Does the administration of oxygen to ischaemic patients improve outcome?












3















In several articles it is reported how isvhaemic (stroke) patients’ outcome Ian improved by oxygen therapy.



How beneficial is the administration of oxygen? Are there any studies or guidelines?










share|improve this question









New contributor




عيسى is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
Check out our Code of Conduct.

























    3















    In several articles it is reported how isvhaemic (stroke) patients’ outcome Ian improved by oxygen therapy.



    How beneficial is the administration of oxygen? Are there any studies or guidelines?










    share|improve this question









    New contributor




    عيسى is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
    Check out our Code of Conduct.























      3












      3








      3








      In several articles it is reported how isvhaemic (stroke) patients’ outcome Ian improved by oxygen therapy.



      How beneficial is the administration of oxygen? Are there any studies or guidelines?










      share|improve this question









      New contributor




      عيسى is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
      Check out our Code of Conduct.












      In several articles it is reported how isvhaemic (stroke) patients’ outcome Ian improved by oxygen therapy.



      How beneficial is the administration of oxygen? Are there any studies or guidelines?







      stroke oxygen ischaemia






      share|improve this question









      New contributor




      عيسى is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
      Check out our Code of Conduct.











      share|improve this question









      New contributor




      عيسى is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
      Check out our Code of Conduct.









      share|improve this question




      share|improve this question








      edited 4 hours ago









      Narusan

      5,19621540




      5,19621540






      New contributor




      عيسى is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
      Check out our Code of Conduct.









      asked 5 hours ago









      عيسىعيسى

      162




      162




      New contributor




      عيسى is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
      Check out our Code of Conduct.





      New contributor





      عيسى is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
      Check out our Code of Conduct.






      عيسى is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
      Check out our Code of Conduct.






















          1 Answer
          1






          active

          oldest

          votes


















          2














          A large study of ~8000 patients suggests there is no real benefit to prophylactic oxygen supplementation after acute stroke (Roffe et al., 2017).



          American Heart Association/American Stroke Association guidelines (Powers et al., 2018) are for oxygen only for hypoxic patients, with limited evidence of benefit but no evidence of harm. Hyperbaric oxygen is only recommended in cases of air embolism.



          These guidelines are supported by Roffe et al., 2017, but they are consistent with the guidelines prior to that study, so this is a case where a large study confirms the standard of care rather than suggesting a shift in paradigm.





          References:



          Powers, W. J., Rabinstein, A. A., Ackerson, T., Adeoye, O. M., Bambakidis, N. C., Becker, K., ... & Jauch, E. C. (2018). 2018 guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 49(3), e46-e99.



          Roffe, C., Nevatte, T., Sim, J., Bishop, J., Ives, N., Ferdinand, P., & Gray, R. (2017). Effect of routine low-dose oxygen supplementation on death and disability in adults with acute stroke: the stroke oxygen study randomized clinical trial. Jama, 318(12), 1125-1135.






          share|improve this answer























            Your Answer








            StackExchange.ready(function() {
            var channelOptions = {
            tags: "".split(" "),
            id: "607"
            };
            initTagRenderer("".split(" "), "".split(" "), channelOptions);

            StackExchange.using("externalEditor", function() {
            // Have to fire editor after snippets, if snippets enabled
            if (StackExchange.settings.snippets.snippetsEnabled) {
            StackExchange.using("snippets", function() {
            createEditor();
            });
            }
            else {
            createEditor();
            }
            });

            function createEditor() {
            StackExchange.prepareEditor({
            heartbeatType: 'answer',
            autoActivateHeartbeat: false,
            convertImagesToLinks: false,
            noModals: true,
            showLowRepImageUploadWarning: true,
            reputationToPostImages: null,
            bindNavPrevention: true,
            postfix: "",
            imageUploader: {
            brandingHtml: "Powered by u003ca class="icon-imgur-white" href="https://imgur.com/"u003eu003c/au003e",
            contentPolicyHtml: "User contributions licensed under u003ca href="https://creativecommons.org/licenses/by-sa/3.0/"u003ecc by-sa 3.0 with attribution requiredu003c/au003e u003ca href="https://stackoverflow.com/legal/content-policy"u003e(content policy)u003c/au003e",
            allowUrls: true
            },
            noCode: true, onDemand: true,
            discardSelector: ".discard-answer"
            ,immediatelyShowMarkdownHelp:true
            });


            }
            });






            عيسى is a new contributor. Be nice, and check out our Code of Conduct.










            draft saved

            draft discarded


















            StackExchange.ready(
            function () {
            StackExchange.openid.initPostLogin('.new-post-login', 'https%3a%2f%2fmedicalsciences.stackexchange.com%2fquestions%2f18492%2fdoes-the-administration-of-oxygen-to-ischaemic-patients-improve-outcome%23new-answer', 'question_page');
            }
            );

            Post as a guest















            Required, but never shown

























            1 Answer
            1






            active

            oldest

            votes








            1 Answer
            1






            active

            oldest

            votes









            active

            oldest

            votes






            active

            oldest

            votes









            2














            A large study of ~8000 patients suggests there is no real benefit to prophylactic oxygen supplementation after acute stroke (Roffe et al., 2017).



            American Heart Association/American Stroke Association guidelines (Powers et al., 2018) are for oxygen only for hypoxic patients, with limited evidence of benefit but no evidence of harm. Hyperbaric oxygen is only recommended in cases of air embolism.



            These guidelines are supported by Roffe et al., 2017, but they are consistent with the guidelines prior to that study, so this is a case where a large study confirms the standard of care rather than suggesting a shift in paradigm.





            References:



            Powers, W. J., Rabinstein, A. A., Ackerson, T., Adeoye, O. M., Bambakidis, N. C., Becker, K., ... & Jauch, E. C. (2018). 2018 guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 49(3), e46-e99.



            Roffe, C., Nevatte, T., Sim, J., Bishop, J., Ives, N., Ferdinand, P., & Gray, R. (2017). Effect of routine low-dose oxygen supplementation on death and disability in adults with acute stroke: the stroke oxygen study randomized clinical trial. Jama, 318(12), 1125-1135.






            share|improve this answer




























              2














              A large study of ~8000 patients suggests there is no real benefit to prophylactic oxygen supplementation after acute stroke (Roffe et al., 2017).



              American Heart Association/American Stroke Association guidelines (Powers et al., 2018) are for oxygen only for hypoxic patients, with limited evidence of benefit but no evidence of harm. Hyperbaric oxygen is only recommended in cases of air embolism.



              These guidelines are supported by Roffe et al., 2017, but they are consistent with the guidelines prior to that study, so this is a case where a large study confirms the standard of care rather than suggesting a shift in paradigm.





              References:



              Powers, W. J., Rabinstein, A. A., Ackerson, T., Adeoye, O. M., Bambakidis, N. C., Becker, K., ... & Jauch, E. C. (2018). 2018 guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 49(3), e46-e99.



              Roffe, C., Nevatte, T., Sim, J., Bishop, J., Ives, N., Ferdinand, P., & Gray, R. (2017). Effect of routine low-dose oxygen supplementation on death and disability in adults with acute stroke: the stroke oxygen study randomized clinical trial. Jama, 318(12), 1125-1135.






              share|improve this answer


























                2












                2








                2







                A large study of ~8000 patients suggests there is no real benefit to prophylactic oxygen supplementation after acute stroke (Roffe et al., 2017).



                American Heart Association/American Stroke Association guidelines (Powers et al., 2018) are for oxygen only for hypoxic patients, with limited evidence of benefit but no evidence of harm. Hyperbaric oxygen is only recommended in cases of air embolism.



                These guidelines are supported by Roffe et al., 2017, but they are consistent with the guidelines prior to that study, so this is a case where a large study confirms the standard of care rather than suggesting a shift in paradigm.





                References:



                Powers, W. J., Rabinstein, A. A., Ackerson, T., Adeoye, O. M., Bambakidis, N. C., Becker, K., ... & Jauch, E. C. (2018). 2018 guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 49(3), e46-e99.



                Roffe, C., Nevatte, T., Sim, J., Bishop, J., Ives, N., Ferdinand, P., & Gray, R. (2017). Effect of routine low-dose oxygen supplementation on death and disability in adults with acute stroke: the stroke oxygen study randomized clinical trial. Jama, 318(12), 1125-1135.






                share|improve this answer













                A large study of ~8000 patients suggests there is no real benefit to prophylactic oxygen supplementation after acute stroke (Roffe et al., 2017).



                American Heart Association/American Stroke Association guidelines (Powers et al., 2018) are for oxygen only for hypoxic patients, with limited evidence of benefit but no evidence of harm. Hyperbaric oxygen is only recommended in cases of air embolism.



                These guidelines are supported by Roffe et al., 2017, but they are consistent with the guidelines prior to that study, so this is a case where a large study confirms the standard of care rather than suggesting a shift in paradigm.





                References:



                Powers, W. J., Rabinstein, A. A., Ackerson, T., Adeoye, O. M., Bambakidis, N. C., Becker, K., ... & Jauch, E. C. (2018). 2018 guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 49(3), e46-e99.



                Roffe, C., Nevatte, T., Sim, J., Bishop, J., Ives, N., Ferdinand, P., & Gray, R. (2017). Effect of routine low-dose oxygen supplementation on death and disability in adults with acute stroke: the stroke oxygen study randomized clinical trial. Jama, 318(12), 1125-1135.







                share|improve this answer












                share|improve this answer



                share|improve this answer










                answered 2 hours ago









                Bryan KrauseBryan Krause

                1,315316




                1,315316






















                    عيسى is a new contributor. Be nice, and check out our Code of Conduct.










                    draft saved

                    draft discarded


















                    عيسى is a new contributor. Be nice, and check out our Code of Conduct.













                    عيسى is a new contributor. Be nice, and check out our Code of Conduct.












                    عيسى is a new contributor. Be nice, and check out our Code of Conduct.
















                    Thanks for contributing an answer to Medical Sciences Stack Exchange!


                    • Please be sure to answer the question. Provide details and share your research!

                    But avoid



                    • Asking for help, clarification, or responding to other answers.

                    • Making statements based on opinion; back them up with references or personal experience.


                    To learn more, see our tips on writing great answers.




                    draft saved


                    draft discarded














                    StackExchange.ready(
                    function () {
                    StackExchange.openid.initPostLogin('.new-post-login', 'https%3a%2f%2fmedicalsciences.stackexchange.com%2fquestions%2f18492%2fdoes-the-administration-of-oxygen-to-ischaemic-patients-improve-outcome%23new-answer', 'question_page');
                    }
                    );

                    Post as a guest















                    Required, but never shown





















































                    Required, but never shown














                    Required, but never shown












                    Required, but never shown







                    Required, but never shown

































                    Required, but never shown














                    Required, but never shown












                    Required, but never shown







                    Required, but never shown







                    Popular posts from this blog

                    Ponta tanko

                    Tantalo (mitologio)

                    Erzsébet Schaár