Practice
Rapid Recommendations
Oxygen therapy for acutely ill medical patients: a clinical practice guideline
BMJ 2018; 363 doi: https://doi.org/10.1136/bmj.k4169 (Published 24 October 2018) Cite this as: BMJ 2018;363:k4169Overview of recommendations
Recommendation 2 - lower limit (90-92%)
Recommendation 3 - lower limit (>92%)
©BMJ Publishing Group Limited.
Disclaimer: This infographic is not a validated clinical decision aid. This information is provided without any representations, conditions or warranties that it is accurate or up to date. BMJ and its licensors assume no responsibility for any aspect of treatment administered with the aid of this information. Any reliance placed on this information is strictly at the user's own risk. For the full disclaimer wording see BMJ's terms and conditions: https://www.bmj.com/company/legal-information/
Re: Oxygen therapy for acutely ill medical patients: a clinical practice guideline
Dear Editor
It was quite interesting and applauding to browse through the Rapid recommendations regarding “ Oxygen therapy for acutely ill medical patients: a clinical practice guideline”. Really must appreciate authors strive to acutely reflect on our practices and customs, and draw the broad guidance into a flow map, yet I feel that the piece has got me a bit speculating regarding a couple of points:
• When is the right time to start oxygen, if SpO2 is reading below 90% for stroke, MI or in cases of other any medical condition like infection, sepsis and in neonates?
• What are the bases for increased mortality with liberal oxygen use or could there be some other factors involved as well?
• There is various limitation of pulse oximeter, esp poor peripheral perfusion states, in anaemia, with abnormal trace, ambient light, low oxygen situations, and venous pulsations. How should these patients handled and should the same range of oxygen levels be adopted?
Thanks and kind regards,
Sameera Khaliq
Trust grade
Hull University Teaching Hospitals.
Competing interests: No competing interests