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# Oxygen Therapy - Dr. Satish Deopujari

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A presentation on Oxygen Therapy by the renowned pediatrician Dr. Satish Deopujari of the Child Hospital Nagpur.

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### Oxygen Therapy - Dr. Satish Deopujari

1. 1. 2
2. 2. Oxygen therapy Dr.Deopujari
3. 3. O2 36 A.T.P. 2 A.T.P. L.ACID
4. 4. BODY OXYGEN STORES ALL SMALL AND IF DEPLETED THEY ARE INSUFFICIENT TO SUSTAIN LIFE FOR MORE THAN FEW MINUTES
5. 5. RESP. C.V.S. C.N.S. SEPS. M. O. F.
6. 6. Oxygen was first used as a remedy for illness in 1783 in France by Chaussier. In December of 1907, it was used in surgery on a woman who had tremendous internal damage. It was administered directly into the abdomen and marked recovery was noted.
7. 7. 25 50% 60 90%
8. 8. 0 10 20 30 40 50 60 70 80 90 100 SO2 0 10 20 30 40 50 60 70 80 90 100 110 pO2(mm Hg) O.D.CURVE
9. 9. O.D.CURVE 0 20 40 60 80 100 120 0 10 20 30 40 50 60 70 80 90 100 110 PO2 SO2
10. 10. Rt..
11. 11. HB% 12 SAT 100% HB% 12 SAT 50% HB 6 GR SAT 100% HB 13 GR SAT 90% PaO2 SATURATION
12. 12. 2 TISSUES CaO2 = (SAT x Hb x 1 . 3 4 ) + .0 0 3(PaO2)
13. 13. PaO2 / FiO2 Ratio or "P/F” Ratio  Another much friendlier method ( because it doesn't use the alveolar gas equation) used to predict shunt.  Just like the name says, PaO2 is divided by FiO2  Normal is 286; lower indicates a shunt.
14. 14. CLINICAL D. OF HYPOXIA DISPRAP. BRADY / TACHY . ALTERED SENSORIUM / SEI. SHOCK. G.I.BLEED MULTISYSTEM INV. ANTICIPATE HYPOXIA
15. 15. ROVING EYES
16. 16. UNRESPONSIVE PUPIL
17. 17. • PERFUSION DEPNDENT  SAT. NOT CONTENT  SHAPE OF O.D.CURVE  HYPEROXIA NOT DIAG.  POSITION OF CURVE  ABNORMAL HEMOGLOBIN  VENTILATORY STATUS ? P U L S E 0 X.
18. 18. SIMPLE OX. MASK FIO2 VARIABLE 30 TO 60 % FEEDING PROBLEM REBREATHING……
19. 19. NASAL CANNULA MAX FLOW……2LIT/MIN FIO2 DIF. TO CONTROL HUMIDI. NOT NEC. MOUTH / NOSE BREAT.?
20. 20. NASOPHARYN. CATH.  OROPHARYNX….ANAT. RES.  OCCL. OF DIST. OPENING.  GASTRIC DISTENSION  FIO2 DIFFICULT TO CONT.  SECRETIONS  CATHER MORE THAN 8 FR.
21. 21. 2
22. 22. AIR ENTRAINMENT V. PRE. O2 CONC. <50 % T. FLOW WITH FIO2 NOISE LEVEL ++++ HUMIDIFICATION ?
23. 23. 24% 4lit 105 28 6 68 31 8 63 35 10 56 40 12 50 50 12 33 FI O2 O2/L/MIN FLOW
24. 24. YOU ALMOST NEVER NEED 100 % OXYGEN