• Jackson Baker, Naveed Khan, Mandeep Singh, and Catherine M Kuza.
• Department of Anesthesiology, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.
• Curr Opin Anaesthesiol. 2022 Apr 1; 35 (2): 182188182-188.

Purpose Of ReviewRapid and effective airway management is priority for trauma patients. Trauma patients are often at an increased risk of experiencing hypoxia, and thus at increased risk of morbidity and mortality. Apneic oxygenation has been widely debated but has been reported to provide benefit in terms of increased peri-intubation oxygen saturation and decreased rates of desaturation. This review aims to evaluate the current literature on the efficacy of apneic oxygenation in the setting of rapid sequence intubation (RSI) in trauma patients.Recent FindingsTwo prospective studies published this year, demonstrated that apneic oxygenation was effective in reducing hypoxic events and hypoxic duration during RSI.SummaryThe use of apneic oxygenation can play an important role in preventing hypoxic events in trauma patients undergoing RSI. The use of apneic oxygenation is cheap, and should be considered to reduce hypoxemic events. Additional studies are required to see the effects of apneic oxygenation on outcomes in trauma patients undergoing RSI, specifically desaturation and hypoxemic events and duration, and early onset mortality.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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