Aggiornamento
L’ossigenoterapia.
Indicazioni, vie di somministrazione e parametri da valutare
OXYGEN TREATMENT: INDICATIONS, WAYS OF ADMINISTERING AND MONITORING ISSUES
PATRICIA PETAROS, PATRIZIA SALIERNO, INGRID RABACH, EGIDIO BARBI, GIORGIO LONGO
Clinica Pediatrica, IRCCS “Burlo Garofolo”, Trieste
Maggio 2007 - pagg. 291 -297
Abstract
The main issues concerning oxygen treatment in children are discussed in this paper ranging from physiopathological premises to practical daily issues. Indications to oxygen treatment, monitoring issues, clinical tips, advantages and disadvantages of different ways of administering oxygen are focused, mainly with a practice based approach. Signs and symptoms of hypoxemia, hypercapnia and increased breathing work are highlighted. The two different mechanisms leading to respiratory failure (type I and type II) are discussed along with the proper indications for treatment.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
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12. Grace, RF. Pulse oximetry. Gold standard or false sense of security? Med J Aust 1994; 160(10):638-44.
13. Yildizdas D, Yapiciglu H, Yilmaz HL, Sertdemir Y. Correlation of simultaneously obtained capillary, venous and arterial blood gases of patiens in a pediatric intensive care unit. Arch Dis Child 2004;89(2):176-80.
14. Mardirossian, G, Schneider, RE. Limitations of pulse oximetry. Anesth Prog 1993;39 (6):194-6.
15. Mengelkoch LJ, Martin D, Lawler J. A review of the principles of pulse oximetry and accuracy of pulse oximeter estimates during exercise. Phys Ther 1994;74(1):40-9.
16. Ralston AC, Webb RK, Runciman WB. Potential errors in pulse oximetry. Anaesthesia 1991;46(4):291-5.
17. Moyle JT. Uses and abuses of pulse oximetry. Arch Dis Child 1996;74(1):77-80.
2. Eastwood GM, Dennis MJ. Nasopharyngeal oxygen (NPO) as a safe and comfortable alternative to face mask oxygen therapy. Aust Crit Care 2006;19(1):22-4.
3. Kuluz JW, McLaughlin GE, Gelman B, et al. The fraction of inspired oxygen in infants receiving oxygen via nasal cannula often exceeds safe levels. Respir Care 2001;46(9):897- 901.
4. Shann F, Gatchalian S, Hutchinson R. Nasopharyngeal oxygen in children. Lancet 1988;2(8622):1238-40.
5. Wilson J, Arnold C, Connor R, Cusson R. Evaluation of oxygen delivery with the use of nasopharyngeal catheters and nasal cannulas. Neonatal Netw 1996;15(4):15-22.
6. Finer NN, Bates R, Tomat P. Low flow oxygen delivery via nasal cannula to neonates. Pediatr Pulmonol 1996;21(1):48-51.
7. Fan LL, Voyles JB. Determination of inspired oxygen delivered by nasal cannula in infants with chronic lung disease. J Pediatr 1983;103(6):923-5.
8. Soong WJ, Hwang B, Tang RB. Continuous positive airway pressure by nasal prongs in bronchiolitis. Pediatr Pneumol 1993;16(3): 163-6.
9. Frey B, McQuillan PJ, Shann F, Freezer N. Nasopharyngeal oxygen therapy produces positive end-expiratory pressure in infants. Eur J Pediatr 2001;160(9):556-60.
10. Locke RG, Wolfson MR, Shaffer TH, et al. Inadvertent administration of positive end-distending pressure during nasal cannula flow. Pediatrics 1993;91(1):135-8.
11. Sreenan C, Lemke RP, Hudson-Mason A, et al. High flow nasal cannula in the management of apnea of prematurity: a comparison with conventional nasal continuous positive airway pressure. Pediatrics 2001;107(5):1081-3.
12. Grace, RF. Pulse oximetry. Gold standard or false sense of security? Med J Aust 1994; 160(10):638-44.
13. Yildizdas D, Yapiciglu H, Yilmaz HL, Sertdemir Y. Correlation of simultaneously obtained capillary, venous and arterial blood gases of patiens in a pediatric intensive care unit. Arch Dis Child 2004;89(2):176-80.
14. Mardirossian, G, Schneider, RE. Limitations of pulse oximetry. Anesth Prog 1993;39 (6):194-6.
15. Mengelkoch LJ, Martin D, Lawler J. A review of the principles of pulse oximetry and accuracy of pulse oximeter estimates during exercise. Phys Ther 1994;74(1):40-9.
16. Ralston AC, Webb RK, Runciman WB. Potential errors in pulse oximetry. Anaesthesia 1991;46(4):291-5.
17. Moyle JT. Uses and abuses of pulse oximetry. Arch Dis Child 1996;74(1):77-80.
Corrispondenza: ebarbi@libero.it