Related Experiment Video

Updated: Nov 10, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

18.0K

AARC Clinical Practice Guideline: Management of Pediatric Patients With Oxygen in the Acute Care Setting

Natalie Napolitano1, Ariel Berlinski2, Brian K Walsh3

  • 1Respiratory Therapy Department, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. napolitanon@chop.edu.

Respiratory Care
|April 1, 2021
PubMed

Insights

Oxygen therapy guidelines for pediatric patients recommend high-flow nasal cannula over low-flow oxygen for bronchiolitis. Humidification is not advised, and specific oxygen saturation targets are crucial for effective treatment.

Area of Science:

  • Pediatric Pulmonology
  • Clinical Therapeutics
  • Evidence-Based Medicine

Background:

  • Oxygen therapy is a cornerstone in managing pediatric cardiopulmonary diseases.
  • There is a need for evidence-based guidelines on oxygen therapy in children.
  • Key areas include delivery devices, humidification, flow rates, and target oxygen saturation.

Purpose of the Study:

  • To provide evidence-based clinical practice guidelines for oxygen therapy in hospitalized children.
  • To answer specific questions regarding oxygen delivery methods, humidification, and target saturation levels.
  • To support clinicians in optimizing oxygen therapy for pediatric patients.

Main Methods:

  • A systematic review was conducted to gather evidence.
  • The RAND/UCLA Appropriateness Method was adapted for guideline development.
  • Recommendations were formulated based on synthesized evidence.

Main Results:

  • Oxygen hoods/tents are not recommended over low-flow devices for consistent delivery.
  • High-flow nasal cannula therapy is safer and more effective than low-flow oxygen for moderate to severe bronchiolitis in infants.
  • Humidification with low-flow oxygen is not recommended.
  • A target oxygen saturation of 90-97% is recommended for infants and children with bronchiolitis.
  • No specific target saturation can be universally recommended for other pediatric respiratory diseases; patient/disease-specific targets upon admission are best practice.

Conclusions:

  • Clinical practice guidelines for pediatric oxygen therapy have been established.
  • Specific recommendations address delivery devices, humidification, and target oxygen saturation.
  • Individualized oxygen therapy targets are essential for optimal outcomes in pediatric respiratory care.

Keywords:
childinfantoxygenpediatric

More Related Videos

Conducting Respiratory Oscillometry in an Outpatient Setting14:49

Conducting Respiratory Oscillometry in an Outpatient Setting

Published on: April 8, 2022

7.9K
Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus06:15

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

Published on: March 6, 2019

51.1K

Related Concept Videos

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,...
415
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:
1.2K
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...
1.4K
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,...
1.2K
Administering Oxygen by Nasal Cannula01:29

Administering Oxygen by Nasal Cannula

Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
1.5K
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...
276