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Abstract
Hypoxemia is common in postoperative patients and is associated with prolonged hospital stays, high costs, and increased mortality. This review discusses the postoperative management of hypoxemia in regard to the use of conventional oxygen therapy, high-flow nasal cannula oxygen therapy, CPAP, and noninvasive ventilation. The recommendations made are based on the currently available evidence.
- postoperative hypoxemia
- oxygen therapy
- high-flow nasal cannula
- continuous positive airway pressure
- noninvasive ventilation
- incentive spirometry
Footnotes
- Correspondence: Jie Li PhD RRT RRT-ACCS RRT-NPS FAARC, Division of Respiratory Care, Department of Cardiopulmonary Sciences, Rush University, 600 S Paulina St, Suite 765, Chicago, IL 60612. E-mail: jie_li{at}rush.edu
Dr Li discloses relationships with Fisher & Paykel Healthcare, Aerogen, Rice Foundation, and the American Association for Respiratory Care. She is also Section Editor for Respiratory Care. Dr Scott discloses a relationship with Teleflex. The remaining authors declare no conflict of interest.
Dr Li presented a version of this paper at the New Horizons Symposium: Care of the High Risk Surgical Patient at AARC Congress 2020 LIVE!, held virtually on November 18, 2020.
- Copyright © 2021 by Daedalus Enterprises
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- Article
- Abstract
- Introduction
- Incidence and Outcome of Postoperative Hypoxemia
- Etiologies and Risk Factors of Postoperative Hypoxemia
- Prophylactic Versus Curative Use of Respiratory Support for Postoperative Patients
- Facilitative Extubation With NIV Versus HFNC
- Optimize Respiratory Support
- Clinical Monitoring During Respiratory Support
- Other Treatments
- Areas of Uncertainty and Future Research
- Summary
- Footnotes
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