Consequences of Hyperoxia and the Toxicity of Oxygen in the Lung

Oxygen (O2) is life essential but as a drug has a maximum positive biological benefit and accompanying toxicity effects. Oxygen is therapeutic for treatment of hypoxemia and hypoxia associated with many pathological processes. Pathophysiological processes are associated with increased levels of hype...

Full description

Saved in:
Bibliographic Details
Main Authors: William J. Mach, Amanda R. Thimmesch, J. Thomas Pierce, Janet D. Pierce
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2011/260482
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832549216952516608
author William J. Mach
Amanda R. Thimmesch
J. Thomas Pierce
Janet D. Pierce
author_facet William J. Mach
Amanda R. Thimmesch
J. Thomas Pierce
Janet D. Pierce
author_sort William J. Mach
collection DOAJ
description Oxygen (O2) is life essential but as a drug has a maximum positive biological benefit and accompanying toxicity effects. Oxygen is therapeutic for treatment of hypoxemia and hypoxia associated with many pathological processes. Pathophysiological processes are associated with increased levels of hyperoxia-induced reactive O2 species (ROS) which may readily react with surrounding biological tissues, damaging lipids, proteins, and nucleic acids. Protective antioxidant defenses can become overwhelmed with ROS leading to oxidative stress. Activated alveolar capillary endothelium is characterized by increased adhesiveness causing accumulation of cell populations such as neutrophils, which are a source of ROS. Increased levels of ROS cause hyperpermeability, coagulopathy, and collagen deposition as well as other irreversible changes occurring within the alveolar space. In hyperoxia, multiple signaling pathways determine the pulmonary cellular response: apoptosis, necrosis, or repair. Understanding the effects of O2 administration is important to prevent inadvertent alveolar damage caused by hyperoxia in patients requiring supplemental oxygenation.
format Article
id doaj-art-1ab52e058222451a817b29d802358ace
institution Kabale University
issn 2090-1429
2090-1437
language English
publishDate 2011-01-01
publisher Wiley
record_format Article
series Nursing Research and Practice
spelling doaj-art-1ab52e058222451a817b29d802358ace2025-02-03T06:11:44ZengWileyNursing Research and Practice2090-14292090-14372011-01-01201110.1155/2011/260482260482Consequences of Hyperoxia and the Toxicity of Oxygen in the LungWilliam J. Mach0Amanda R. Thimmesch1J. Thomas Pierce2Janet D. Pierce3School of Nursing, University of Kansas, 3901 Rainbow Boulevard, Kansas City, KS 66160, USASchool of Nursing, University of Kansas, 3901 Rainbow Boulevard, Kansas City, KS 66160, USAU.S. Department of Veterans Affairs (122), Rehabilitation Research and Development Service, 810 Vermont Avenue, NW, Washington, DC 20420, USASchool of Nursing, University of Kansas, 3901 Rainbow Boulevard, Kansas City, KS 66160, USAOxygen (O2) is life essential but as a drug has a maximum positive biological benefit and accompanying toxicity effects. Oxygen is therapeutic for treatment of hypoxemia and hypoxia associated with many pathological processes. Pathophysiological processes are associated with increased levels of hyperoxia-induced reactive O2 species (ROS) which may readily react with surrounding biological tissues, damaging lipids, proteins, and nucleic acids. Protective antioxidant defenses can become overwhelmed with ROS leading to oxidative stress. Activated alveolar capillary endothelium is characterized by increased adhesiveness causing accumulation of cell populations such as neutrophils, which are a source of ROS. Increased levels of ROS cause hyperpermeability, coagulopathy, and collagen deposition as well as other irreversible changes occurring within the alveolar space. In hyperoxia, multiple signaling pathways determine the pulmonary cellular response: apoptosis, necrosis, or repair. Understanding the effects of O2 administration is important to prevent inadvertent alveolar damage caused by hyperoxia in patients requiring supplemental oxygenation.http://dx.doi.org/10.1155/2011/260482
spellingShingle William J. Mach
Amanda R. Thimmesch
J. Thomas Pierce
Janet D. Pierce
Consequences of Hyperoxia and the Toxicity of Oxygen in the Lung
Nursing Research and Practice
title Consequences of Hyperoxia and the Toxicity of Oxygen in the Lung
title_full Consequences of Hyperoxia and the Toxicity of Oxygen in the Lung
title_fullStr Consequences of Hyperoxia and the Toxicity of Oxygen in the Lung
title_full_unstemmed Consequences of Hyperoxia and the Toxicity of Oxygen in the Lung
title_short Consequences of Hyperoxia and the Toxicity of Oxygen in the Lung
title_sort consequences of hyperoxia and the toxicity of oxygen in the lung
url http://dx.doi.org/10.1155/2011/260482
work_keys_str_mv AT williamjmach consequencesofhyperoxiaandthetoxicityofoxygeninthelung
AT amandarthimmesch consequencesofhyperoxiaandthetoxicityofoxygeninthelung
AT jthomaspierce consequencesofhyperoxiaandthetoxicityofoxygeninthelung
AT janetdpierce consequencesofhyperoxiaandthetoxicityofoxygeninthelung