Guidelines for Rational use of Oxygen

The Ministry of Health and Family Welfare had released a set of guidelines to ensure rational sue of oxygen for the management of COVID. These include case scenarios where oxygen use would be required-

It is assumed that out of the 100 confirmed cases of Covid-19;

a. 80 cases will be Asymptomatic / pre-symptomatic or with “Mild”, disease requiring home isolation or admission to Covid Care Center (CCC).

b. Out of remaining 20 cases:

i. I 7 cases will be of "Moderate" disease requiring hospitalization for 7 days on Non-ICU Oxygen Supported Beds. States / UTs would require to have oxygen storage capacity for all l7 Beds. However, for the purpose of calculation of Daily Oxygen consumption requirement,50% of these Beds (i.e. 8.5) would be considered for computation purpose.

ii. 3 will be "severe" cases requiring ICU Beds for l8 days in ratio of 20%o for Invasive ventilation, 40% for Non-Invasive ventilation (NIV) / High Flow Nasal Cannula (HFNC) and remaining 40% for oxygen therapy by Non-Re Breathing Mask (NRBM) etc. For the purpose of calculation of Daily Oxygen consumption requirement at each health facility, aI the Beds (i.e. 3) would be considered for computation purpose.