Evidence map›Paper›PMID 32121051›Full record

ReviewJournal of clinical medicine2020

Perioperative Hyperoxyphobia: Justified or Not? Benefits and Harms of Hyperoxia during Surgery.

Robert P Weenink, Stijn W de Jonge, Robert A van Hulst, Thijs T Wingelaar, Pieter-Jan A M van Ooij, Rogier V Immink, Benedikt Preckel, Markus W Hollmann

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Effects of intraoperative hyperoxia on cerebral blood flow and dynamic cerebral autoregulation.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Dangers of hyperoxia.Critical care (London, England) · 2021
    Review
  14. Review
  15. Target arterial POAnnals of intensive care · 2021
    Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Robert P WeeninkDepartment of Anaesthesia, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Stijn W de JongeDepartment of Surgery, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Robert A van HulstDepartment of Anaesthesia, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Thijs T WingelaarDepartment of Anaesthesia, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Pieter-Jan A M van OoijDiving Medical Center, Royal Netherlands Navy, 1780 CA Den Helder, The Netherlands.
Rogier V ImminkDepartment of Anaesthesia, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Benedikt PreckelDepartment of Anaesthesia, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Markus W HollmannDepartment of Anaesthesia, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Amsterdam University Medical Centers · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of an inspiratory oxygen fraction of 0.80 during surgery is a topic of ongoing debate. Opponents claim that increased oxidative stress, atelectasis, and impaired oxygen delivery due to hyperoxic vasoconstriction are detrimental. Proponents point to the beneficial effects on the incidence of surgical site infections and postoperative nausea and vomiting. Also, hyperoxygenation is thought to extend the safety margin in case of acute intraoperative emergencies. This review provides a comprehensive risk-benefit analysis for the use of perioperative hyperoxia in noncritically ill adults based on clinical evidence and supported by physiological deduction where needed. Data from the field of hyperbaric medicine, as a model of extreme hyperoxygenation, are extrapolated to the perioperative setting. We ultimately conclude that current evidence is in favour of hyperoxia in noncritically ill intubated adult surgical patients.

Indexed as

hyperbaric oxygenationhyperoxiaoxygen toxicityperioperative carereactive oxygen speciessurgical wound infection

Identifiers

PMID32121051
PMCPMC7141263
OpenAlexW3010425519

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.