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The effect of 50% oxygen on PtCO2 in patients with stable COPD, bronchiectasis, and neuromuscular disease or kyphoscoliosis: randomised cross-over trials.


ABSTRACT: BACKGROUND:High-concentration oxygen therapy causes increased arterial partial pressure of carbon dioxide (PaCO2) in patients with COPD, asthma, pneumonia, obesity and acute lung injury. The objective of these studies was to investigate whether this physiological response to oxygen therapy occurs in stable patients with neuromuscular disease or kyphoscoliosis, and bronchiectasis. METHODS:Three randomised cross-over trials recruited stable patients with neuromuscular disease or kyphoscoliosis (n?=?20), bronchiectasis (n?=?24), and COPD (n?=?24). Participants were randomised to receive 50% oxygen and 21% oxygen (air), each for 30?min, in randomly assigned order. The primary outcome was transcutaneous partial pressure of carbon dioxide (PtCO2) at 30?min. The primary analysis was a mixed linear model. RESULTS:Sixty six of the 68 participants had baseline PtCO2 values

SUBMITTER: Pilcher J 

PROVIDER: S-EPMC7203892 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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The effect of 50% oxygen on PtCO<sub>2</sub> in patients with stable COPD, bronchiectasis, and neuromuscular disease or kyphoscoliosis: randomised cross-over trials.

Pilcher Janine J   Thayabaran Darmiga D   Ebmeier Stefan S   Williams Mathew M   Back Geraldine G   Collie Hamish H   Richards Michael M   Bibby Susan S   Semprini Ruth R   Weatherall Mark M   Beasley Richard R  

BMC pulmonary medicine 20200507 1


<h4>Background</h4>High-concentration oxygen therapy causes increased arterial partial pressure of carbon dioxide (PaCO<sub>2</sub>) in patients with COPD, asthma, pneumonia, obesity and acute lung injury. The objective of these studies was to investigate whether this physiological response to oxygen therapy occurs in stable patients with neuromuscular disease or kyphoscoliosis, and bronchiectasis.<h4>Methods</h4>Three randomised cross-over trials recruited stable patients with neuromuscular dis  ...[more]

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