• There are six steps of oxygen delivery 1. Ventilation convection oxygen from environment into the body 2. Oxygen uptake diffusion oxygen into the blood 3. Reversible chemical bonding with haemoglobin 4. CO: cardiac output convective transport oxygen into tissue 5. Diffusion into cells and organelle to mitochondria 6. The redox state of the cells Pathology of Oxygen Delivery - Type of Hypoxiae Variable-Performance system Fixed Performance System Fixed Performance System Hazzard Oxygen Therapy • Supply barotrauma to the airway and alveolus related to oxygen pressure Risk of explosion while using nasal cannula due to smoking or defibrillating • Oxygen toxicity • Central nervous system toxicity (paul bert effect) • Lung toxicity (lorriane smith effect) • Bronchopneumonia dysplasia • Retinopathy of prematurity (ROP) Hyperbaric Oxygen Therapy Hyperbaric therapy complication