[Recommendations for pediatric oxygen therapy in acute and chronic settings: Needs assessment, implementation

G Aubertin1, C Marguet, C Delacourt

  • 1Unité fonctionnelle de pneumologie pédiatrique, hôpital Armand-Trousseau, AP-HP, 75012 Paris, France.

Insights

This study provides expert recommendations for pediatric oxygen therapy, covering needs assessment, prescription, and follow-up for both acute and long-term care in children. These guidelines aim to standardize and improve oxygen use in pediatric pulmonology.

Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine

Background:

  • Oxygen therapy is crucial for children with respiratory conditions.
  • Standardized guidelines are needed for optimal pediatric oxygen use.
  • Previous recommendations lacked comprehensive coverage of acute and long-term pediatric oxygen therapy.

Purpose of the Study:

  • To develop evidence-based recommendations for acute and long-term oxygen therapy in children.
  • To provide guidance on needs assessment, implementation criteria, prescription practices, and follow-up.
  • To establish a consensus among pediatric pulmonology experts.

Main Methods:

  • A Formalized Consensus methodology was employed, adhering to Haute Autorité de Santé (HAS) standards.
  • Two expert panels were involved: one analyzing literature, the second validating recommendations.
  • Literature review encompassed both English and French scientific publications.

Main Results:

  • Comprehensive recommendations for pediatric oxygen therapy are presented.
  • Guidelines cover needs assessment, implementation criteria, prescription practices, and follow-up.
  • The full text with supporting arguments is available on the French Pediatric Society website.

Conclusions:

  • The developed recommendations offer a standardized approach to pediatric oxygen therapy.
  • These guidelines aim to improve the quality of care for children requiring oxygen.
  • The consensus-based approach ensures expert validation and clinical relevance.

Related Concept Videos

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
3.7K
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure01:16

Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure

Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
817
Administering Oxygen by Mask01:30

Administering Oxygen by Mask

Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
4.4K
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
2.1K
Acute Respiratory Failure-V01:29

Acute Respiratory Failure-V

The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
768
Oxygen Delivering System I: Nasal Cannula and Face Mask01:26

Oxygen Delivering System I: Nasal Cannula and Face Mask

The human body requires oxygen to function, and when the natural process of respiration is hindered, external devices, including the following, are needed to help deliver this vital gas.
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
2.7K