AARC Clinical Practice Guideline: Management of Adult Patients With Oxygen in the Acute Care Setting
| Autor: | Emily Ginier, James P. Lamberti, Thomas Piraino, Shawna L Strickland, Maria Madden, Karsten J Roberts |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty COPD Adult patients business.industry Critically ill medicine.medical_treatment chemistry.chemical_element General Medicine Oxygenation Critical Care and Intensive Care Medicine medicine.disease Early initiation Oxygen chemistry Oxygen therapy Acute care medicine Intensive care medicine business |
| Zdroj: | Respiratory Care. 67:115-128 |
| ISSN: | 1943-3654 0020-1324 |
| Popis: | Providing supplemental oxygen to hospitalized adults is a frequent practice and can be administered via a variety of devices. Oxygen therapy has evolved over the years, and clinicians should follow evidence-based practices to provide maximum benefit and avoid harm. This systematic review and subsequent clinical practice guidelines were developed to answer questions about oxygenation targets, monitoring, early initiation of high-flow oxygen (HFO), benefits of HFO compared to conventional oxygen therapy, and humidification of supplemental oxygen. Using a modification of the RAND/UCLA Appropriateness Method, 7 recommendations were developed to guide the delivery of supplemental oxygen to hospitalized adults: (1) aim for SpO2 range of 94-98% for most hospitalized patients (88-92% for those with COPD), (2) the same SpO2 range of 94-98% for critically ill patients, (3) promote early initiation of HFO, (4) consider HFO to avoid escalation to noninvasive ventilation, (5) consider HFO immediately postextubation to avoid re-intubation, (6) either HFO or conventional oxygen therapy may be used with patients who are immunocompromised, and (7) consider humidification for supplemental oxygen when flows > 4 L/min are used. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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