Some great points made here. Always appreciate seeing your videos and getting your input. I love that you’re such an advocate on following evidence and truly doing what’s best for the patient and not just following “what we’ve always done”. I’ve said it before but you’ve been a massive help throughout school and I’m so thankful for your channel.
I became an RT learning from you apart from my instructors of course! You are so awesome and I thank you for all that you do! I will continue to watch your vids and keep bragging about you to everyone 🤗
Once again, an awesome educational session from Joe Lewis. Thanks for this one, no matter how long we have been in the field, it's a necessary reminder. Thanks Joe.
My mom was a smoker for a long time...about two years ago, she started getting sick, so she went to the hospital and was admitted...We found out she has COPD and a heart problem and she was put on oxygen right away.....they put a pacemaker in her and her heart has been doing well since, but she still has trouble breathing...Just walking to the bathroom and back leaves her gasping for air! It definitely seems like when she was put on oxygen she got more sick and she became very dependent on it.....I had an abusive dad growing up and my mom has had a hard life, she doesn't deserve this! She's very Important to me to the point where I'm crying like a baby writing this... I love her Soo much! I feel very helpless and I feel like the doctors in my area just don't care.....Im looking for a good specialist to take her for better treatment. What are the first step to take as far as getting her a little less dependent on the oxygen? Should she take the oxygen off for an hour to start, then longer? I feel like the oxygen has left her in a way worse predicament than she was at the time she was first hospitalized! She has the cops but she never had a hard time breathing before and it was literally only overnight and things got really bad....any advice will help...thx
Could you please do an in depth video with graphics and all on type 1 and type 2 respiratory failure? My lectures are so dry and basic but my exams are application style with one minute per question. I need to understand what is increased, what is decreased, etiologies, most common causes, when to intubate, when to use NIPPV, what other treatments are appropriate, and also how to identify and treat acute respiratory failure in patients with chronic respiratory failure (whatever that means). You’re the best btw! I’m in my second semester of the clinical portion of my bachelors degree in Respiratory Therapy, and you have assisted in my understanding of 80% of the given material thus far. PLEASE keep doing what you are doing and HELP ME if you actually read this!
Hi Kayla! I'll see what I can do to get some videos out over those topics soon. In the mean time, I already have videos related to many your requested topics. Not sure if you have already seen these or not. Stay tuned and best wishes! Waveforms and loops...ruclips.net/video/U7dPEM3IfGE/видео.html Acute Vent Failure w/ Chronic Vent Failure...ruclips.net/video/N4hJXqe769k/видео.html
Thanks again resp coach... You physios are amazing (an ICU nurse in sunny Yorkshire)... I'm gonna do my forthcoming article on this before I apply for my crit care advanced (masters, maybe!) course. Looking forward to the next. Maybe one thing you could add in future vids (so us simpletons don't need to google it) is the mmHg into kPa (65mmHg I think is 8.1kpa). Thanks again and may Allah give you good...
Thank you for your great teachings as usual, I once reduced a pt O2 from 35% after gas showed pAo2 >200 to 25% and one Dr. asked if it's necessary. So where I'm at once the pt is on 35% they won't titrate it anymore until the pt is extubated. I don't know how to explain it to them, that you can always go lower if it's indicated
Thank You soo Much sir, I am a respiratory therapist a Pakistan and i have a same RUclips channel like you sir, covering many basic and Intensive care subjects, but that is not in English language because i want to to teach the concept in the easy and in native language.. I need your help here at respiratory therapy lecture, if yo have notes or slides of lectures you are providing on RUclips so i need that notes and slides, because it will save my time to create new slides ppt for the lectures. Thank you soo much
Hi Coach .... Nice video Can you post your slides in a pdf format for downloading ? It would be a great help to recollect the essentials .... Thanks ...
Oh my god this is legendary. Thank you so much. I can’t wait to go out and be a better respiratory therapist because of this knowledge now thank you so much. Hey I had a question. Also, how do I as a respiratory therapist with years of experience keep myself educated like you. Besides just reading my Egan’s book and being an aarc member
Interesting concepts being brought up here but my question would be even if a pt is “hyperoxemic” on an abg wouldn’t we still want to take into consideration if the pts hb is critically given our oxygen content formula which could suggest that the tissues aren’t being adequately oxygenated
Remember that the amount of oxygen dissolved in plasma is so miniscule that it doesn't have the ability to makeup for a loss of Hgb. For example, patient has a Hgb of 6, PaO2 of 250 mmHg and SaO2 of 100%. Their CaO2 is 8.79, of which .75 is related to the 250 mmHg of oxygen dissolved in plasma. Reduce that PaO2 down to 80 with a SaO2 of 96% and the resulting CaO2 with a Hgb of 6 is 7.96. Essentially no difference, the problem in this scenario is the anemia, for which a state of hyperoxemia cannot compensate for. Great point of discussion, Samuel. Thanks for sharing it.
Unfortunately, we have a dinosaur for pulmonologist who thinks because the oxygen in from the wall comes at 100% no matter what device we use cannula or high flow, it doesn't matter if it has a blender, The patient still gets 100% and it just infuriates me. We have tried talking to him and he still doesn't listen. We have tried getting people from Vapotherm to come and teach him and he still won't listen. So all the patients get 100% and you only titrate the flow.
My understanding is that RBC's have 4 O2 receptors. My understanding is that is desirable. To get above that requires O2 solvency in the plasma. What am I missing to correct myself? Some Navy Divers operate on 100% O2 under pressure, for controlled times. Also at 1 ATA, a person (I'm assuming healthy lungs) can go for 1,440 minutes before Ox toxicity occurs, but at 825 minutes some reduced O2 transfer capacity occurs. Where should i look for the answers? Thank you!
My bipap machine elevates my o2 levels 97- 98 even when concentrator is turned down to 2 to 3 liters per minute. Cannot find anything that addresses this issue
I turn pts to 21% all the time. My relief will walk in, see 21%, PEEP 6, see 99% SpO2, and turn them to 30%+ every time. One is old school and thinks everyone on a vent should be getting supplemental oxygen. Doctors are the worst. I deal with first year residents all the time. First time in ICU. They think anything less than 80 on a gas is bad. Our hospital policy is 55-70 for PaO2. It gets tiring educating doctors every few months.
how does this apply to people like me who are caretakers of in home patient? I take care of my mom at home who was discharged from hospital with brain damage. it was the hospitals fault that she received the brain damage which is another story but now I have my mom at home with me with a trach and oxygen and mister setup. I have been very concerned that she is getting too much oxygen. the nurses that come out once a week to check her vitals are always content that her spo2 is at 99-100 but that is with supplemental o2 at 8 ml. they never even think about weaning or reducing.
Some doctors place patients on NRB for days to reabsorb pneumothoraxes. I personally don’t like that strategy even more so when this can occur. Wonder if there is a specific pao2 that we should target in order to achieve that reabsorption without causing oxygen toxicity. I’ve also seen facilities that cringe when you go below 40% on a vent. They believe it hurts the patient. Makes no sense. On the flip side I’ve seen facilities use pediatric pulse ox on adults and the gases and SPO are way off and we’re making patients hypoxia.
Interesting thoughts, Mike! I would have to look into the target PaO2 for reabsorption. Can't say that I've ever seen a large discrepency with the pedi probes, but don't doubt that you have. And yes, the 40% rule during MV makes no sense! Strong work critically thinking with these thoughts.
Thank you for this... I have hyperoxia.. and I'm trying very hard to figure out what I can do to help myself. I believe this may have happened after a hyperbaric oxygen treatment ... But I don't know for sure. Is there anything I can do? I have questions about using a supplement called SOD. Thank you
@@timmyschannel5 yes only once .. but I seem to have cleared that now... I have spent the past year working on breathing thru the nose deeply... And it significantly improved... I wonder how much anxiety plays a role tbh... Shallow breathing ...
Great question, BC. Common practice includes a follow up abg between the 30-60 minute mark, but remember an abg is not absolutely necessary to target normoxemia. The use of SpO2 can be helpful to titrate oxygen from the time of intubation and beyond. In regards to reducing hyperoxemia, the data suggests targeting SpO2 between 92-96% (depending on which study you reference). Hope this provides some clarity!! Thanks for watching and commenting with your question.
Hi.. Tq for info... However how about situation whereby : Pao2 still below 80, and SPO2 about 90% despite on fio2 100%... Is prolonged oxygen is dangerous even patient still hypoxic?
I just started doing hyperbaric oxygen treatments. Im on my 8th one. What should I tell my practitioner to watch out for it? I think they’re hooking me up to 100% oxygen while I’m in there. I’ll have to ask but now I’m nervous.
So for the High Flow Cannula set up of Fi02: 55% and Flow rate 60.... Can the Fio2 be reduced up to what? What is the lowest rate can be place in the Flow? ABG: ph 7.49 , Co2 49 , Po2 101 📝😐
@@RespiratoryCoach thank you for the response.... really helps me a lot to understand. I always recommend you to my fellow co workers and those student too. 😊😊😊
Coach does duration of exposure in 100% fi02 play a role here? All this you analyzed applies after 48 hrs of 100% fi02 exposure or do we have to prevent hyperoxia even in OR setting when anesthesia for example lasts 2-3 hrs?
Hello Kostas! Great question! I'm not sure on the 2-3 hr mark during surgeries. The data I looked at definitely didn't evaluate those time frames, but they did look at the initial time in the ED. For me the greater question is what are the benefits to states of hyperoxemia? Greater oxygen delivery to the tissues? As I responded to someone else, once Hgb is adequately saturated the increased PaO2 has a miniscule impact on total O2 delivery.
Intresting. I use 20lpm High flow on a non rebreather for a nerological condition. Ussuanly for 20- 30 minuts, with the goal of getting hypioxia, 100%SPo2. I cant fuind much information on its side effects. Anyone thing this is risky? note: The o2 Stops nerologcal pain and there is no other options.
Hii i just need to knw what is the job opportunity in respiratory care technology... Um bit confused I got to knw from google that u can become a consultant pulmonologist.... And respiratory therapist after pursuing bsc in it...
Currently a minimum of an associate degree from an CoARC accredited college is required to sit for the NBRC exams which will allow you to obtain the CRT/RRT credentials and then get a license. The job market currently is outstanding as many hospitals and healthcare facilities are short staffed. I'm not familiar with a consultant pulmonologist.
Yes, I've heard that before. PaO2 should be 4-5 times the applied fio2 as a general guide in healthy lungs, but how often are we taking care of healthy lungs?
Don't know if you will see this, I've been using my father's albuterol for months, I quit vaping 2 months ago. Recently in the mornings after I wake up my throat is irritated or mukus is stuck and I cough like crazy and can't breathe and need like 3 shots of albuterol just to be able to breathe. I went to doctor last week she did chest xrays and prescribed me albuterol and a Zpack. Xrays were negative she said my lungs are normal. What should I do because I'm still having same issues
![KAYTRANADA - Witchy (feat. Childish Gambino) [Official Video]](http://i.ytimg.com/vi/jGK3YVmGZ3Y/mqdefault.jpg)
You are such an awesome teacher. You rock dude and I can never say enough how happy I am to have found your channel. Blessings man! For real🙏🏾
This completely explains why my father inlaws lungs are ruined from ventilation. Thanks for the information ❤
Some great points made here. Always appreciate seeing your videos and getting your input. I love that you’re such an advocate on following evidence and truly doing what’s best for the patient and not just following “what we’ve always done”. I’ve said it before but you’ve been a massive help throughout school and I’m so thankful for your channel.
Hey Steven! Nice to hear from you again. I appreciate the feedback. Thanks for watching and commenting!!
How do you feel about morphine therapy?
I spend my life in a state anxiety.
Great educator! Thank you. Best wishes.
YOOOOOO THANK YOU FOR HELPING PASS MY CSE AND WITH RT SCHOOL I APPRECIATE ALL THE HADD WORK YOU HAVE DONE WITH THE RT COMMUNITY
I became an RT learning from you apart from my instructors of course! You are so awesome and I thank you for all that you do! I will continue to watch your vids and keep bragging about you to everyone 🤗
Thank you Michelle for sharing the kind words! I truly appreciate you taking the time to kindly comment and continuing to watch!
Once again, an awesome educational session from Joe Lewis. Thanks for this one, no matter how long we have been in the field, it's a necessary reminder. Thanks Joe.
Hi Amber! I MISS YOU!!!
My mom was a smoker for a long time...about two years ago, she started getting sick, so she went to the hospital and was admitted...We found out she has COPD and a heart problem and she was put on oxygen right away.....they put a pacemaker in her and her heart has been doing well since, but she still has trouble breathing...Just walking to the bathroom and back leaves her gasping for air! It definitely seems like when she was put on oxygen she got more sick and she became very dependent on it.....I had an abusive dad growing up and my mom has had a hard life, she doesn't deserve this! She's very Important to me to the point where I'm crying like a baby writing this... I love her Soo much! I feel very helpless and I feel like the doctors in my area just don't care.....Im looking for a good specialist to take her for better treatment. What are the first step to take as far as getting her a little less dependent on the oxygen? Should she take the oxygen off for an hour to start, then longer? I feel like the oxygen has left her in a way worse predicament than she was at the time she was first hospitalized! She has the cops but she never had a hard time breathing before and it was literally only overnight and things got really bad....any advice will help...thx
good question, would love to see an answer.
Me too
Could you please do an in depth video with graphics and all on type 1 and type 2 respiratory failure? My lectures are so dry and basic but my exams are application style with one minute per question. I need to understand what is increased, what is decreased, etiologies, most common causes, when to intubate, when to use NIPPV, what other treatments are appropriate, and also how to identify and treat acute respiratory failure in patients with chronic respiratory failure (whatever that means).
You’re the best btw! I’m in my second semester of the clinical portion of my bachelors degree in Respiratory Therapy, and you have assisted in my understanding of 80% of the given material thus far. PLEASE keep doing what you are doing and HELP ME if you actually read this!
Hi Kayla! I'll see what I can do to get some videos out over those topics soon. In the mean time, I already have videos related to many your requested topics. Not sure if you have already seen these or not. Stay tuned and best wishes!
Waveforms and loops...ruclips.net/video/U7dPEM3IfGE/видео.html
Acute Vent Failure w/ Chronic Vent Failure...ruclips.net/video/N4hJXqe769k/видео.html
Huge help for our patients, thanks
Joe you be killin it w/vibe bro!!!!!!
LOL ...I love my Vibe board!!!
wow...Thank you so much for this information. I will now be very mindful and diligent on weaning pts from O2.
Love it!!!
Great presentation 👏 👌Shared it on our ICU Facebook group 😎👍and 4 other Facebook groups
Thanks Jason! I appreciate you sharing. Looking forward to our upcoming RTalk!
Thanks again resp coach... You physios are amazing (an ICU nurse in sunny Yorkshire)... I'm gonna do my forthcoming article on this before I apply for my crit care advanced (masters, maybe!) course. Looking forward to the next. Maybe one thing you could add in future vids (so us simpletons don't need to google it) is the mmHg into kPa (65mmHg I think is 8.1kpa). Thanks again and may Allah give you good...
In my hospital for some docs anything above 85-88% is acceptable for Covid pts as long as a pt mentating well.
how can God be good with 85.88? over the long term, it destroys the organs in the body
This is the best video ever
Thank you for your great teachings as usual, I once reduced a pt O2 from 35% after gas showed pAo2 >200 to 25% and one Dr. asked if it's necessary. So where I'm at once the pt is on 35% they won't titrate it anymore until the pt is extubated. I don't know how to explain it to them, that you can always go lower if it's indicated
In my hospital we go as low as 21% on a vent if we need to
I would say it's a lack of knowledge, but I'm beginning to believe it's more of a neglect of knowledge. Wish I had a solution for you!!
Awesome, Olga!!!! Strong work!
I do think the nurses tend to hyper oxygenate on the floors as well as ICU's and I think it needs to be addressed nationally.
Thank You soo Much sir, I am a respiratory therapist a Pakistan and i have a same RUclips channel like you sir, covering many basic and Intensive care subjects, but that is not in English language because i want to to teach the concept in the easy and in native language.. I need your help here at respiratory therapy lecture, if yo have notes or slides of lectures you are providing on RUclips so i need that notes and slides, because it will save my time to create new slides ppt for the lectures. Thank you soo much
Hi Coach .... Nice video
Can you post your slides in a pdf format for downloading ? It would be a great help to recollect the essentials .... Thanks ...
It is the alveolar partial pressure, sir, not the arterial partial pressure, that causes the lung effect.
Thank you for watching and commenting!
Great
Oh my god this is legendary. Thank you so much. I can’t wait to go out and be a better respiratory therapist because of this knowledge now thank you so much. Hey I had a question. Also, how do I as a respiratory therapist with years of experience keep myself educated like you. Besides just reading my Egan’s book and being an aarc member
I love you coach 😚
Interesting concepts being brought up here but my question would be even if a pt is “hyperoxemic” on an abg wouldn’t we still want to take into consideration if the pts hb is critically given our oxygen content formula which could suggest that the tissues aren’t being adequately oxygenated
Remember that the amount of oxygen dissolved in plasma is so miniscule that it doesn't have the ability to makeup for a loss of Hgb. For example, patient has a Hgb of 6, PaO2 of 250 mmHg and SaO2 of 100%. Their CaO2 is 8.79, of which .75 is related to the 250 mmHg of oxygen dissolved in plasma. Reduce that PaO2 down to 80 with a SaO2 of 96% and the resulting CaO2 with a Hgb of 6 is 7.96. Essentially no difference, the problem in this scenario is the anemia, for which a state of hyperoxemia cannot compensate for. Great point of discussion, Samuel. Thanks for sharing it.
Unfortunately, we have a dinosaur for pulmonologist who thinks because the oxygen in from the wall comes at 100% no matter what device we use cannula or high flow, it doesn't matter if it has a blender, The patient still gets 100% and it just infuriates me. We have tried talking to him and he still doesn't listen. We have tried getting people from Vapotherm to come and teach him and he still won't listen. So all the patients get 100% and you only titrate the flow.
My understanding is that RBC's have 4 O2 receptors. My understanding is that is desirable. To get above that requires O2 solvency in the plasma.
What am I missing to correct myself?
Some Navy Divers operate on 100% O2 under pressure, for controlled times.
Also at 1 ATA, a person (I'm assuming healthy lungs) can go for 1,440 minutes before Ox toxicity occurs, but at 825 minutes some reduced O2 transfer capacity occurs.
Where should i look for the answers?
Thank you!
If the patient has diffusion problem and is on a 100% fio2. Would hyperoxia still be relevant here?
What about how is it treated?
My bipap machine elevates my o2 levels 97- 98 even when concentrator is turned down to 2 to 3 liters per minute. Cannot find anything that addresses this issue
Is it OK to turn my oxygen up higher when I am Exercising? Thanks for the info.
Thank you so much for watching! Please refer to your primary care physician for instructions for your specific care and oxygen administration.
I turn pts to 21% all the time. My relief will walk in, see 21%, PEEP 6, see 99% SpO2, and turn them to 30%+ every time. One is old school and thinks everyone on a vent should be getting supplemental oxygen. Doctors are the worst. I deal with first year residents all the time. First time in ICU. They think anything less than 80 on a gas is bad. Our hospital policy is 55-70 for PaO2. It gets tiring educating doctors every few months.
how does this apply to people like me who are caretakers of in home patient? I take care of my mom at home who was discharged from hospital with brain damage. it was the hospitals fault that she received the brain damage which is another story but now I have my mom at home with me with a trach and oxygen and mister setup. I have been very concerned that she is getting too much oxygen. the nurses that come out once a week to check her vitals are always content that her spo2 is at 99-100 but that is with supplemental o2 at 8 ml. they never even think about weaning or reducing.
Some doctors place patients on NRB for days to reabsorb pneumothoraxes. I personally don’t like that strategy even more so when this can occur. Wonder if there is a specific pao2 that we should target in order to achieve that reabsorption without causing oxygen toxicity. I’ve also seen facilities that cringe when you go below 40% on a vent. They believe it hurts the patient. Makes no sense. On the flip side I’ve seen facilities use pediatric pulse ox on adults and the gases and SPO are way off and we’re making patients hypoxia.
Hypoxic*
Interesting thoughts, Mike! I would have to look into the target PaO2 for reabsorption. Can't say that I've ever seen a large discrepency with the pedi probes, but don't doubt that you have. And yes, the 40% rule during MV makes no sense! Strong work critically thinking with these thoughts.
Thank you for this...
I have hyperoxia.. and I'm trying very hard to figure out what I can do to help myself.
I believe this may have happened after a hyperbaric oxygen treatment ... But I don't know for sure.
Is there anything I can do?
I have questions about using a supplement called SOD.
Thank you
How long did you do hyperbaric for? Was it just after one session? I'm going to do it soon !!
@@timmyschannel5 yes only once .. but I seem to have cleared that now... I have spent the past year working on breathing thru the nose deeply... And it significantly improved... I wonder how much anxiety plays a role tbh... Shallow breathing ...
How soon after intubation do you check an ABG to determine if the patient is hyperoxygenating?
Great question, BC. Common practice includes a follow up abg between the 30-60 minute mark, but remember an abg is not absolutely necessary to target normoxemia. The use of SpO2 can be helpful to titrate oxygen from the time of intubation and beyond. In regards to reducing hyperoxemia, the data suggests targeting SpO2 between 92-96% (depending on which study you reference). Hope this provides some clarity!! Thanks for watching and commenting with your question.
Hi.. Tq for info... However how about situation whereby :
Pao2 still below 80, and SPO2 about 90% despite on fio2 100%...
Is prolonged oxygen is dangerous even patient still hypoxic?
I just started doing hyperbaric oxygen treatments. Im on my 8th one. What should I tell my practitioner to watch out for it? I think they’re hooking me up to 100% oxygen while I’m in there. I’ll have to ask but now I’m nervous.
Are you against HBOT?
So for the High Flow Cannula set up of Fi02: 55% and Flow rate 60....
Can the Fio2 be reduced up to what?
What is the lowest rate can be place in the Flow?
ABG: ph 7.49 , Co2 49 , Po2 101
📝😐
The fio2 can definitely be reduced based on your PaO2 of 101. Reduce the flow based on patient appearance and SOB.
@@RespiratoryCoach thank you for the response.... really helps me a lot to understand.
I always recommend you to my fellow co workers and those student too. 😊😊😊
Coach does duration of exposure in 100% fi02 play a role here? All this you analyzed applies after 48 hrs of 100% fi02 exposure or do we have to prevent hyperoxia even in OR setting when anesthesia for example lasts 2-3 hrs?
Hello Kostas! Great question! I'm not sure on the 2-3 hr mark during surgeries. The data I looked at definitely didn't evaluate those time frames, but they did look at the initial time in the ED. For me the greater question is what are the benefits to states of hyperoxemia? Greater oxygen delivery to the tissues? As I responded to someone else, once Hgb is adequately saturated the increased PaO2 has a miniscule impact on total O2 delivery.
Intresting. I use 20lpm High flow on a non rebreather for a nerological condition. Ussuanly for 20- 30 minuts, with the goal of getting hypioxia, 100%SPo2. I cant fuind much information on its side effects. Anyone thing this is risky? note: The o2 Stops nerologcal pain and there is no other options.
Hii i just need to knw what is the job opportunity in respiratory care technology... Um bit confused I got to knw from google that u can become a consultant pulmonologist.... And respiratory therapist after pursuing bsc in it...
Currently a minimum of an associate degree from an CoARC accredited college is required to sit for the NBRC exams which will allow you to obtain the CRT/RRT credentials and then get a license. The job market currently is outstanding as many hospitals and healthcare facilities are short staffed. I'm not familiar with a consultant pulmonologist.
What about hyperbaric oxygen therapy? It’s worked miracles and proven. At least that’s what I’ve seen
What do you think about the idea of normal pa02 being 4 to 5 times the fio2? Makes sense on room air (normal pao2 80-100 on .21)
Yes, I've heard that before. PaO2 should be 4-5 times the applied fio2 as a general guide in healthy lungs, but how often are we taking care of healthy lungs?
@@RespiratoryCoach that’s why I’m surprised when you see it in the hospital setting.
@@brianburton7582 100% agree
I learnt that from JoJo's Bizzare Adventure
Don't know if you will see this, I've been using my father's albuterol for months, I quit vaping 2 months ago. Recently in the mornings after I wake up my throat is irritated or mukus is stuck and I cough like crazy and can't breathe and need like 3 shots of albuterol just to be able to breathe. I went to doctor last week she did chest xrays and prescribed me albuterol and a Zpack. Xrays were negative she said my lungs are normal. What should I do because I'm still having same issues
Always have a bottle of Mucinex laying around. It helps. I'm dealing with Emphysema so I know about albuterol. Good luck.
👍🏽
I’m so sick of every dr. Says something different
your not for new med beds you need to go away
Too wordy. Get to the point
Some practicians are withholding oxygen therapy from COPD patients even if their Spo2 is dropping to 60s%!!! Specially nurses and doctors
You sure about this?
@@rogera2722 They’re doing this because they don’t have full understanding of permissive hypoxemia.
@@rogera2722
The right thing to do is just tager an SPO2 of 88-94% for COPD.
Target****