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[Music] hello todays nicu nugget is on the oxygenation index or o i o i is used as a marker of respiratory failure most commonly in persistent pulmonary hypertension of the newborn it measures the amount of respiratory support that a baby needs to maintain a level of oxygenation so basically the higher the oxygenation index the higher the oi the more respiratory support and fio2 the baby needs therefore the sicker the baby is i see people in the unit all the time wander around with cards with the formula and equation written on it its very easy to understand and to remember to calculate yourself so just listen on and youll never have to try to remember the formula again the first thing that you have to realize which you already know is that the higher the fio2 the baby needs to maintain the saturations and to maintain the babys pao2 the sicker the baby is this is very logical if a baby is on 100 fio2 that baby likely has a higher oxygenation index than a baby whos on 25 fio2 the