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Choosing Wisely Pearls

Things We Do For No Reason (TWDFNR)

Supplemental oxygen for normoxemic patients!

  • Multiple studies have shown no benefit and potentially harm when administering oxygen routinely to patients whose SpO2 is >94-96% or in those with 88-92% but underlying risk of respiratory failure (eg COPD patients)
  • Do NOT give supplemental oxygen to acute MI patients unless SpO2 < 90%
  • Some conditions DO necessitate hyperoxemia (pneumothorax, carbon monoxide poisoning, air embolism, sickle cell crisis, cluster headache). Give O2 even if SpO2 is 100%

https://www.journalofhospitalmedicine.com/jhospmed/article/210075/hospital-medicine/things-we-do-no-reasontm-supplemental-oxygen-patients

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