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Related Concept Videos

Administering Oxygen by Mask01:30

Administering Oxygen by Mask

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

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

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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,...
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Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

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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...
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Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure01:16

Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure

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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,...
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Oxygen Delivering System I: Nasal Cannula and Face Mask01:26

Oxygen Delivering System I: Nasal Cannula and Face Mask

431
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:...
431
Administering Oxygen by Nasal Cannula01:29

Administering Oxygen by Nasal Cannula

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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
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Non-Invasive Monitoring of Microvascular Oxygenation and Reactive Hyperemia using Hybrid, Near-Infrared Diffuse Optical Spectroscopy for Critical Care
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Care Bundle to Improve Oxygen Maintenance and Events.

Sandesh Shivananda1, Sumesh Thomas2, Sourabh Dutta3,4

  • 1Division of Neonatology, BC Women's Hospital and Health Centre, University of British Columbia, Vancouver, British Columbia, Canada.

Pediatric Quality & Safety
|March 17, 2023
PubMed
Summary

A new care bundle improved oxygen saturation (SpO2) management in preterm infants, increasing time within the target range and reducing dangerous desaturation events. This intervention helps prevent retinopathy of prematurity (ROP) and neurodevelopmental issues.

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Area of Science:

  • Neonatal Intensive Care
  • Pediatric Pulmonology
  • Quality Improvement Science

Background:

  • Prolonged deviations from target oxygen saturation (SpO2) and frequent desaturation events in preterm infants increase risks for retinopathy of prematurity (ROP) and long-term neurodevelopmental impairment.
  • Effective SpO2 management is critical for improving outcomes in vulnerable preterm infants.

Purpose of the Study:

  • To implement a care bundle aimed at increasing the mean time spent within the target SpO2 range (WTR) by 10%.
  • To decrease the frequency of desaturation events by 5 events per patient day within 18 months.

Main Methods:

  • A quality improvement initiative was conducted in a 46-bed neonatal intensive care unit (NICU) involving 246 staff members.
  • Interventions included new practice guidelines, daily SpO2 summaries, infant wellness assessments, standardized workflows, and improved SpO2 alarm response.
  • Data collected included staff satisfaction, compliance, resource use, and morbidity/mortality rates.

Main Results:

  • Mean time WTR increased from 65.3% to 75.3%.
  • Frequency of desaturation events decreased from 25.1 to 16.5 events per patient day.
  • Postimplementation, duration of high-frequency ventilation and supplemental oxygen decreased; morbidity and mortality rates remained similar. Staff satisfaction was high across interventions.

Conclusions:

  • Implementation of a care bundle effectively improved oxygen saturation maintenance in preterm infants.
  • The care bundle significantly increased time within the target SpO2 range and reduced desaturation events, contributing to better infant care.