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ICU VivasOxygen & gas exchange

ICU Vivas · Oxygen & gas exchange

Clinical viva — your approach to the hypoxaemic patient

A clinical viva on the approach to hypoxaemia — the mechanism (the four types, the A-a gradient), the oxygen therapy (the device escalation, the HFNC, the conservative target), and the treatment of the cause.

clinical1 min readVerification in progress

Target exams

CICMFFICMEDIC
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Target exams

CICMFFICMEDIC
Prompt
A clinical viva on the approach to hypoxaemia — the mechanism (the four types, the A-a gradient), the oxygen therapy (the device escalation, the HFNC, the conservative target), and the treatment of the cause.

The question

"Take me through your approach to a patient with hypoxaemia."[3]

ICU Fellowship (CICM) Pro

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You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the ICU Fellowship (CICM) fellowship library.

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References3ShowHide
  1. [1]Frat JP, Thille AW, Mercat A, et al. High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure (FLORALI). New England Journal of Medicine, 2015.PMID 25981908
  2. [2]Chu DK, Kim LH, Young PJ, et al. Mortality and morbidity in acutely ill adults treated with liberal versus conservative oxygen therapy. Lancet, 2018.PMID 29726345
  3. [3]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
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