Oxygen reserve index for non-invasive early hypoxemia detection during endotracheal intubation in intensive care: the prospective observational NESOI study.
Hugo HilleAurelie Le ThuautEmmanuel CanetJeremie LemarieLaura CrosbyGregoire OttavyCharlotte GarretMaelle MartinAmelie SeguinPauline Lamouche-WilquinJean MorinOlivier ZambonArnaud-Felix MiaihleJean ReignierJean Baptiste LascarrouPublished in: Annals of intensive care (2021)
In non-hypoxemic patients, the 81-s [34-146] median time between the ORI decrease below 0.4 and the SpO2 decrease below 97% during apnoea may allow preventive action. A higher ORI value during preoxygenation was independently protective against hypoxemia. Whether these findings also apply to hypoxemic patients, and the clinical impact of a preoxygenation strategy based on ORI monitoring, remain to be evaluated prospectively. Trial Registration ClinicalTrial.gov, #NCT03600181.