氧储备指数：氧疗监测的新方法

邹芸苏; 周晓光

doi:10.7499/j.issn.1008-8830.2206112

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中国当代儿科杂志 ›› 2022, Vol. 24 ›› Issue (11) : 1275-1280. DOI: 10.7499/j.issn.1008-8830.2206112

综述

氧储备指数：氧疗监测的新方法

邹芸苏, 周晓光

作者信息 +

Oxygen reserve index: a new parameter for oxygen therapy

ZOU Yun-Su, ZHOU Xiao-Guang

Author information +

文章历史 +

摘要

氧储备指数（oxygen reserve index，ORI）是一项新型无量纲参数，可无创、实时、持续监测氧合状态，数值范围是0~1，反映的动脉血氧分压范围是100~200 mmHg。ORI和脉搏血氧仪结合使用，有助于准确调整吸入气氧浓度，预防低氧血症和高氧血症。ORI适用于临床各种情况，医务人员应掌握这项新型参数并合理应用，以评估患者的氧合状态。临床应用时应注意ORI的一些不足。

Abstract

Oxygen reserve index (ORI) is a novel dimensionless index used for noninvasive, real-time, and continuous monitoring of oxygenation, and ORI value ranges from 0 to 1, which reflects the range of 100-200 mmHg for arterial partial pressure of oxygen. ORI combined with pulse oximetry may help to accurately adjust the concentration of inspired oxygen and prevent hyperoxemia and hypoxemia. ORI is suitable for various clinical situations, and the medical staff should master this novel parameter and use it properly to assess the oxygenation of patients. In addition, several limitations of ORI should be noticed during clinical application.

导出引用

邹芸苏, 周晓光. 氧储备指数：氧疗监测的新方法[J]. 中国当代儿科杂志. 2022, 24(11): 1275-1280 https://doi.org/10.7499/j.issn.1008-8830.2206112

ZOU Yun-Su, ZHOU Xiao-Guang. Oxygen reserve index: a new parameter for oxygen therapy[J]. Chinese Journal of Contemporary Pediatrics. 2022, 24(11): 1275-1280 https://doi.org/10.7499/j.issn.1008-8830.2206112

参考文献

1 Das SK, Choupoo NS, Ray S. Oxygen therapy in the ICU[J]. N Engl J Med, 2020, 382(26): 2577-2578. PMID: 32579823. DOI: 10.1056/NEJMc2009489.
2 Chen ST, Min S. Oxygen reserve index, a new method of monitoring oxygenation status: what do we need to know?[J]. Chin Med J (Engl), 2020, 133(2): 229-234. PMID: 31904726. PMCID: PMC7028177. DOI: 10.1097/CM9.0000000000000625.
3 孙建华, 赵明曦, 李若祎, 等. ICU氧疗患者高氧血症状况调查分析[J]. 护理学杂志, 2020, 35(22): 8-10. DOI: 10.3870/j.issn.1001-4152.2020.22.008.
4 Six S, Jaffal K, Ledoux G, et al. Hyperoxemia as a risk factor for ventilator-associated pneumonia[J]. Crit Care, 2016, 20(1): 195. PMID: 27334713. PMCID: PMC4917974. DOI: 10.1186/s13054-016-1368-4.
5 Cumpstey AF, Oldman AH, Martin DS, et al. Oxygen targets during mechanical ventilation in the ICU: a systematic review and meta-analysis[J]. Crit Care Explor, 2022, 4(4): e0652. PMID: 35506014. PMCID: PMC9049025. DOI: 10.1097/CCE.0000000000000652.
6 Fleming NW, Singh A, Lee L, et al. Oxygen reserve index: utility as an early warning for desaturation in high-risk surgical patients[J]. Anesth Analg, 2021, 132(3): 770-776. PMID: 32815872. DOI: 10.1213/ANE.0000000000005109.
7 Bhattacharya K. Takuo Aoyagi—a tribute to the brain behind pulse oximetry[J]. Indian J Surg, 2020, 82(6): 1332-1333. PMID: 32837057. PMCID: PMC7237228. DOI: 10.1007/s12262-020-02365-x.
8 Umeda A, Ishizaka M, Tasaki M, et al. Evaluation of time courses of agreement between minutely obtained transcutaneous blood gas data and the gold standard arterial data from spontaneously breathing Asian adults, and various subgroup analyses[J]. BMC Pulm Med, 2020, 20(1): 151. PMID: 32471394. PMCID: PMC7257137. DOI: 10.1186/s12890-020-01184-w.
9 Szmuk P, Steiner JW, Olomu PN, et al. Oxygen reserve index: a novel noninvasive measure of oxygen reserve—a pilot study[J]. Anesthesiology, 2016, 124(4): 779-784. PMID: 26978143. DOI: 10.1097/ALN.0000000000001009.
10 任开睿, 戴依利, 付阳阳, 等. 氧储备指数对危重症患者高氧血症的监测价值[J]. 中国急救医学, 2021, 41(5): 386-389. DOI: 10.3969/j.issn.1002-1949.2021.05.004.
11 Ishida Y, Okada T, Kobayashi T, et al. ORiTM: a new indicator of oxygenation[J]. J Anesth, 2021, 35(5): 734-740. PMID: 33900455. PMCID: PMC8072303. DOI: 10.1007/s00540-021-02938-4.
12 Applegate RL, Dorotta IL, Wells B, et al. The relationship between oxygen reserve index and arterial partial pressure of oxygen during surgery[J]. Anesth Analg, 2016, 123(3): 626-633. PMID: 27007078. PMCID: PMC4979626. DOI: 10.1213/ANE.0000000000001262.
13 Vos JJ, Willems CH, van Amsterdam K, et al. Oxygen reserve index: validation of a new variable[J]. Anesth Analg, 2019, 129(2): 409-415. PMID: 30138170. DOI: 10.1213/ANE.0000000000003706.
14 Yoshida K, Isosu T, Noji Y, et al. Adjustment of oxygen reserve index (ORiTM) to avoid excessive hyperoxia during general anesthesia[J]. J Clin Monit Comput, 2020, 34(3): 509-514. PMID: 31227971. DOI: 10.1007/s10877-019-00341-9.
15 Scheeren TWL, Belda FJ, Perel A. The oxygen reserve index (ORI): a new tool to monitor oxygen therapy[J]. J Clin Monit Comput, 2018, 32(3): 379-389. PMID: 28791567. PMCID: PMC5943373. DOI: 10.1007/s10877-017-0049-4.
16 Yoshida K, Isosu T, Noji Y, et al. Usefulness of oxygen reserve index (ORiTM), a new parameter of oxygenation reserve potential, for rapid sequence induction of general anesthesia[J]. J Clin Monit Comput, 2018, 32(4): 687-691. PMID: 28956237. DOI: 10.1007/s10877-017-0068-1.
17 Koishi W, Kumagai M, Ogawa S, et al. Monitoring the oxygen reserve index can contribute to the early detection of deterioration in blood oxygenation during one-lung ventilation[J]. Minerva Anestesiol, 2018, 84(9): 1063-1069. PMID: 29756744. DOI: 10.23736/S0375-9393.18.12622-8.
18 Alday E, Nieves JM, Planas A. Oxygen reserve index predicts hypoxemia during one-lung ventilation: an observational diagnostic study[J]. J Cardiothorac Vasc Anesth, 2020, 34(2): 417-422. PMID: 31362907. DOI: 10.1053/j.jvca.2019.06.035.
19 Yoshida K, Isosu T, Imaizumi T, et al. Oxygen reserve index (ORiTM) as an alarm for oxygenation deterioration in pediatric tracheostomaplasty: a case report[J]. Paediatr Anaesth, 2019, 29(11): 1151-1153. PMID: 31677336. DOI: 10.1111/pan.13739.
20 Niwa Y, Shiba J, Fujita H, et al. Oxygen reserve index (ORiTM) contributes to prediction of hypoxemia and patient safety during tracheal stent insertion using rigid bronchoscopy: a case report[J]. J Clin Monit Comput, 2019, 33(6): 1011-1014. PMID: 30519896. DOI: 10.1007/s10877-018-0232-2.
21 Singer M, Young PJ, Laffey JG, et al. Dangers of hyperoxia[J]. Crit Care, 2021, 25(1): 440. PMID: 34924022. PMCID: PMC8686263. DOI: 10.1186/s13054-021-03815-y.
22 Tolaymat Y, Doré S, Griffin HW, et al. Inhaled gases for neuroprotection of neonates: a review[J]. Front Pediatr, 2020, 7: 558. PMID: 32047729. PMCID: PMC6996209. DOI: 10.3389/fped.2019.00558.
23 Asfar P, Singer M, Radermacher P. Understanding the benefits and harms of oxygen therapy[J]. Intensive Care Med, 2015, 41(6): 1118-1121. PMID: 25634474. DOI: 10.1007/s00134-015-3670-z.
24 Lo YC, Chen KY, Chou HC, et al. Neonatal hyperoxia induces gut dysbiosis and behavioral changes in adolescent mice[J]. J Chin Med Assoc, 2021, 84(3): 290-298. PMID: 33496514. DOI: 10.1097/JCMA.0000000000000488.
25 You J, Fan X, Bi X, et al. Association between arterial hyperoxia and mortality in critically ill patients: a systematic review and meta-analysis[J]. J Crit Care, 2018, 47: 260-268. PMID: 30077082. DOI: 10.1016/j.jcrc.2018.07.014.
26 Helmerhorst HJ, Roos-Blom MJ, van Westerloo DJ, et al. Association between arterial hyperoxia and outcome in subsets of critical illness: a systematic review, meta-analysis, and meta-regression of cohort studies[J]. Crit Care Med, 2015, 43(7): 1508-1519. PMID: 25855899. DOI: 10.1097/CCM.0000000000000998.
27 Helmerhorst HJ, Arts DL, Schultz MJ, et al. Metrics of arterial hyperoxia and associated outcomes in critical care[J]. Crit Care Med, 2017, 45(2): 187-195. PMID: 27763912. DOI: 10.1097/CCM.0000000000002084.
28 Ray S, Kulkarni KS, Dave NM, et al. The utility of the oxygen reserve indexTM in a neonate undergoing re-exploration of a tracheoesophageal fistula[J]. Indian J Anaesth, 2018, 62(3): 233-234. PMID: 29643560. PMCID: PMC5881328. DOI: 10.4103/ija.IJA_778_17.
29 Nimmagadda U, Salem MR, Crystal GJ. Preoxygenation: physiologic basis, benefits, and potential risks[J]. Anesth Analg, 2017, 124(2): 507-517. PMID: 28099321. DOI: 10.1213/ANE.0000000000001589.
30 Shah U, Wong J, Wong DT, et al. Preoxygenation and intraoperative ventilation strategies in obese patients: a comprehensive review[J]. Curr Opin Anaesthesiol, 2016, 29(1): 109-118. PMID: 26545146. DOI: 10.1097/ACO.0000000000000267.
31 Mosier JM, Hypes CD, Sakles JC. Understanding preoxygenation and apneic oxygenation during intubation in the critically ill[J]. Intensive Care Med, 2017, 43(2): 226-228. PMID: 27342820. DOI: 10.1007/s00134-016-4426-0.
32 Askie LM, Darlow BA, Finer N, et al. Association between oxygen saturation targeting and death or disability in extremely preterm infants in the Neonatal Oxygenation Prospective Meta-analysis Collaboration[J]. JAMA, 2018, 319(21): 2190-2201. PMID: 29872859. PMCID: PMC6583054. DOI: 10.1001/jama.2018.5725.
33 Travers CP, Carlo WA. New methods for noninvasive oxygen administration[J]. Clin Perinatol, 2019, 46(3): 449-458. PMID: 31345540. DOI: 10.1016/j.clp.2019.05.012.
34 Bachman TE, Newth CJL, Iyer NP, et al. Hypoxemic and hyperoxemic likelihood in pulse oximetry ranges: NICU observational study[J]. Arch Dis Child Fetal Neonatal Ed, 2019, 104(3): F274-F279. PMID: 29925540. DOI: 10.1136/archdischild-2017-314448.
35 Isosu T, Yoshida K, Oishi R, et al. Effects of indigo carmine intravenous injection on oxygen reserve index (ORiTM) measurement[J]. J Clin Monit Comput, 2018, 32(4): 693-697. PMID: 28975476. DOI: 10.1007/s10877-017-0064-5.
36 Kondo H, Nakamura R, Kobatake A, et al. Effects of intravenous injection of indocyanine green on the oxygen reserve index (ORiTM)[J]. J Anesth, 2020, 34(3): 338-341. PMID: 32078044. DOI: 10.1007/s00540-020-02746-2.