PEDIATRIC OXYGEN THERAPY: A CLINICAL UPDATE
Abstract
Oxygen therapy is a life-saving, medical intervention in the management of hospitalized children. The goal of oxygen therapy is to prevent or treat tissue hypoxia. Oxygen should be prescribed according to the principles of drug prescription, however, use of oxygen in clinical practice is often inappropriate without knowledge of its potential risks and benefits. This article summarizes practical aspects of clinical use of oxygen in terms of indication, administration, and monitoring, weaning, discontinuation and oxygen toxicity to rationalize therapy and achieve maximum benefits.
Keywords: Oxygen, administration, device, children
References
Singh V, Gupta P, Khatana S, Bhagol A. Supplemental oxygen therapy: Important considerations in oral and maxillofacial surgery. Natl J Maxillofac Surg 2011;2(1):10-4.
Heffner JE. The story of oxygen. Respir Care 2013;58(1):18-31.
Leach RM, Treacher DF. Oxygen transport-2. Tissue hypoxia. BMJ 1998;317(7169):1370-3.
Holbourn A, Wong J. Oxygen prescribing practice at Waikato Hospital does not meet guideline recommendations. Intern Med J 2014;44(12a):1231-4.
Lagan J, Garg P, Tang JM, Burgess M. Oxygen therapy in patients with chest pain of acute onset: single centre audit experience. Br J Hosp Med (Lond) 2014;74(6):347-9.
Deopujari S. Oxygen therapy in pediatrics. Indian J Pediatr 2000;67(12):885-91.
Leach RM, Bateman NT. Acute oxygen therapy. Br J Hosp Med 1993;49(9):637-44.
Bateman NT, Leach RM. ABC of oxygen. Acute oxygen therapy. BMJ 1998;317(7161):798-801.
Powell FL HG, Haddad GG. Respiratory Physiology. In: Nichols DG, Rogers MC, editors. Rogers' textbook of pediatric intensive care. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2008. p.631-61.
Treacher DF, Leach RM. Oxygen transport-1. Basic principles. BMJ 1998;317(7168):1302-6.
Subhi R, Adamson M, Campbell H, Weber M, Smith K, Duke T. The prevalence of hypoxaemia among ill children in developing countries: a systematic review. Lancet Infect Dis 2009;9(4):219-27.
McGloin S. Administration of oxygen therapy. Nurs Stand 2008;22(21):46-8.
Myers TR. AARC Clinical Practice Guideline: selection of an oxygen delivery device for neonatal and pediatric patients--2002 revision & update. Respir Care 2002;47(6):707-16.
Kleinman ME, Chameides L, Schexnayder SM, Samson RA, Hazinski MF, Atkins DL, et al. Part 14: pediatric advanced life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2009;122 (18 Suppl 3):876-908.
Jindal SK, Aggarwal AN. Oxygen Therapy. In: Chawla R Todi S, editors. ICU Protocols: A Stepwise Approach. Springer Science & Business Media; 2012; p.107-12.
Abboud P, Raake J, Wheeler DS. Supplemental oxygen and bag-valve-mask ventilation. In: Resuscitation and stabilization of the critically ill child. london: Springer; 2009. p.31-6.
Markovitz GH, Colthurst J, Storer TW, Cooper CB. Effective inspired oxygen concentration measured via transtracheal and oral gas analysis. Respir Care 2010;55(4):453-9.
Haq I, Gopalakaje S, Fenton AC, McKean MC, J O'Brien C, Brodlie M. The evidence for high flow nasal cannula devices in infants. Paediatr Respir Rev 2014;15(2):124-34.
Lee JH, Rehder KJ, Williford L, Cheifetz IM, Turner DA. Use of high flow nasal cannula in critically ill infants, children, and adults: a critical review of the literature. Intensive Care Med 2013;39(2):247-57.
Kinikar A, Kulkarni R, Valvi C, Gupte N. Use of indigenous bubble CPAP during swine flu pandemic in Pune, India. Indian J Pediatr 2011;78(10):1216-20.
Soto-Ruiz KM, Peacock WF, Varon J. The men and history behind the Venturi mask. Resuscitation 2011;82(3):244-6.
O'Driscoll BR, Howard LS, Davison AG. BTS guideline for emergency oxygen use in adult patients. Thorax 2008;63(Suppl 6):1-68.
Barker SJ. Motion-resistant" pulse oximetry: a comparison of new and old models. Anesth Analg 2002;95(4):967-72.
Hay WW Jr, Rodden DJ, Collins SM, Melara DL, Hale KA, Fashaw LM. Reliability of conventional and new pulse oximetry in neonatal patients. J Perinatol 2002;22(5):360-6.
Gutierrez JA, Theodorou AA. Oxygen delivery and oxygen consumption in pediatric critical care. In: Pediatric Critical Care Study Guide. Springer; 2012. p.19-38.
Thomson L, Paton J. Oxygen Toxicity. Paediatr Respir Rev 2014;15(2):120-3.
Downloads
Published
How to Cite
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.