Dr Rajiv Desai
An Educational Blog
OXYGEN THERAPY
Oxygen (O2) Therapy: _____ While we inhale 21% of oxygen and 0.04% of carbon dioxide, we exhale 17% of oxygen and 4% of carbon dioxide. _____ Prologue: Oxygen (O2) is a vital element in human survival and plays a major role in a diverse range of biological and physiological processes. Oxygen therapy means using an oxygen cylinder or a machine to breathe in air that contains more oxygen than normal. Oxygen is widely available and commonly prescribed by medical and paramedical staff. In medical practice, it is among the most universally used agents for the treatment of critical illness and part of the routine treatment in acute shock and emergency medicine. Proper application of oxygen therapy and airway management is lifesaving. In the absence of O2 (hypoxia), cellular respiration ceases and irreversible cellular injury and death occur within minutes. Administered correctly it may be lifesaving. However, renaissance physician Paracelsus noted: […]
PULSE OXIMETRY
PULSE OXIMETRY _____ Prologue: All of us know how important oxygen is for our survival. Hypoxia means low oxygen supply and/or utilization by organ or tissue. Hypoxemia means low oxygen content of arterial blood. Hypoxaemia invariably leads to hypoxia but hypoxia can occur even without hypoxaemia. Arterial blood oxygen saturation is now considered the 5th vital sign, joining: temperature, respiratory rate, heart rate and blood pressure. Hypoxemia can be present before recognizable signs of respiratory distress become evident and the traditional sign of circumoral cyanosis is a late indicator of decreased oxygenation. Blood gas analysis was for many years the only available method of detecting hypoxemia in critically ill patients, but this technique is painful, has potential complications, and does not provide immediate or continuous data. Pulse oximetry is an objective estimation of oxygenation, and it is simple, reliable, and accurate when used appropriately. It has the unique advantage of […]
