Oxygen Therapy

OXYGEN THERAPY DEPTT OF ANAESTHESIOLOGY RESUSCITATION & CRITICAL CARE

WHY THIS TOPIC ? • RESUSITATION • CRITICAL CARE • COMMONEST DRUG

5 ELEMENTS • SKY • WATER • FIRE • EARTH • AIR- O2

• 100 TRILLION CELLS • GLUCOSE+O2= (36 ATP) 673 k Cal/mol

INTERMEDIARIES Air

Bellow

Pump

Microcirculation

Tissues

cell

OBJECTIVES • TO TREAT HYPOXIA • TO PAO2 • TO O2 CONTENT OF ARTERIAL BLOOD

CLINICAL OBJECTIVES •

WOB

•

MYOCARDIAL WORK

• TO IMPROVE CELLULAR FUNCTION

INDICATIONS ROF HYPOXIA • ATMOSPHERE - HIGH ALTITUDE • HYPOVENTILATION / ARREST • V/Q MISMATCH (COPD) • R>L SHUNT (PNEUMONIA, ARDS) contd….

INDICATIONS • ANAEMIA • LVF, Ac MI, SHOCK • ARRHTYMIA • SEPTIC SHOCK, ALI

OXYGEN ADMINISTRATION METHODS • FIXED PERFORMANCE HIGH FLOW SYSTEM • VARIABLE PERFORMANCE LOW FLOW SYSTEMS • O2 CONCENTRATOR

FIXED PERFORMANCE HIGH FLOW SYSTEMS • VENTURIMASK • 24%-40% • MV X 4

VARIABLE PERFORMANCE LOW FLOW SYSTEMS O2 CANNULAE / CATHETER • 1 LIT -24% • 2 LIT -28 • 3 LIT -32% • 4 LIT -36% • 5 LIT -40%

VARIABLE PERFORMANCE LOW FLOW SYSTEMS • NASAL PRONGS

• FACE MASKS

• FACE MASKS WITH RESERVOIR

LIQUID OXYGEN

MONITORING • CLINICAL CONDITION • SPO2 • ABG • MvO2

CARE OF O2 SUPPLY SYSTEMS • • • • •

IDENTIFICATION NO GREASE / AWAY FROM FIRE QTY-2000 psi / 140 kg/cm2-----RECORD REPLACEMENT OF CYLINDER STANDBY O2

SUMMARY • FAMILIARIZATION WITH VARIOUS O2 DELIVERY SYSTEMS • SELECT SUITABLE INTERFACE -RESUSCITATION -COPD • PROPER TECHNIQUE • CARE OF O2 SUPPLY SYSTEMS

THANK YOU

HYPERBARIC OXYGEN THERAPY INDICATIONS • DECOMPRESSION SICKNESS • HAPO • ANAEROBIC INFECTIONS CLOSTRIDIAL MYONECROSIS • NECROTISING INFECTIONS • OSTEOMYELITIS • POST ANOXIC ENCEPHALOPATHY

HYPERBARIC OXYGEN