AARC clinical practice guideline: Management of pediatric patients with oxygen in the acute care setting

Natalie Napolitano, Ariel Berlinski, Brian K. Walsh, Emily Ginier, Shawna L. Strickland

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

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 SpO2 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.

Original languageEnglish (US)
Pages (from-to)1214-1223
Number of pages10
JournalRespiratory care
Volume66
Issue number7
DOIs
StatePublished - Jul 1 2021
Externally publishedYes

Keywords

  • Child
  • Infant
  • Oxygen
  • Pediatric

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

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