Controversy surrounding the use of home oxygen for premature infants with bronchopulmonary dyslasia

被引：29
作者：
Ellsbury D.A. [1 ]
Acarregui M.J. [1 ]
McGuinness G.A. [1 ]
Eastman D.L. [1 ]
Klein J.M. [1 ]
机构：
[1] Deaprtment of Pediatrics, Children's Hospital of Iowa, University of Iowa, Iowa City, IA 52242
来源：
Journal of Perinatology | 2004年 / 24卷 / 1期
关键词：
D O I：
10.1038/sj.jp.7211012
中图分类号：
学科分类号：
摘要：
Objective: To determine the criteria used in the current practice of neonatology for the initiation of home oxygen therapy in premature infants with broncopulmonary dysplasia and to compare these criteria with the available literature regarding the use of home oxygen therapy. Study Design: Participants in the December 2000 meeting of the Vermont Oxford Network were surveyed regarding their current use of home oxygen therapy for infants with bronchopulmonary dysplasia. Results: Surveys were returned by 181 out 297 participants. Pulse oximetry saturation (SpO2) thresholds for the initiation of home oxygen therapy varied widely from <84% to <98%. The most common threshold was <90% chosen by only 43% of the respondents. Additionally, 22% of the respondents did not initiate therapy until the oxygen saturation in room air was below 88%. Once on ocygen therapy, the target SpO2 also varied widely from >84% to >98%, with only 27% of respondents aiming for an SpO2 of 94%. Conclusions: There is a clear lack of consensus among neonatologists regarding the initiation of home oxygen therapy for bronchopulmonary dysplasia. Furthermore, the criteria used for home oxygen therapy varies widely with the majority of neonatologists surveyed using oxygen saturation levels not supported by the literature. We speculate that a significant underutilization of home oxygen therapy exists for infants with bronchopulmonary dysplasia.
引用
收藏
页码：36 / 40
页数：4
相关论文
共 31 条
  • [1] Peter C., Poets C.F., Prescription of home oxygen therapy to infants in Germany, Biol. Neonate, 80, pp. 148-151, (2001)
  • [2] Solis A., Harrison G., Shaw B.N., Assessing oxygen requirement after discharge in chronic lung disease: A survey of current practice, Eur. J. Pediatr., 161, pp. 428-430, (2002)
  • [3] Ellsbury D.L., Acarregui M.J., McGuinness G.A., Klein J.M., Variability in the use of supplemental oxygen for bronchopulmonary dysplasia, J. Pediatr., 140, pp. 247-249, (2002)
  • [4] Hunt C.E., Corwin M.J., Lister G., Et al., Longitudinal assessment of hemoglobin oxygen saturation in healthy infants during the first 6 months of age, J. Pediatr., 135, pp. 580-586, (1999)
  • [5] Poets C.F., Stebbens V.A., Alexander J.R., Arrowsmith W.A., Salfield S.A., Southall D.P., Arterial oxygen saturation in preterm infants at discharge from the hospital and six weeks later, J. Pediatr., 120, pp. 447-454, (1992)
  • [6] Richard D., Poets C.F., Neale S., Stebbens V.A., Alexander J.R., Southall D.P., Arterial oxygen saturation in preterm neonates without respiratory failure, J. Pediatr., 123, pp. 963-968, (1993)
  • [7] Ng A., Subhedar N., Primhak R.A., Shaw N.J., Arterial oxygen saturation profiles in healthy preterm infants, Arch. Dise. Child Fetal Neonatal Ed., 79, (1998)
  • [8] Thilo E.H., Andersen D., Wasserstein M.L., Schmidt J., Luckey D., Saturation by pulse oximetry: Comparison of the results obtained by intruments of different brands, J. Pediatr., 122, pp. 620-626, (1993)
  • [9] Groothuis J.R., Rosenberg A.A., Home oxygen promotes weight gain in infants with bronchopulmonary dysplasia, Am. J. Dis. Child, 141, pp. 992-995, (1987)
  • [10] Hudak B.B., Allen M.C., Hudak M.L., Loughlin G.M., Home oxygen therapy for chronic lung disease in extremely low-birth-weight infants, Am. J. Dis. Child, 143, pp. 357-360, (1989)
1234