
Oxygen saturation targets in critical care
Oxygen saturation targets in critical illness. Both the extremes of hypoxaemia and hyperoxia have the potential to harm critically ill patients and worsen their outcomes

Oxygen saturation targets in critical illness. Both the extremes of hypoxaemia and hyperoxia have the potential to harm critically ill patients and worsen their outcomes

Can have one or both lungs transplanted depending on disease process. Single lung transplants only suitable for non-infective conditions that will not go on to damage new lung, with no cardiac disease

Negative pressure pulmonary edema (NPPE) is a form of noncardiogenic pulmonary edema (PE) that results from the generation of high negative intrathoracic pressure (NIP) needed to overcome upper airway obstruction

Community Acquired Pneumonia: Streptococcus pneumonia (most common organism); other causes: Mycoplasma pneumoniae, Chlamydophila pneumoniae and Legionella, Haemophilus influenzae (in COPD)

Excessive oxygen administration can lead to hypercapnic respiratory failure in some COPD patients. COPD patients with more severe hypoxemia are at higher risk of CO2 retention from uncontrolled O2 administration

Spontaneous – primary (no disease) and secondary (underlying lung disease)
Traumatic - non-iatrogenic and iatrogenic (barotrauma and procedure related)

Routine Daily Chest X-ray: controversial issue; viewed as an essential tool but is subject to overuse and misinterpretation; no evidence of harm from a more restrictive strategy

Cryptogenic Organising Pneumonia (COP) is also known as bronchiolitis obliterans organising pneumonia (BOOP); not the same as bronchiolitis obliterans; the rapidly progressive form has a very poor prognosis

See RCH Melbourne Guidelines:

Bronchopleural fistula is an unnatural communication between the bronchial tree and pleural space as evidenced by continued leak post-pneumothorax. Can be life-threatening and difficult to manage

Decompression sickness, is a form of decompression illness, where a reduction in ambient pressure ('decompression') leads to de no intravascular and extravascular bubble formation with pathological consequences

Respiratory Literature Summaries