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Dr. Himanshu
Indications of O2 therapy
1. Documented hypoxemia
In adults, children, and infants older than 28 days, arterial
oxygen tension (PaO2) of < 60 mmHg or arterial oxygen
saturation (SaO2) of < 90% in subjects breathing room air or
with PaO2 and/or SaO2 below desirable range for specific
clinical situation
1 - 24%
2 - 28%
3 - 32%
4 - 36%
5 - 40%
6 - 44%
Correct placement
No nasal obstruction
Advantages Disadvantages
Inexpensive Pressure sores
well tolerated, comfortable Crusting of secr.
easy to eat, drink Drying of mucosa
used in pt with long Epistaxis
term therapy(COPD) 80% of O2 gets wasted during
used with humidity expiration
Nasopharyngeal Catheter
Disadvantages:
insufficient flow rate may lead to rebreathing of CO2.
Claustrophobia;drying and irritation of eyes, sometimes
uncomfortable to pt.
High flow O2 delivery system
Oxygen hood
Covers only head allowing access to
the lower body.
Ideal for short term use for neonates
and infants.
O2 and air premixed passed through
heated humidifiers.
Nebulizers should be avoided.
Mini. Flow >7 lt/min. avg flow 10-15
lt/min results in 80-90% oxygen conc.
Oxygen hood
Oxygen tents
Transparent enclosures in larger sizes for adult pts.
Co2 is removed by soda lime and water vapour by
calcium chloride.
Temp.is regulated by flowing oxygen and air over
ice.
60-70% O2 conc. Achieved by flow rates of 10-
12L/min.
The air changes 20 times/hour.
Limitations:
Confining and isolating
Fio2 can vary from 0.21 to 1.0
Fungal infection risk.
Oxygen tent
Other devices
Face tent:
21% to 40% depending on nebulizer setting
Flow rates of 8 to 15 L/min
Used mainly for patients who can not
tolerate a mask