Contributor: Aaron Lessen,MD
Educational Pearls:
- Recent study looked at mechanically ventilated patients in ED and ICU to determine if O2 saturation level impacted patient outcomes
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- 2541 patients randomized to one of three target O2 saturation levels
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- Low: 90% (Range: 88-92%)
- Intermediate: 94% (Range: 92-96%)
- High: 98% (Range: 96-100%)
- Outcome indicators
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- Primary: Number of days alive and ventilator free by day 28 of hospital admission
- Secondary: Mortality at 28 days
- No significant difference was seen for either primary or secondary outcomes between all three groups at 28 days
- This study shows that the target oxygenation level is not likely to significantly impact outcomes in mechanically ventilated patients in the ED
References
Semler MW, Casey JD, Lloyd BD, et al. Oxygen-Saturation Targets for Critically Ill Adults Receiving Mechanical Ventilation. N Engl J Med. Nov 10 2022;387(19):1759-1769. doi:10.1056/NEJMoa2208415
Summarized by Mark O'Brien, MS4 | Edited by John Spartz, MD, & Erik Verzemnieks, MD
In an effort to promote diversity, equity, and inclusion in Emergency Medicine, The Emergency Medical Minute is proud to present our 2nd annual Diversity and Inclusion Award. We support increasing the representation of underrepresented groups in medicine and extend this award to individuals applying to emergency medicine residencies during the 2022-2023 cycle. For information on award eligibility and the application process, visit https://emergencymedicalminute.com/edi-award/