Effects of supplemental oxygen on systemic and cerebral hemodynamics in experimental hypovolemia: Protocol for a randomized, double blinded crossover study

PLoS One. 2022 Jun 24;17(6):e0270598. doi: 10.1371/journal.pone.0270598. eCollection 2022.

Abstract

Supplemental oxygen is widely administered in trauma patients, often leading to hyperoxia. However, the clinical evidence for providing supplemental oxygen in all trauma patients is scarce, and hyperoxia has been found to increase mortality in some patient populations. Hypovolemia is a common finding in trauma patients, which affects many hemodynamic parameters, but little is known about how supplemental oxygen affects systemic and cerebral hemodynamics during hypovolemia. We therefore plan to conduct an experimental, randomized, double blinded crossover study to investigate the effect of 100% oxygen compared to room air delivered by a face mask with reservoir on systemic and cerebral hemodynamics during simulated hypovolemia in the lower body negative pressure model in 15 healthy volunteers. We will measure cardiac output, stroke volume, blood pressure, middle cerebral artery velocity and tolerance to hypovolemia continuously in all subjects at two visits to investigate whether oxygen affects the cardiovascular response to simulated hypovolemia. The effect of oxygen on the outcome variables will be analyzed with mixed linear regression. Trial registration: The study is registered in the European Union Drug Regulating Authorities Clinical Trials Database (EudraCT, registration number 2021-003238-35).

Publication types

  • Clinical Trial Protocol
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cross-Over Studies
  • Hemodynamics / physiology
  • Humans
  • Hyperoxia*
  • Hypovolemia*
  • Oxygen
  • Randomized Controlled Trials as Topic

Substances

  • Oxygen

Associated data

  • EudraCT/2021-003238-35

Grants and funding

This study is funded by the Norwegian Air Ambulance Foundation and Oslo University Hospital. The funders had and will not have a role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.