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  • Post Operative Hypoxia

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    Suresh Kumar
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    Post operative hypoxia Diagnosis and Management xamination. Palpation, cyanosis, dyspnoea / tachypnea Palpation Tachycardia, tracheal deviation, reduced chest expansion Auscultation Dull, stony dull, hyperresonant Auscultation Wheeze, noisy breathing, no air entry Management aim to improve oxygen delivery. Airway - Head tilt, chin lift and jaw thrust. - patient placed in

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    Post operative hypoxia Diagnosis and Management xamination. Palpation, cyanosis, dyspnoea / tachypnea Palpation Tachycardia, tracheal deviation, reduced chest expansion Auscultation Dull, stony dull, hyperresonant Auscultation Wheeze, noisy breathing, no air entry Management aim to improve oxygen delivery. Airway - Head tilt, chin lift and jaw thrust. - patient placed in

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    80 views6 pages

    Post Operative Hypoxia

    Uploaded by

    Suresh Kumar
    Post operative hypoxia Diagnosis and Management xamination. Palpation, cyanosis, dyspnoea / tachypnea Palpation Tachycardia, tracheal deviation, reduced chest expansion Auscultation Dull, stony dull, hyperresonant Auscultation Wheeze, noisy breathing, no air entry Management aim to improve oxygen delivery. Airway - Head tilt, chin lift and jaw thrust. - patient placed in

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    of 6

    Post operative hypoxia

    Diagnosis and Management


    xamination
    nspection Altered mental state,
    cyanosis,
    dyspnoea/tachypnoea
    Palpation Tachycardia, tracheal
    deviation, reduced chest
    expansion
    Percussion Dull, stony dull,
    hyperresonant
    Auscultation Wheeze, noisy
    breathing, no air entry
    nvestigations
    Pulse oximetry
    - Normal: SaO2 >97%
    - Hypoxia: SaO2 <90%
    Arterial blood gases
    - Gold standard
    - Normal: PaO2 >10.6kPa
    - Hypoxia: PaO2 <8kPa
    Others
    - Chest x-ray
    - Spirometry
    Management
    Aim
    To improve oxygen delivery.
    Airway
    - Head tilt, chin lift and jaw thrust.
    - Patient placed in a lateral position.
    - Oropharyngeal airway or endotracheal
    tube.
    Management
    Breathing
    - Adequate spontaneous ventilation
    Hudson mask: 5L/min O2
    Nasal catheter: 2L/min O2
    - f failure to achieve adequate oxygenation
    CPAP, mechanical ventilation, endotracheal
    intubation
    - The aim is to achieve
    SaO2 >95%
    PaO2 >9kPa
    Management
    Circulation
    - Full blood count should be taken
    Any anaemia should be treated
    Other manoeuvres
    - Sit the patient up, physiotherapy, direct
    suction.
    - Nebulized bronchodilators
    - Aspiration
    - Needle thoracentesis

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