Acute cardiac care & resuscitationRandomised controlled trial

Conservative Oxygen for Unresponsive Patients after Cardiac Arrest

N Engl J MedPublished

  • Randomised controlled trial
  • multicentre

Authors' conclusion

Among unresponsive adults undergoing mechanical ventilation in the ICU after a cardiac arrest, the percentage who survived with a favorable functional outcome was not higher with conservative oxygen therapy than with liberal oxygen therapy.

Study context

Population
Unresponsive adults receiving mechanical ventilation in the intensive care unit (ICU) after cardiac arrest
Participants
1,840 adults · 53 ICUs
Comparison
Conservative vs liberal oxygen therapy
  • Conservative oxygenn = 882
  • Liberal oxygenn = 958reference
Primary endpoint
Survival with a favorable functional outcome (Glasgow Outcome Scale (GOS-E) level ≥5)
Follow-up
180 days

Primary result

Survival with favorable functional outcome

Relative risk

0.97

95% CI 0.87–1.09

P = 0.65

Events by treatment group

Conservative oxygen vs Liberal oxygen
RR 0.97 (95% CI 0.87–1.09); P = 0.65

As reported in the abstract

Safety

Adverse events

No adverse events were reported

Original publication

Conservative Oxygen for Unresponsive Patients after Cardiac Arrest. N Engl J Med. Published 10 June 2026. doi:10.1056/nejmoa2513814

Summarised from the published abstract; every number is checked against it