Indications of oxygen therapy
- Introduction...
- 1. Overview...
- 2. Indication for ...
- 3. Indications...
- 4. Rationale of ox...
- 5. Carry home mess...
Introduction
DR. SANDEEP KADAM
MD, DM (Neonatology)
Associate Consultant Neonatologist
Department of Pediatrics
KEM Hospital
Pune
1. Overview
► Oxygen is the most common and abundantly used drug
in NICU
► Deliver adequate amount of oxygen to avoid oxygen
toxicity
► Use oxygen judiciously and correctly
► Goal is to avoid both hypoxia and hyperoxia
2. Indication for oxygen therapy
► Hypoxia (SpO2 < 90%): most important indication
► Clinical situation of a neonate
3. Indications
► In neonates, supplemental O2 is indicated,
if SpO2 is < 90%
► ABG facility
♦ Preterm babies: PaO2 is < 50 mm Hg
4. Rationale of oxygen therapy
► Avoid routine use of oxygen in
♦ Respiratory distress
♦ Apnea
♦ Shock
► Always monitor saturations and give only if saturation is
below 90% or is unrecordable
5. Carry home message
► Monitor supplemental oxygen once started
► Facility of ABG & pulse oximeter is must in NICU
► Unrestricted and unlimited use of oxygen therapy is
associated with dire consequences
► Most important indication of oxygen therapy is Hypoxia