5 • 714 Ratings
🗓️ 13 May 2023
⏱️ 36 minutes
🧾️ Download transcript
Welcome to the origin story of PULMCRIT!
In this episode, we cover how best to practically monitor the balance between oxygenation, oxygen delivery and oxygen consumption. Controversial to say the least.
Come take a listen, and learn about the pulsatility index, a space we should all be watching for in the future.
Click on a timestamp to play from that location
0:00.0 | All right, welcome back to the Internet Book of Critical Care Podcast. I'm here with Adam Thomas, |
0:09.7 | and we're going to talk about arterial blood gas, venous blood gas, pulse oxymetry, all things |
0:13.7 | blood gas related. Ah, Josh, this is going to be controversial at all. Yay! Are you trying to... If you've been following long-term conversations for decades in critical care, this one's |
0:27.6 | going to be fun, isn't it, Josh? |
0:29.6 | I don't know, man. |
0:30.6 | I don't know how many more arguments I could tolerate about arterial blood gases. |
0:36.6 | For those listening, there's a long history of us trying to figure out what the about arterial blood gases. |
0:42.8 | For those listening, there's a long history of us trying to figure out what the best way to measure and observe oxygen in nation, auction in delivery, and oxygen extraction. |
0:49.1 | And it's near impossible for all of us to agree. |
0:51.7 | But this is clinically very important because we're aerobic respirators. We need oxygen to produce ATP. And without it, we get into a lot of trouble. |
1:00.4 | So Josh, today, we're going to cover what to use at the bedside to figure out how do I assess |
1:06.5 | oxygenation, ventilation, what are specifics around that pulse oxymour that is good and bad? |
1:13.4 | And then some additional topics that are important to cover. |
1:16.2 | So start me off in the beginning, Josh. |
1:18.6 | Why is it fundamentally important to understand why we're monitoring these things? |
1:24.8 | Meaning in critical care, we're all about matching the delivery of |
1:29.5 | oxygen to the consumption of oxygen. That's our whole job. So map this out for me. I'm a basic |
1:35.8 | trainee. Why is this important? Yeah. So first we're going to start with talking about |
1:40.2 | oxygenation. And one of the key fundamental principles of critical care is we |
1:44.3 | want to make sure our patients are receiving enough systemic oxygen delivery to their body. And the |
1:48.8 | equation for systemic oxygen delivery is essentially your cardiac output multiplied by your |
1:52.7 | hemoglobin, multiplied by your oxygen saturation. So it's the auction saturation that is |
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