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Posted by Terry P on February 23, 2002 at 10:09:12:In Reply to: Tachcardia Vtach o2 as low as 49% posted by polytech on February 21, 2002 at 22:26:53:
You did the right then by instituting CPAP. What conserns me is the statement that CPAP, O2, and BiPAP didn't do any good. How high did you go with the pressures and did you make sure he wasn't venting from his mouth or around the mask. You should be able to improve ventilation even with severe OSA patients, to the point of getting SaO2 levels close to normal. It sounds like events continued, so I would encourage you to look at mask interface problems and the use of a tight chin strap.
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