Extremely informative and structured session… thank you for this session.. looking forward to more sessions Guided by Sheila mam …
@youngindiaintensivist7709
8 ай бұрын
😊
@dramolpatil6020 Жыл бұрын
Thanks for shearing this video 🙏 keep shearing
@youngindiaintensivist7709
Жыл бұрын
👍
@siadhcsf9263 Жыл бұрын
Nice .
@youngindiaintensivist7709
Жыл бұрын
Thanks
@rajkiran3379Ай бұрын
Excellent discussion 😊 The role of hemoglobin in hypoxia is not discussed sir Though out the pt history his hemoglobin is
@youngindiaintensivist7709
Ай бұрын
HB and hyoxia are brothers. If hb is low u get hyoxia So what is role of hb,we hv to ask. To supply o2 to tissue Along with CO and Saturation O2 delivery = hb×CO ×sat So as long as o2 delivery is Ok we don't need to correct till hb is ~7. At this level we start getting tachy and stress onheart ,so u need to keep it there if less by BT But if more than 7 and 02 delivery is good as assesedby various parameters then no need for BT KEEP HB 7 except as mentioned above and in acute coronary iscemia In red is also we keep at 7,but it cold low or satr ate low with or o2 delivery then test transfer blood and bring up the hb
@coolmj420 Жыл бұрын
Why sp02 goes down in localised sepsis other than lungs pathology?? What is the mechanism ...thanks
@youngindiaintensivist7709
Жыл бұрын
Tissue hypoxia can occur because of maldistribution of blood flow due to micro thrombosis and shunting at tissue level
@renuwakhloo37288 ай бұрын
How did u calculate p/f ratio
@youngindiaintensivist7709
8 ай бұрын
P/f is calculated from the po2in abg divided by the fio2 which is from the fio2 u set on the vent
@riyapareta3911 Жыл бұрын
If this mam was doctor in my sister case, my sister would be with us. I m non medical student but mam your each word I can relate with my sister. Dr Kapil Bhola Kota Rajasthan is murderer I curse u doctor from that day 2/09/2013 it was biggest mistake of our life we choose u as a doctor in my sister case She was in septic shock but doctor intube her at 50 sp02
@youngindiaintensivist7709
Жыл бұрын
Sorry about your sister Riya
@Vivi-ue7sg
Жыл бұрын
Sepsis has high mortality/ high death rate riya
@coolmj420
Жыл бұрын
Sorry but it's our body physiology how it will react to disease and medicine...disease and healing both depend on our body physiology response to it
@coolmj420
Жыл бұрын
This lady doctor also could not save all patients whom she treated ...
@nathgoody5905
Жыл бұрын
SpO2 50 is not the only sole criteria for intubation, there are other aspects as well… septic shock with increased Work of breathing, poor GCS, severe metabolic acidosis which is a component of septic shock…
Пікірлер: 20
Extremely informative and structured session… thank you for this session.. looking forward to more sessions Guided by Sheila mam …
@youngindiaintensivist7709
8 ай бұрын
😊
Thanks for shearing this video 🙏 keep shearing
@youngindiaintensivist7709
Жыл бұрын
👍
Nice .
@youngindiaintensivist7709
Жыл бұрын
Thanks
Excellent discussion 😊 The role of hemoglobin in hypoxia is not discussed sir Though out the pt history his hemoglobin is
@youngindiaintensivist7709
Ай бұрын
HB and hyoxia are brothers. If hb is low u get hyoxia So what is role of hb,we hv to ask. To supply o2 to tissue Along with CO and Saturation O2 delivery = hb×CO ×sat So as long as o2 delivery is Ok we don't need to correct till hb is ~7. At this level we start getting tachy and stress onheart ,so u need to keep it there if less by BT But if more than 7 and 02 delivery is good as assesedby various parameters then no need for BT KEEP HB 7 except as mentioned above and in acute coronary iscemia In red is also we keep at 7,but it cold low or satr ate low with or o2 delivery then test transfer blood and bring up the hb
Why sp02 goes down in localised sepsis other than lungs pathology?? What is the mechanism ...thanks
@youngindiaintensivist7709
Жыл бұрын
Tissue hypoxia can occur because of maldistribution of blood flow due to micro thrombosis and shunting at tissue level
How did u calculate p/f ratio
@youngindiaintensivist7709
8 ай бұрын
P/f is calculated from the po2in abg divided by the fio2 which is from the fio2 u set on the vent
If this mam was doctor in my sister case, my sister would be with us. I m non medical student but mam your each word I can relate with my sister. Dr Kapil Bhola Kota Rajasthan is murderer I curse u doctor from that day 2/09/2013 it was biggest mistake of our life we choose u as a doctor in my sister case She was in septic shock but doctor intube her at 50 sp02
@youngindiaintensivist7709
Жыл бұрын
Sorry about your sister Riya
@Vivi-ue7sg
Жыл бұрын
Sepsis has high mortality/ high death rate riya
@coolmj420
Жыл бұрын
Sorry but it's our body physiology how it will react to disease and medicine...disease and healing both depend on our body physiology response to it
@coolmj420
Жыл бұрын
This lady doctor also could not save all patients whom she treated ...
@nathgoody5905
Жыл бұрын
SpO2 50 is not the only sole criteria for intubation, there are other aspects as well… septic shock with increased Work of breathing, poor GCS, severe metabolic acidosis which is a component of septic shock…