EMCrit Podcast

EMCrit Wee - The Physiology of Oxygenation with Alex of Deranged Physiology

27 snips
Jul 20, 2023
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INSIGHT

Oxygen Cascade and Mitochondrial Function

  • The oxygen cascade describes the stepwise decrease in oxygen partial pressure from atmospheric air to the mitochondria.
  • Mitochondrial oxygen levels are remarkably low, allowing for preservation even in hypoxemic states.
INSIGHT

Hemoglobin's Role in Oxygen Carriage

  • Hemoglobin plays a crucial role in oxygen carriage, far exceeding the contribution of dissolved oxygen.
  • The amount of oxygen bound to hemoglobin is the primary determinant of oxygen content in whole blood.
ADVICE

ABG Utility in Critical Care

  • Use venous blood gases (VBGs) for pH and CO2 assessment in most critical care situations.
  • Reserve arterial blood gases (ABGs) for specific cases like assessing diffusion or qualifying for home oxygen.
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