Table 9 Physiological effects of acute hypoxia and hyperoxia
HypoxiaHyperoxia
EffectsRisksEffectsRisks
Respiratory systemIncreased ventilationPulmonary vasoconstrictionPulmonary hypertensionDecreased ventilation (minimal)Worsened ventilation/perfusion matchingAbsorption atelectasis
Cardiovascular systemCoronary vasodilationDecreased systemic vascular resistance (transient) Increased cardiac outputTachycardiaMyocardial ischaemia/infarctionIschaemia/infarction of other critically perfused organsHypotensionArrhythmiasMyocardial ischaemia (in context of decreased haematocrit) Reduced cardiac outputReduced coronary blood flowIncreased blood pressureIncreased peripheral resistance
Metabolic systemIncreased 2,3-DPGIncreased CO2 carriage (Haldane effect)Lactic acidosisDecreased 2,3-DPGDecreased CO2 carriage (Haldane effect)Increased reactive oxygen species
Neurological systemIncreased cerebral blood flow due to vasodilationConfusionDeliriumComaDecreased cerebral blood flow
Renal systemRenin-angiotensin axis activationAcute tubular necrosisReduced renal blood flow
Increased erythropoietin production
  • 2,3-DPG, 2,3-diphosphoglycerate.