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Oxygen therapy is a treatment that provides a patient with extra oxygen to breathe in. It is also called supplemental oxygen. It is only available through a prescription from a health care provider. Patients may receive it in hospital, another medical setting, or at home. Some people only need it for a short period of time. Others will need long-term oxygen therapy.
There are different types of devices that can provide oxygen. Some use tanks of liquid or gas oxygen. Others use an oxygen concentrator, which pulls oxygen out of the air. The oxygen is administered through a nose tube (cannula), a mask, or a tent. The extra oxygen is breathed in along with normal air.
This book is a concise guide to oxygen therapy for clinicians and trainees.
Divided into four sections the text begins with an overview of the basic facts of oxygen, describing the different types and their individual uses in clinical therapy.
Section two discusses the physiology and monitoring of oxygen therapy, and section three covers different devices and delivery systems, and oxygen toxicity (lung damage from breathing in too much extra oxygen).
The final section examines oxygen targets in disease specifics, how the therapy works, and the effects of hypoxia (low oxygen levels in body tissues) and hypoxemia (low oxygen levels in the blood).
Kapil Zirpe MD (Chest) FCCM FICCM
Head, Department of Neuro Critical Care, Ruby Hall Clinic, Grant Medical Foundation, Pune, Maharashtra, India
Subhal B Dixit MD (Med) IDCCM FCCM FICCM FICP
Director, Department of Critical Care, Sanjeevan Hospital, Pune, Maharashtra, India
Atul P Kulkarni MD (Anaesthesiology) FISCCM PGDHHM FICCM
Professor and Head, Division of Critical Care Medicine, Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India
Section 1: Basic Facts of Oxygen
- Industrial Oxygen/Medical Oxygen
- Medical Piped Gas Structure Design and Safety Systems/Pin Index Safety
- Medical Compressed Gas Cylinders/Handling and Use
- Cryogenic Liquid Medical Oxygen
- Oxygen Concentrators/Augmentors
- Oxygen Hazards and Safety
- Audit of Oxygen Usage in Prehospital and Hospital Settings
Section 2: Physiology & Monitoring of Oxygen Therapy
- Physiology of Gas Exchange
- Goals of Oxygen Therapy
- Drive to Breathe and Carbon Dioxide Retention
- Oxygen Transport
- Oxhemoglobin Dissociation Curve
- Diffusion of Oxygen and Factors Affecting Gas Exchange
- Pulse Oximetry - Understanding and Limitations
- Venous and Arterial Blood Gas Analysis
Section 3: Oxygen Delivery Systems for the Individual Patients
- Oxygen Delivery Devices
- Humidification
- High Flow Oxygen Therapy
- Hyperbaric Oxygen Therapy
- Oxygen Toxicity
Section 4:Oxygen Targets
- The Effects of Hypoxia & Hypoxemia
- How Does Oxygen Therapy Work?
- O2 Therapy and Targets in Disease Specifics