Biology:Oxygenation index

From HandWiki

The oxygenation index is a calculation used in intensive care medicine to measure the fraction of inspired oxygen (FiO2) and its usage within the body. A lower oxygenation index is better - this can be inferred by the equation itself. As the oxygenation of a person improves, they will be able to achieve a higher PaO2 at a lower FiO2. This would be reflected on the formula as a decrease in the numerator or an increase in the denominator - thus lowering the OI. Typically an OI threshold is set for when a neonate should be placed on ECMO, for example >40.

Equation

[math]\displaystyle{ OI = \frac{Fi\ce{O2} \times M_\text{PAW}}{Pa\ce{O2}} }[/math][1]
  • [math]\displaystyle{ Fi\ce{O2} }[/math]: Fraction of inspired oxygen, in percent;
  • [math]\displaystyle{ M_\text{PAW} }[/math]: Mean airway pressure, in mmHg;
  • [math]\displaystyle{ Pa\ce{O2} }[/math]: Partial pressure of oxygen in arterial blood, in mmHg.

References

  1. Ortiz RM, Cilley RE, Bartlett RH. Extracorporeal membrane oxygenation in pediatric respiratory failure. Pediatr Clin North Am. 1987 Feb;34(1):39-46.