HB and hyoxia are brothers. If hb is low u get hyoxia So what is role of hb,we hv to ask. To supply o2 to tissue Along with CO and Saturation O2 delivery = hb×CO ×sat So as long as o2 delivery is Ok we don't need to correct till hb is ~7. At this level we start getting tachy and stress onheart ,so u need to keep it there if less by BT But if more than 7 and 02 delivery is good as assesedby various parameters then no need for BT KEEP HB 7 except as mentioned above and in acute coronary iscemia In red is also we keep at 7,but it cold low or satr ate low with or o2 delivery then test transfer blood and bring up the hb
If this mam was doctor in my sister case, my sister would be with us. I m non medical student but mam your each word I can relate with my sister. Dr Kapil Bhola Kota Rajasthan is murderer I curse u doctor from that day 2/09/2013 it was biggest mistake of our life we choose u as a doctor in my sister case She was in septic shock but doctor intube her at 50 sp02
SpO2 50 is not the only sole criteria for intubation, there are other aspects as well… septic shock with increased Work of breathing, poor GCS, severe metabolic acidosis which is a component of septic shock…
Extremely informative and structured session… thank you for this session.. looking forward to more sessions Guided by Sheila mam …
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Nice .
Thanks
Excellent discussion 😊
The role of hemoglobin in hypoxia is not discussed sir
Though out the pt history his hemoglobin is
HB and hyoxia are brothers. If hb is low u get hyoxia
So what is role of hb,we hv to ask. To supply o2 to tissue
Along with CO and Saturation
O2 delivery = hb×CO ×sat
So as long as o2 delivery is Ok we don't need to correct till hb is ~7. At this level we start getting tachy and stress onheart ,so u need to keep it there if less by BT
But if more than 7 and 02 delivery is good as assesedby various parameters then no need for BT
KEEP HB 7 except as mentioned above and in acute coronary iscemia
In red is also we keep at 7,but it cold low or satr ate low with or o2 delivery then test transfer blood and bring up the hb
Why sp02 goes down in localised sepsis other than lungs pathology?? What is the mechanism ...thanks
Tissue hypoxia can occur because of maldistribution of blood flow due to micro thrombosis and shunting at tissue level
How did u calculate p/f ratio
P/f is calculated from the po2in abg divided by the fio2 which is from the fio2 u set on the vent
If this mam was doctor in my sister case, my sister would be with us. I m non medical student but mam your each word I can relate with my sister.
Dr Kapil Bhola Kota Rajasthan is murderer
I curse u doctor from that day 2/09/2013 it was biggest mistake of our life we choose u as a doctor in my sister case
She was in septic shock but doctor intube her at 50 sp02
Sorry about your sister Riya
Sepsis has high mortality/ high death rate riya
Sorry but it's our body physiology how it will react to disease and medicine...disease and healing both depend on our body physiology response to it
This lady doctor also could not save all patients whom she treated ...
SpO2 50 is not the only sole criteria for intubation, there are other aspects as well… septic shock with increased Work of breathing, poor GCS, severe metabolic acidosis which is a component of septic shock…