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Oxygen Therapy

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Abstract

The Intensivist was called to evaluate a female patient in emergency department who was known to have advanced emphysema. She was getting oxygen through a nasal cannula at 6 L/min. The nurse says that she has become drowsy and less responsive since the oxygen was given to her an hour ago. Her ABG results on the oxygen show the following: PaO 2 , 84 mmHg, PaCO 2 , 65 mmHg and pH, 7.32.

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Suggested Reading

  • Barnhart SL. Oxygen administration. In: Walsh BK, Czervinske MP, DiBlasi RM, editors. Perinatal and pediatric respiratory care. 3rd ed. St Louis: Saunders; 2010.

    Google Scholar 

  • Huang YC. Monitoring oxygen delivery in the critically ill. Chest. 2005;128(5 Suppl. 2):554S–60S. This article reviews the basic principles of DO(2) and the abnormal oxygen supply–demand relationship seen in patients with shock. It also discusses approaches for monitoring DO(2), including clinical symptoms/signs, acid–base status, and gas exchange, which provide global assessment, as well as gastric tonometry, which may reflect regional DO(2).

    Article  Google Scholar 

  • Leach RM, Treacher DF. The pulmonary physician in critical care. 2. Oxygen delivery and consumption in the critically ill. Thorax. 2002;57:170–7. Early detection and correction of tissue hypoxia is essential if progressive organ dysfunction and death are to be avoided. However, hypoxia in individual tissues or organs caused by disordered regional distribution of supplemental oxygen may be lifesaving in some situations but cannot correct inadequate oxygen delivery caused by a low cardiac output or impaired ventilation.

    Article  CAS  Google Scholar 

  • O’Driscoll BR, Howard LS, et al. BTS Guideline for oxygen use in adults in healthcare and emergency settings. Thorax. 2017;72(Suppl 1):pi1–i89. A comprehensive guidelines on oxygen therapy.

    Article  Google Scholar 

  • American Association for Respiratory Care: clinical practice guideline: oxygen therapy for adults in the acute care facility: 2002 revision and update. Respir Care. 2002;47:717. Guidelines on oxygen therapy.

    Google Scholar 

  • Schwartz AR, Kacmarek RM, Hess DR. Factors affecting oxygen delivery with bi-level positive airway pressure. Respir Care. 2004;49:270–5. Delivered oxygen concentration during BiPAP is a complex interaction between the leak port type, the site of oxygen injection, the ventilator settings, and the oxygen flow.

    PubMed  Google Scholar 

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Bhattacharya, P.K., Bhattacharya, L. (2020). Oxygen Therapy. In: Chawla, R., Todi, S. (eds) ICU Protocols. Springer, Singapore. https://doi.org/10.1007/978-981-15-0898-1_16

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  • DOI: https://doi.org/10.1007/978-981-15-0898-1_16

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-0897-4

  • Online ISBN: 978-981-15-0898-1

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