The treatment of an acute or emergency situation where hypoxaemia or hypoxia is suspected, and if the child is in respiratory distress manifested by:.Achieving targeted percentage of oxygen saturation (as per normal values unless a different target range is specified on the observation chart.).The treatment of documented hypoxia/hypoxaemia as determined by SpO 2 or inadequate blood oxygen tensions (PaO 2).With normal SpO 2 and increased work of breathing. Physiological basis for the application of low flow oxygen therapy to a child The threshold for oxygen therapy can vary with the child’s.Tachycardia, cyanosis) may not routinely require oxygen therapy in most cases. Self-correcting desaturations that have no other physiological correlates (eg. Where considering the application of oxygen therapy it is essential to perform a thorough clinical assessment of the child. Any deviation should be documented on the observation chart as MET modifications. The above values are expected target ranges. NB: The above values are generalized to the paediatric population, for age/patient specific ranges please consult the covering medical team. ≥ 90% for infants with bronchiolitis (link to.91 - 95% for premature and term neonates (Ĭlick here for Oxygen saturation SpO2 level targeting in neonates).> 60% (PaO 2 32mmHg) in unrepaired congenital cyanotic heart disease.> 70% (PaO 2 37 mmHg) in patients who have had cardiac surgery of their congenital cyanotic heart disease.94% - 98% (PaO 2 between 80 and 100 mmHg) in patients without cyanotic congenital heart disease or chronic lung disease.Partial pressure of arterial CO 2 (PaCO 2).Partial pressure of arterial oxygen (PaO 2).Should an aerosol generating procedure be undertaken on a patient under droplet precautions then increase to airborne precautions by donning N95/P2 mask for at least the duration of the procedure. Ventilation - Perfusion (VQ) mismatch: An imbalance between alveolar ventilation and pulmonary capillary blood flow.Tidal Volume: The amount of gas that moves in, and out, of the lungs with each breath, measured in millilitres (6-10 ml/kg).Peak Inspiratory Flow Rate (PIFR): The fastest flow rate of air during inspiration, measured in litres per second.The minute ventilation (volume) is calculated by multiplying the tidal volume by the respiration rate, measured in litres per minute.
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