson R, et al. Functional assessment of the pharynx at rest and during swallowing in partially paralyzed humans: simultaneous videomanometry and mechanomyography of awake human volunteers. Anesthesiology. 1997; 87: 1035-1043
15. Baraka A. Safe reversal. 1. Atropine followed by neostigmine. An electrocardiographic study. Br J Anaesth. 1968; 40: 27-29
16. Baraka AS, Salem MR. Preoxygenation. In: Hagberg CA, ed. Benumof and Hagberg's Airway Management, 3rd ed. Philadelphia, PA: Mosby Elsevier 2012 657-682
17. Popat M, Mitchell R, Dravid R, Patel A, Swampillai C, Higgs A. Difficult airway society guidelines for the management of tracheal extubation. Anaesthesia. 2012; 67: 318-340
18. Nunn JF. Oxygen. In Nunn JF, ed. Nunn's Applied Respiratory Physiology, 4th ed. Philadelphia, PA: Butterworth-Heinemann; 1993; 247-305
19. Campbell IT, Beatty PC. Monitoring preoxygenation. Br J Anaesth. 1994; 72: 3-4
20. Berry CB, Myles PS. Preoxygenation in healthy volunteers: a graph of oxygen 'washin' using end-Tidal oxygraphy. Br J Anaesth. 1994; 72: 116-118
21. Bhatia PK, Bhandari SC, Tulsiani KL, Kumar Y. End-Tidal oxygraphy and safe duration of apnoea in young adults and elderly patients. Anaesthesia. 1997; 52: 175-178
22. Russell GN, Smith CL, Snowdon SL, Bryson TH. Preoxygenation and the parturient patient. Anaesthesia. 1987; 42: 346-351
23. Carmichael FJ, Cruise CJ, Crago RR, Paluck S. Preoxygenation: a study of denitrogenation. Anesth Analg. 1989; 68: 406-409
24. Berthoud M, Read DH, Norman J. Pre-oxygenation-how long? Anaesthesia. 1983; 38: 96-102
25. Archer GW Jr, Marx GF. Arterial oxygen tension during apnoea in parturient women. Br J Anaesth. 1974; 46: 358-360
26. Gold MI, Duarte I, Muravchick S. Arterial oxygenation in conscious patients after 5 minutes and after 30 seconds of oxygen breathing. Anesth Analg. 1981; 60: 313-315
27. Baraka AS, Taha SK, Aouad MT, El-Khatib MF, Kawkabani NI. Preoxygenation: comparison of maximal breathing and tidal volume breathing techniques. Anesthesiology. 1999; 91: 612-616
28. Benumof JL, Dagg R, Benumof R. Critical hemoglobin desaturation will occur before return to an unparalyzed state following 1 mg/kg intravenous succinylcholine. Anesthesiology. 1997; 87: 979-982
29. Hayes AH, Breslin DS, Mirakhur RK, Reid JE, O'Hare RA. Frequency of haemoglobin desaturation with the use of succinylcholine during rapid sequence induction of anaesthesia. Acta Anaesthesiol Scand. 2001; 45: 746-749
30. Heier T, Feiner JR, Lin J, Brown R, Caldwell JE. Hemoglobin desaturation after succinylcholine-induced apnea: a study of the recovery of spontaneous ventilation in healthy volunteers. Anesthesiology. 2001; 94: 754-759
31. Nimmagadda U, Salem MR, Joseph NJ, et al. Efficacy of preoxygenation with tidal volume breathing. Comparison of breathing systems. Anesthesiology. 2000; 93: 693-698
32. Sirian R, Wills J. Physiology of apnoea and the benefits of preoxygenation. Contin Educ Crit Care Pain. 2009; 9: 105-108
33. Baraka AS, Salem MR. Preoxygenation. In: Hagberg C, ed. Benumof and Hagberg's Airway Management, 2nd ed. Philadelphia, PA: Mosby Elsevier 2007 306
34. McGowan P, Skinner A. Preoxygenation-The importance of a good face mask seal. Br J Anaesth. 1995; 75: 777-778
35. Schlack W, Heck Z, Lorenz C. Mask tolerance and preoxygenation: a problem for anesthesiologists but not for patients. Anesthesiology. 2001; 94: 546
36. Nimmagadda U, Chiravuri SD, Salem MR, et al. Preoxygenation with tidal volume and deep breathing techniques: the impact of duration of breathing and fresh gas flow. Anesth Analg. 2001; 92: 1337-1341
37. Gold MI, Duarte I, Muravchick S. Arterial oxygenation in conscious patients after 5 minutes and after 30 seconds of oxygen breathing. Anesth Analg. 1981; 60: 313-315
38. Gambee AM, Hertzka RE, Fisher DM. Preoxygenation techniques: comparison of three minutes and four breaths. Anesth Analg. 1987; 66: 468-470
39. Pandit JJ, Duncan T, Robbins PA. Total oxygen uptake with two maximal breathing techniques and the tidal volume breathing technique: a physiologic study of preoxygenation. Anesthesiology. 2003; 99: 841-846
40. Farmery AD, Roe PG. A model to describe the rate of oxyhaemoglobin desaturation during apnoea. Br J Anaesth. 1996; 76: 284-291
41. Byrne F, Oduro-Dominah A, Kipling R. The effect of pregnancy on pulmonary nitrogen washout. A study of pre-oxygenation. Anaesthesia. 1987; 42: 148-150
42. Baraka AS, Hanna MT, Jabbour SI, et al. Preoxygenation of pregnant and non-pregnant women in head-up versus supine position. Anesth Analg. 1991; 46: 824-827
43. Norris MC, Dewan DM. Preoxygenation for cesarean section: a comparison of two techniques. Anesthesiology. 1985; 62: 827-829
44. Russel EC, Wrench J, Feast M, Mohammed F. Preoxygenation in pregnancy: the effect of fresh gas flow rates within a circle breathing system. Anaesthesia. 2008; 63: 833-836
45. Berthoud MC, Peacock JE, Reilly CS. Effectiveness of preoxygenation in morbidly obese patients. Br J Anaesth. 1991; 67: 464-466
46. Baraka AS, Taha SK, Siddik-Sayyid SM, et al. Supplementation of pre-oxygenation in morbidly obese patients using nasopharyngeal oxygen insufflation. Anaesthesia. 2007; 62: 769-773
47. Jense HG, Dubin SA, Silverstein PI, O'Leary-Escolas U. Effect of obesity on safe duration of apnea in anesthetized humans. Anesth Analg. 1991; 72: 89-93
48. Dixon BJ, Dixon JB, Carden JR, et al. Preoxygenation is more effective in the 25 degrees head-up position than in the supine position in severely obese patients: a randomized controlled study. Anesthesiology. 2005; 102: 1110-1115
49. Gil KSL, Diemunsch PA. Fiberoptic and flexible endoscopic aided techniques. In: Hagberg CA, ed. Benumof's and Hagberg's Airway Management, 3rd ed. Philadelphia, PA: Elsevier Saunders 2013 184-198
50. Butler PJ, Munro HM, Kenny MB. Preoxygenation in children using expired oxygraphy. Br J Anaesth. 1996; 77: 333-334
51. Morrison JE Jr, Collier E, Friesen RH, Logan L. Preoxygenation before laryngoscopy in children: how long is enough? Paediatr Anaesth. 1998; 8: 293-298
52. Kinouchi K, Fukumitsu K, Tashiro C, Takauchi Y, Ohashi Y, Nishida T. Duration of apnoea in anaesthetized children required for desaturation of haemoglobin to 95%: comparison of three different breathing gases. Paediatr Anaesth. 1995; 5: 115-119
53. Laycock GJ, McNicol LR. Hypoxaemia during induction of anaesthesia-An audit of children who underwent general anaesthesia for routine elective surgery. Anaesthesia. 1988; 43: 981-984
54. Patel R, Lenczyck M, Hannallah RS, Mcgill WA. Age and onset of desaturation in apneic children. Can J Anaesth. 1994; 41: 771-774
55. Xue FS, Tong SY, Wang XL, Deng XM, An G. Study of the optimal duration of preoxygenation in children. J Clin Anesth. 1995; 7: 93-96
56. Hardman JG, Wills JS. The development of hypoxaemia during apnoea in children: a computational modelling investigation. Br J Anaesth. 2006; 97: 564-570
57. Patel R, Lenczyk M, Hannallah RS, McGill WA. Age and the onset of desaturation in apnoeic children. Can J Anaesth. 1994; 41: 771-774
58. Dupeyrat A, Dubreuil M, Ecoffey C. Preoxygenation in children. Anesth Analg. 1994; 79: 1027
59. Kinouchi K, Tanigami H, Tashiro C, Nishimura M, Fukumitsu K, Takauchi Y. Duration of apnea in anesthetized infants and children required for desaturation of hemoglobin to 95%: the influence of upper respiratory infection. Anesthesiology. 1992; 77: 1105-1107
60. Weiss M, Gerber AC. Rapid sequence induction in children-it's not a matter of time! Paediatr Anaesth. 2008; 18: 97-99
61. Priebe HJ. Cricoid force in children. Br J Anaesth. 2010; 104: 511
62. Davies GA, Bolton CE. Age related changes in respiratory system. In: Fillit HM, Rockwood K, Woodhouse KW, eds. Philadelphia, PA: Saunders Elsevier. Brockhurst's Text Book of Geriatric Medicine and Gerontology, 7th ed. 2010: 97-100
63. Wahba WM. Influence of aging on lung function-clinical significance of changes from age twenty. Anesth Analg. 1983; 62: 764-776
64. McCarthy G, Elliott P, Mirakhur RK, McLoughlin C. A comparison of different pre-oxygenation techniques in the elderly. Anaesthesia. 1991; 46: 824-827
65. Valentine SJ, Marjot R, Monk CR. Preoxygenation in the elderly: a comparison of the four-maximal-breath and three-minute techniques. Anesth Analg. 1990; 71: 516-519
66. Tarhan S, Moffit EA, Sessler A, Douglas WW, Taylor WF. Risk of anesthesia and surgery in patients with chronic bronchitis and chronic obstructive pulmonary disease. Br J Anaesth. 1973; 74: 720-726
67. Gunnarsson L, Tokics L, Lundquist H, et al. Chronic obstructive pulmonary disease and anaesthesia: formation of atelectasis and gas exchange impairment. Eur Respir J. 1991; 4: 1106-1116
68. Samain E, Biard M, Farah E, Holtzer S, Delefosse D, Marty J. Monitoring expired oxygen fraction in preoxygenation of patients with chronic obstructive pulmonary disease. Ann Fr Anesth Reanim. 2002; 21: 14-19
69. Leissner KB, Mahmood FU. Physiology and pathophysiology at high altitude: considerations for the anesthesiologist. J Anesth. 2009; 23: 543-553
70. Baraka A, Salem MR, Joseph NJ. Critical hemoglobin desaturation can be delayed by apneic diffusion oxygenation. Anesthesiology. 1999; 90: 332-333
71. Frumin MJ, Epstein RM, Cohen G. Apneic oxygenation in man. Anesthesiology. 1959; 20: 789-798
72. Ramachandran SK, Cosnowski A, Shanks A, Turner CR. Apneic oxygenation during prolonged laryngoscopy in obese patients: a randomized, controlled trial of nasal oxygen administration. J Clin Anesth. 2010; 22: 164-168
73. Teller LE, Alexander CM, Frumin MJ, Gross JB. Pharyngeal insufflation of oxygen prevents arterial desaturation during apnea. Anesthesiology. 1988; 69: 980-982
74. Eger EI, Severinghaus JW. The rate of rise of PaCO2 in the apneic anesthetized patient. Anesthesiology. 1961; 22: 419-425
75. Fraioli RL, Sheffer LA, Steffenson JL. Pulmonary and cardiovascular effects of apneic oxygenation in man. Anesthesiology. 1973; 39: 588-596
76. McNamara MJ, Hardman JG. Hypoxaemia during open-Airway apnoea: a computational modelling analysis. Anaesthesia. 2005; 60: 741-746
77. Cressey DM, Berthoud MC, Reilly CS. Effectiveness of continuous positive airway pressure to enhance pre-oxygenation in morbidly obese women. Anaesthesia. 2001; 56: 680-684
78. Rusca M, Proietti S, Schnyder P, et al. Prevention of atelectasis formation during induction of general anesthesia. Anesth Analg. 2003; 97: 1835-1839
79. Herriger A, Frascarolo P, Spahn DR, Magnusson L. The effect of positive airway pressure during pre-oxygenation and induction of anaesthesia upon duration of non-hypoxic apnoea. Anaesthesia. 2004; 59: 243-247
80. El-Khatib MF, Kanazi G, Baraka AS. Noninvasive bilevel positive airway pressure for preoxygenation of the critically ill morbidly obese patient. Can J Anaesth. 2007; 54: 744-747
81. Joris JL, Sottiaux TM, Chiche JD, Desaive CJ, Lamy ML. Effect of bi-level positive airway pressure (BiPAP) nasal ventilation on the postoperative pulmonary restrictive syndrome in obese patients undergoing gastroplasty. Chest. 1997; 111: 665-670
82. Patel A, Nouraei SA. Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE): a physiological method of increasing apnoea time in patients with difficult airways. Anaesthesia. 2015; 70: 323-329
83. Ritchie JE, Williams AB, Gerard C, Hockey H. Evaluation of a humidified nasal high-flow oxygen system, using oxygraphy, capnography and measurement of upper airway pressures. Anaesth Intensive Care. 2011; 39: 1103-1110
84. Howells TH, Riethmuller RJ. Signs of endotracheal intubation. Anaesthesia. 1980; 35: 984-986
85. McShane AJ, Martin JL. Preoxygenation and pulse oximetry may delay detection of esophageal intubation. J Natl Med Assoc. 1987; 79: 987, 991-992
86. Salem MR, Baraka A. Confirmation of tracheal intubation. In Hagberg CA, ed. Benumof and Hagberg's Airway Management. 2nd ed. Philadelphia, PA: Mosby Elsevier. 2007; 697-216
87. Gunnarsson L, Tokics L, Gustavsson H, Hedenstierna G. Influence of age on atelectasis formation and gas exchange impairment during general anaesthesia. Br J Anaesth. 1991; 66: 423-432
88. Lundquist H, Hedenstierna G, Strandberg A, Tokics L, Brismar B. CT-Assessment of dependent lung densities in man during general anaesthesia. Acta Radiol. 1995; 36: 626-632
89. Joyce CJ, Baker AB. What is the role of absorption atelectasis in the genesis of perioperative pulmonary collapse? Anaesth Intensive Care. 1995; 23: 691-696
90. Nunn JF, Williams IP, Jones JG, Hewlett AM, Hulands GH, Minty BD. Detection and reversal of pulmonary absorption collapse. Br J Anaesth. 1978; 50: 91-100
91. Lumb AB, Pearl RG. Anaesthesia. In Lumb AB, ed. Nunn's Applied Respiratory Physiology, 7th ed. Philadelphia, PA: Churchill Livingstone Elsevier. 2010; 327-354
92. Hedenstierna G, Edmark L. Mechanisms of atelectasis in the perioperative period. Best Pract Res Clin Anaesthesiol. 2010; 24: 157-169
93. Joyce CJ, Williams AB. Kinetics of absorption atelectasis during anesthesia: a mathematical model. J Appl Physiol (1985). 1999; 86: 1116-1125
94. Rothen HU, Sporre B, Engberg G, Wegenius G, Reber A, Hedenstierna G. Prevention of atelectasis during general anaesthesia. Lancet. 1995; 345: 1387-1391
95. Edmark L, Kostova-Aherdan K, Enlund M, Hedenstierna G. Optimal oxygen concentration during induction of general anesthesia. Anesthesiology. 2003; 98: 28-33
96. Benoît Z, Wicky S, Fischer JF, et al. The effect of increased FIO(2) before tracheal extubation on postoperative atelectasis. Anesth Analg. 2002; 95: 1777-1781
97. Rothen HU, Neumann P, Berglund JE, Valtysson J, Magnusson A, Hedenstierna G. Dynamics of re-expansion of atelectasis during general anaesthesia. Br J Anaesth. 1999; 82: 551-556
98. Jamieson D, Chance B, Cadenas E, Boveris A. The relation of free radical production to hyperoxia. Annu Rev Physiol. 1986; 48: 703-719
99. Turrens JF, Freeman BA, Levitt JG, Crapo JD. The effect of hyperoxia on superoxide production by lung submitochondrial particles. Arch Biochem Biophys. 1982; 217: 401-410
100. Turrens JF, Freeman BA, Crapo JD. Hyperoxia increases H2O2release by lung mitochondria and microsomes. Arch Biochem Biophys. 1982; 217: 411-421
101. Chandel NS, Budinger GR. The cellular basis for diverse responses to oxygen. Free Radic Biol Med. 2007; 42: 165-174
102. Crystal GJ, Malik G, Yoon SH, Kim SJ. Isoflurane late preconditioning against myocardial stunning is associated with enhanced antioxidant defenses. Acta Anaesthesiol Scand. 2012; 56: 39-47
103. Jenkinson SG. Oxygen toxicity. New Horiz. 1993; 1: 504-511
104. Lumb AB, Walton LJ. Perioperative oxygen toxicity. Anesthesiol Clin. 2012; 30: 591-605
105. Lumb AB. Just a little oxygen to breathe as you go off to sleep. is it always a good idea? Br J Anaesth. 2007; 99: 769-771
106. Eggers J, Paley HW, Leonard JJ, Warren JV. Hemodynamic responses to oxygen breathing in man. J Appl Physiol. 1962; 17: 75-79
107. Daly WJ, Bondurant S. Effects of oxygen breathing on the heart rate, blood pressure, and cardiac index of normal men-resting, with reactive hyperemia, and after atropine. J Clin Invest. 1962; 41: 126-132
108. Ganz W, Donoso R, Marcus H, Swan HJ. Coronary hemodynamics and myocardial oxygen metabolism during oxygen breathing in patients with and without coronary artery disease. Circulation. 1972; 45: 763-768
109. Neill WA. Effects of arterial hypoxemia and hyperoxia on oxygen availability for myocardial metabolism. Patients with and without coronary heart disease. Am J Cardiol. 1969; 24: 166-171
110. Bourassa MG, Campeau L, Bois MA, Rico O. The effects of inhalation of 100 percent oxygen on myocardial lactate metabolism in coronary heart disease. Am J Cardiol. 1969; 24: 172-177
111. McNulty PH, King N, Scott S, et al. Effects of supplemental oxygen administration on coronary blood flow in patients undergoing cardiac catheterization. Am J Physiol Heart Circ Physiol. 2005; 288: H1057-H1062
112. Farquhar H, Weatherall M, Wijesinghe M, et al. Systematic review of studies of the effect of hyperoxia on coronary blood flow. Am Heart J. 2009; 158: 371-377
113. Rubanyi GM, Vanhoutte PM. Superoxide anions and hyperoxia inactivate endothelium-derived relaxing factor. Am J Physiol. 1986; 250: H822-H827
114. Mouren S, Souktani R, Beaussier M, et al. Mechanisms of coronary vasoconstriction induced by high arterial oxygen tension. Am J Physiol. 1997; 272: H67-H75
115. Bergofsky EH, Bertun P. Response of regional circulations to hyperoxia. J Appl Physiol. 1966; 21: 567-572
116. Purves MJ. Regulation of cerebral vessels by oxygen. The Physiology of the Cerebral Circulation. Cambridge, UK: Cambridge University Press 1972 232-252
117. Xu F, Liu P, Pascual JM, Xiao G, Lu H. Effect of hypoxia and hyperoxia on cerebral blood flow, blood oxygenation, and oxidative metabolism. J Cereb Blood Flow Metab. 2012; 32: 1909-1918
118. Lambertsen CJ, Dough RH, Cooper DY, Emmel GL, Loeschcke HH, Schmidt CF. Oxygen toxicity; effects in man of oxygen inhalation at 1 and 3.5 atmospheres upon blood gas transport, cerebral circulation and cerebral metabolism. J Appl Physiol. 1953; 5: 471-486
119. Kainuma M, Kimura N, Shimada Y. Effect of acute changes in renal arterial blood flow on urine oxygen tension in dogs. Crit Care Med. 1990; 18: 309-312
120. Flemming B, Seeliger E, Wronski T, Steer K, Arenz N, Persson PB. Oxygen and renal hemodynamics in the conscious rat. J Am Soc Nephrol. 2000; 11: 18-24