Oxygen Therapy

Management of acute respiratory distress syndrome and oxygen therapy Dr. Purushottam Mittal Consultant Cardiologist

The concept ,[object Object],[object Object],[object Object],[object Object]

The definition ,[object Object],[object Object],[object Object],[object Object]

Aetiology and mortality- Nontropical conditions Burns 75% Acute pulmonary infections 70% Severe sepsis 67% Aspiration pneumonia 61% Pancreatitis 56% Direct trauma 29% Poisoning 0% Extrathoracic injury 0%

Aetiology and mortality- Tropical conditions Rabies 100% Tetanus 74% Amoebiasis 40% Disseminated tuberculosis 38% Cerebral malaria 30% Organo phosphorus poisoning 10% Salmonella septicemia 0% Gram Negative septicemia - FP 0%

Oxygen uptake and utilization ,[object Object],[object Object],[object Object]

Cardiopulmonary Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical features ,[object Object],[object Object],[object Object],[object Object],[object Object]

Complications ,[object Object],[object Object]

Diagnosis ,[object Object],[object Object]

Arterial blood gases ,[object Object],[object Object],[object Object],[object Object],[object Object]

Management ,[object Object],[object Object],[object Object]

Considerations in oxygen therapy ,[object Object]

Beneficial effects of oxygen therapy ,[object Object],[object Object],[object Object]

Hypoxemia-grading ,[object Object],[object Object],[object Object]

Patients with normally sensitive respiratory center ,[object Object],[object Object],[object Object]

Patients with abnormal control over respiratory center ,[object Object],[object Object],[object Object]

Conditions with abnormal respiratory drive ,[object Object],[object Object],[object Object]

Oxygen therapy methods ,[object Object],[object Object]

Routine O2 therapy ,[object Object],[object Object],[object Object]

Routine O2 therapy ,[object Object],[object Object],[object Object],[object Object]

Nasal catheters and prongs ,[object Object],[object Object],[object Object],[object Object]

Nasal catheters and prongs-use ,[object Object],[object Object],[object Object]

Face Mask ,[object Object],[object Object],[object Object]

Face mask with reservoir bags ,[object Object],[object Object],[object Object],[object Object]

Controlled O2 therapy ,[object Object],[object Object]

Controlled O2 therapy ,[object Object],[object Object],[object Object]

Mechanical Respiratory support-Indications ,[object Object],[object Object],[object Object],[object Object],[object Object]

Non- invasive ventilator support ,[object Object],[object Object],[object Object],[object Object]

Invasive ventilation ,[object Object]

Initial ventilator settings Parameter Setting Tidal Volume 7 ml/Kg Respiratory Rate 15-18 Minute Ventilation 8.5 liter /mt I/ E Ratio 1:2-1:3 PIP 30 cm H2O PEEP 10 cm H2O FIO2 100%

Newer concepts in ventilation ,[object Object],[object Object],[object Object],[object Object]

Circulatory support ,[object Object],[object Object],[object Object],[object Object],[object Object]

Corticosteroids ,[object Object],[object Object],[object Object]

Activated protein C ,[object Object],[object Object],[object Object]

Summary-ARDS ,[object Object],[object Object],[object Object]

Oxygen Therapy

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Oxygen Therapy