AARC Clinical Practice Guideline: Management of Pediatric Patients With Oxygen in the Acute Care Setting
| Autor: | Emily Ginier, Brian K Walsh, Ariel Berlinski, Natalie Napolitano, Shawna L Strickland |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Critical Care medicine.medical_treatment Psychological intervention Disease Critical Care and Intensive Care Medicine medicine.disease_cause 03 medical and health sciences 0302 clinical medicine Oxygen therapy Acute care Cannula Humans Medicine Child Intensive care medicine Cardiopulmonary disease business.industry Oxygen Inhalation Therapy Infant General Medicine Guideline medicine.disease Oxygen 030228 respiratory system Bronchiolitis business Nasal cannula |
| Zdroj: | Respiratory Care. 66:1214-1223 |
| ISSN: | 1943-3654 0020-1324 |
| Popis: | Oxygen therapy is one of the most important therapeutics offered in the clinical management of pediatric patients with cardiopulmonary disease. As the medical community seeks to ensure evidence-based management of clinical interventions, we conducted a systematic review with the goal of providing evidence-based clinical practice guidelines to answer questions surrounding the use of simple oxygen therapy to improve oxygenation, including a comparison of delivery devices, the efficacy of humidification, comparison of flows, and goals for use in children. Using a modification of the RAND/UCLA Appropriateness Method, we developed 4 recommendations to assist clinicians in the utilization of oxygen therapy in hospitalized children: (1) the use of an oxygen hood or tent in lieu of a low-flow oxygen device for consistent oxygen delivery is not recommended; (2) the use of high-flow nasal cannula therapy is safe and more effective than low-flow oxygen to treat infants with moderate to severe bronchiolitis; (3) the application of humidification with low-flow oxygen delivery is not recommended; (4) targeting [Formula: see text] 90-97% for infants and children with bronchiolitis is recommended; however, no specific target can be recommended for pediatric patients with respiratory diseases outside of bronchiolitis, and establishing a patient/disease oxygen therapy target upon admission is considered best practice. |
| Databáze: | OpenAIRE |
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