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Home oxygen therapy criteria, guidelines and protocols for hypoxia management in pediatric patients with acute

Terra Watkins1,2, Shelia Keller3,2

  • 1University of Mississippi Medical Center, Jackson, USA.

JBI Database of Systematic Reviews and Implementation Reports
|August 17, 2018
PubMed

Insights

This review examines discharge criteria for home oxygen therapy (HOT) in pediatric acute bronchiolitis. It identifies current practices and gaps in guidelines for managing hypoxia at home.

Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine
  • Clinical Guidelines

Background:

  • Acute bronchiolitis is a common pediatric respiratory illness.
  • Hypoxia management is crucial, often involving home oxygen therapy (HOT).
  • Standardized discharge criteria for HOT are lacking.

Purpose of the Study:

  • To explore literature on discharge criteria, guidelines, and protocols for HOT in pediatric acute bronchiolitis.
  • To conceptually map existing evidence.
  • To identify gaps in current literature.

Main Methods:

  • Scoping review methodology.
  • Systematic literature search for relevant studies.
  • Thematic analysis and evidence mapping.

Main Results:

  • The review identified varied discharge criteria and protocols for HOT.
  • Significant heterogeneity exists in current clinical practices.
  • Gaps were noted in evidence-based guidelines for HOT discontinuation.

Conclusions:

  • There is a need for standardized, evidence-based discharge criteria for HOT in pediatric acute bronchiolitis.
  • Further research is required to develop and validate optimal protocols.
  • Improved guidelines can enhance safe and effective home management of hypoxia.
Abstract

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