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How Should Oxygen Supplementation Be Guided by Pulse Oximetry in Children: Do We Know the Level?

Ross Langley1, Steve Cunningham1

  • 1Department of Respiratory and Sleep Medicine, Royal Hospital for Sick Children , Edinburgh , UK.

Frontiers in Pediatrics
|February 14, 2017
PubMed

Insights

Supplemental oxygen therapy is common in hospitals but understudied. This review examines oxygen

Area of Science:

  • Pediatric critical care medicine
  • Respiratory physiology

Background:

  • Supplemental oxygen is a frequent hospital therapy for children.
  • Despite its prevalence, it remains one of the least studied medical interventions.

Purpose of the Study:

  • To provide a comprehensive review of supplemental oxygen therapy.
  • To explore various facets of oxygen use in pediatric care.

Main Methods:

  • Literature review covering historical use, physiological measurement, and clinical studies.
  • Analysis of the impact of illness on oxygen utilization.
  • Examination of cellular responses to hypoxia.

Main Results:

  • Oxygenation can be estimated using clinical assessment and medical devices.
  • Illness significantly affects how the body uses oxygen.
  • Cellular consequences of low oxygen (hypoxia) are explored.

Conclusions:

  • Current clinical studies guide the targeted use of supplemental oxygen.
  • Further research is needed to optimize oxygen therapy for children with hypoxemia.

Keywords:
hypoxemiahypoxialower respiratory tract infectionoxygenoxygen saturation

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