Diferencia entre revisiones de «Oxygen therapy»

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| Non-rebreathing mask||8-15 (or max)||60-99%||Flow rate must be sufficient to keep bag 1/3 to 1/2 inflated at all times
| Non-rebreathing mask||8-15 (or max)||60-99%||Flow rate must be sufficient to keep bag 1/3 to 1/2 inflated at all times
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==High-flow Nasal Cannula==
*Different Setup to low-flow O2 therapy
*Good for hypoxemic respiratory failure
*Every 10L/min is similar to 1mmHg PEEP
*Set flow and o2%
*Adults
**Flow - start with 0.5 L/kg/min (Max 60L)
**O2 - start with 100% and taper down from there
*Pediatrics
**[[File:HFNC pediatrics.png|thumb|Beginning HFNC settings]]


==Hyperbaric Oxygen (HBO)==
==Hyperbaric Oxygen (HBO)==

Revisión del 19:43 6 abr 2020

Standard Administration Options

Device L/min % Oxygen Comments
Nasal Cannula 1 24%
2 28%
3 32%
4 36%
5 40%
6 44%
Venturi mask 24-50% Increasing flow will not alter FiO2
Oxygen tent 10-15 21-50% Used mainly on children with croup or pneumonia
Simple mask 5-15 35-55% Never used at flows less than 5 L/min to prevent rebreathing of CO2
Trach mask 10-15 35-60% Adequate flow shown by mist flowing out the exhalation port at all times
Partial rebreathing mask 8-15 35-60% Flow rate must be sufficient to keep bag 1/3 to 1/2 inflated at all times
Aerosol mask 8-15 21-99%
Non-rebreathing mask 8-15 (or max) 60-99% Flow rate must be sufficient to keep bag 1/3 to 1/2 inflated at all times

High-flow Nasal Cannula

  • Different Setup to low-flow O2 therapy
  • Good for hypoxemic respiratory failure
  • Every 10L/min is similar to 1mmHg PEEP
  • Set flow and o2%
  • Adults
    • Flow - start with 0.5 L/kg/min (Max 60L)
    • O2 - start with 100% and taper down from there
  • Pediatrics
    • Beginning HFNC settings

Hyperbaric Oxygen (HBO)

  • Two methods of administration[1]
    1. Small, single-occupant chamber filled with 100% oxygen and pressurized to desired level
    2. Large, multi-occupant chamber filled with room air and pressurized to desired level - occupants breathe supplemental oxygen at ambient pressure via mask
  • Rationale for use[1]
    • At normal pressures (even with supplemental oxygen administration), very little oxygen is dissolved in plasma
    • When oxygen provided at 3 ATA, there is enough oxygen dissolved in plasma to oxygenate all body tissues without resorting to hemoglobin-bound oxygen

See Also

External Links

References

  1. 1.0 1.1 Bitterman H. Bench-to-bedside review: Oxygen as a drug. Critical Care. 2009;13(1):205. doi:10.1186/cc7151.