Oxygen

This respiratory symposium focused on pleural disease, allergy and the new guidelines for oxygen delivery. The management of pleural disease is changing, partly due to safety concerns. For example, safer designs of the Seldinger drain are being developed and chest ultrasound is now recommended prior to siting an intercostal drain. Greater availability of medical and surgical thoracoscopy means there is less use of the Abrams pleural biopsy, although this has implications for the organisation and provision of services.

Oxygen is one of the most widely used drugs. It is important to recognise that oxygen administration carries risks as well as benefits. While adequate oxygen saturation of arterial blood is an important factor in tissue oxygen delivery, oxygen administration to patients with chronic obstructive pulmonary disease can lead to decompensated type II respiratory failure. In this debate, Dr Lavery makes the case that high concentration oxygen should be given to all patients treated in an ambulance, while Professor Corris argues against this position.