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Related Concept Videos

Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure01:16

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Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
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Administering Oxygen by Nasal Cannula01:29

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Hemoglobin (Hb) is a crucial molecule in the human body, consisting of four polypeptide chains, each bound to an iron-containing heme group. This unique structure enables hemoglobin to bind to oxygen, with each molecule capable of combining with four molecules of oxygen, leading to rapid and reversible oxygen loading. When fully loaded with oxygen, it is called oxyhemoglobin, while hemoglobin that has released oxygen is called reduced hemoglobin or deoxyhemoglobin. As hemoglobin binds oxygen,...
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Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation
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Oxygen therapy: time to move on?

Carol Kelly1

  • 1Senior Lecturer, Faculty of Health and Social Care, Edge Hill University, St Helens Rd, Ormskirk, Lancashire L39 4QP, UK kellyc@edgehill.ac.uk.

Therapeutic Advances in Respiratory Disease
|September 11, 2014
PubMed
Summary
This summary is machine-generated.

Historical analysis reveals that clinical oxygen therapy practices, despite widespread use for respiratory conditions, show little change over 200 years. Persistent poor practices and controversies may stem from early clinical presumptions and myths surrounding oxygen use.

Keywords:
historyoxygenpre-hospital carerespiratory medicine

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Area of Science:

  • Medical History
  • Pulmonology
  • Clinical Practice

Background:

  • Oxygen therapy is a cornerstone in managing acute and chronic respiratory conditions across all healthcare settings.
  • Despite advances in understanding and guidelines, persistent controversies and suboptimal practices in oxygen administration remain prevalent.
  • The historical evolution of oxygen therapy practices is poorly understood, contributing to current challenges.

Purpose of the Study:

  • To historically analyze the origins of current clinical practices in oxygen therapy.
  • To identify potential roots of persistent fallacies, ambiguities, and myths in oxygen use.
  • To provide insights for confronting erroneous beliefs and advancing modern clinical practice.

Main Methods:

  • Historical analysis of clinical practice and literature concerning oxygen therapy over the past two centuries.
  • Examination of the social and clinical contexts influencing oxygen prescription and administration.
  • Identification of early presumptions and speculations that may have shaped current protocols.

Main Results:

  • Certain aspects of clinical oxygen therapy practice have remained remarkably consistent over 200 years.
  • Widespread and sometimes injudicious use of oxygen appears to be rooted in historical clinical presumptions and speculation.
  • Persistent controversies and poor practices suggest a legacy of unaddressed myths and ambiguities.

Conclusions:

  • The historical trajectory of oxygen therapy has seeded enduring, potentially erroneous, beliefs and practices.
  • Confronting these historical conjectures is crucial for improving contemporary oxygen therapy and patient care.
  • Further research into the historical underpinnings of clinical practice is needed to drive evidence-based advancements.