Odisha Issues SOP For Rational Use Of Oxygen In Covid Facilities | OTV News

Bhubaneswar: With Oxygen scarcity crippling remedy of Covid-19 sufferers in lots of states, the Odisha authorities on Tuesday issued normal working process (SOP) for rational use of the life-saving gasoline in Covid amenities throughout the State.
“Oxygen is precious and we may face acute shortage if not managed properly, rationally and judiciously,” further chief secretary of well being division PK Mohapatra acknowledged in a letter.

#Odisha points SOP for rational use of oxygen in State after CM’s overview of present #COVID scenario at present. Patients whose oxygen saturation goes down under 92% ought to be supplied with medical O2, concurs CM Patnaik
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He additional stated well timed use of oxygen can scale back the mortality in addition to morbidity to a big extent.
“It is noticed that the number of Covid cases are increasing day by day and Government is keen in setting up of sufficient Covid facilities with General beds, HDU beds and ICU beds. Such patients require oxygen which is the mainstay of treatment,” Mohapatra wrote.
He requested all district collectors, municipal commissioners, dean and principals of medical faculties, CDM and PHOs to make sure that the SOP is adopted scrupulously in all authorities and personal Covid-19 hospitals.
“Expert teams shall visit periodically for strict observation of such protocols. Any deviation to the rational use shall be viewed seriously,” he cautioned.
SOP for rational use of Oxygen in Covid amenities 
The stream of oxygen ought to be adjusted to the bottom permissible degree to focus on an oxygen saturation of 92% to 94% for the hospitalized COVID -19 sufferers
Indiscriminate use of BIPAP/HFNC ought to be averted, When required, BIPAP ought to be most well-liked over HFNC because the latter consumes great amount of oxygen. HFNC machine ought to be used solely within the ICU setting beneath supervision of a respiratory doctor/doctor. Patient ought to be placed on HFNC solely after approval of the senior most respiratory doctor/doctor,
Prone positioning ought to be intermittently finished in sufferers of COVID -19, together with adjunctive physiotherapy. This optimizes the respiratory standing.
Individualisation of oxygen remedy ought to be finished bearing in mind the medical indicators like respiratory charge and many others. and never simply the saturation degree, Once the specified saturation is achieved. now or oxygen shouldn’t be elevated as it might not present any further profit to the affected person. Up-titration as a substitute of down titration of oxygen stream ranges ought to be the norm.
Triaging of sufferers as per their oxygen standing ought to be finished at common intervals.
The important a part of the well timed use of oxygen is to see that the oxygen within the container is as much as acceptable degree and well timed altering of empty cylinders is completed. This will forestall sinking of the affected person on account of need of oxygen at correct stress and share.
An audit of security of oxygen use by the ICU/HDU/common mattress ought to be finished by the medical workforce chief each day.