In case of desaturation during a therapy session, recovery should first include rest, position change, breathing techniques, or coughing. Then consider oxygen what?

• A. Weaning
• B. Titration
• C. Ventilation
• D. Calibration

Answer: (B)

When desaturation occurs during therapy, the goal is to keep oxygen delivery aligned with the patient’s current needs. Start with the non-oxygen steps—rest, position changes, breathing techniques, and coughing—to optimize ventilation and airway clearance. If desaturation persists after these measures, adjust the oxygen delivery by titration: set the lowest FiO2 or flow that reliably maintains the patient’s SpO2 within the prescribed target range. Titration relies on continuous monitoring, typically with pulse oximetry, and requires rechecking as activity levels or condition change. It’s about balancing adequate oxygenation with avoiding unnecessary high oxygen levels.

Weaning isn’t the next step during an active desaturation episode; ventilation would be considered only if the patient needs assistance beyond simple oxygen delivery, and calibration isn’t part of clinical management—it's about ensuring the sensor readings are accurate.