How to calculate the approximate baseline pCO2 level in Arterial Blood Gas (ABG) in COPD patients

How to calculate the approximate baseline pCO2 level in Arterial Blood Gas (ABG) in COPD patients

#baselinepco2level

The above video explains how to calculate the approximate baseline pco2 levels in a COPD patient or CO2 retainer patient through ABG (arterial blood gas).

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📲 Playlists on RegularCrisis-ESBICM channel:

🆔 About ESBICM and regularcrisis
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Educational Society of Bedside Intensive Care Medicine (ESBICM) – is an organisation with the mission to provide free bedside intensive care education to everyone involved for the better outcome of critically ill patients.
Its vision is to strengthen the bedside intensive care even in the smallest and most remote ICU of the world.
#regularcrisis
Update:

Inspiration behind the project:
Intensive care unit and emergency department are the backbones of any hospital where all critical situations are managed. Everyday is a crisis like situation there and with time the team working there get used to it with. With time, their skill gets more sharpen with which they manage these situations more and more efficiently each time.
But most importantly, the experience which they accumulate is invaluable; their experiences teach them things which at times are not mentioned in the regular textbooks. What if this experience is shared with the doctors and nurses who are newly joined in ICU and ER!
🤝 We hope that this small effort of ours will be of some help to those working in ICU and ER.
Note: regularcrisis is founded by Dr. Ankur Gupta, an Intensivist, who is also the founder President of ESBICM. #drankurgupta

[lazirus]

Thank doctor, this is very nice explanation 👏

[Raghulraj]

Kindly explain about the management of HHS and DKA in a simple precise manner as in ur all lecture videos....

[arslanali]

Can you kindly guide why book from where to study it. Thanks

[rogerborok]

Hi. Am Dr Abhijit a practising intensive care doctor from Nagaland..I had a lady with diagnosis of ca lung (one cycle radiotherapy received) basically admitted a week ago..during the admission to icu from EMR the co2 was 89 & after calculation her base line co2 was around 85…till yesterday she was on HFNC for last 03 days but saturation drops drastically around 60 & ABG done @that point the Co2 was around 66 & got intubated! If u can comment on this..
Regards Dr Abhijit

[LEARNING-MEDICAL-EDUCATION]

one video on renal tubular acidosis, sir

[LEARNING-MEDICAL-EDUCATION]

in the first case, bicarbonate is 37. so, there is metabolic compensation also pushing ph in opposite direction, so, should not we also take that into consideration rather than just substracting acute from chronic component,

[ravindra]

Sir PEEP functional residual capacity me kya change krta hai ??? Increase or

[Nehakumari-inwh]

If, the patient has oxygen saturation above93and pulse rate below100 and patient feels always sleepy, is it sign of increase pco2 if patient is underweight and above 65 years old please reply sir.

[vsrockpatil]

Sir 2nd abg still pH is 7.3 pco2 74
If we calculate baseline pco2 now it will again 62

[aniketdebnath]

In a respiratory acidosis patient the hco3 compensation will try to increase ph to normal values... in that case how to calculate the fall in ph due to co2 retention?

[Russ]

Can you use "winter's formula" to estimate baseline PaCO2 in chronic retainers whose bicarb is above 30?😮

[AliHamza-bzoo]

How to achiev this target on CPAP by decreasing fIo2 or decreasing RR

[patrioticindian]

Hello sir
One question
What about when pt abg has compansation
That is pco2 increases but PH donot change due to bicarb compansation
In that case how to calculate it

[roshu]

Gud afternoon sir, is ventilation setting same for osa/copd or different?

[roshu]

Sir if we reached baseline pco2 level in dis pt of 74 shd we stop niv further
Wat to do after baseline pco2 level reached?

[umeshnagpal]

If PH-7.37 PCO2-70 AND HCO3-40.5 and patient came with breathing difficuly and k/c of copd, echo and chest ray normal then wat to do and po2-47