Penn Medicine's Ttm Academy Podcasts

Episode 8 – Oxygen Delivery After Cardiac Arrest Resuscitation   During cardiac arrest resuscitation, most patients are intubated and placed on 100% oxygen. In this podcast, Drs. Teran and Abella discuss recent investigations that suggest that too much oxygen may worsen post-arrest injury. Global resuscitation guidelines suggest down-titration of oxygen as tolerated to maintain adequate O2 saturation, but it’s not clear how well this is done- many patients are left on high oxygen “dose” for hours.   Key readings for this podcast: Robert BW et al, “Association Between Early Hyperoxia Exposure After Resuscitation From Cardiac Arrest and Neurological Disability: Prospective Multicenter Protocol-Directed Cohort Study.” Circulation. 2018 May 15;137(20):2114-2124. https://www.ncbi.nlm.nih.gov/pubmed/29437118 Kilgannon JH et al, “Association between arterial hyperoxia following resuscitation from cardiac arrest and in-hospital mortality.” JAMA. 2010 Jun 2;303(21):2165-71. https://www.ncbi.nlm.nih.gov/pubmed/20516417