Assessing oxygen requirement after discharge in chronic lung disease: a survey of current practice

Solis, Arturo; Harrison, G. S.; Shaw, Benjamin A.

doi:10.1007/s00431-002-0991-z

Cited by 31 publications

(23 citation statements)

References 21 publications

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“…Despite some potential costs and the lack of evidence of long-term benefits, such policies are increasingly being implemented in clinical practice. 17,18 Data from randomized, controlled trials are lacking, 19,20 and the question of the most appropriate oxygen-saturation levels for preterm infants who require supplemental oxygen remains controversial. [21][22][23] We conducted the randomized, multicenter Benefits of Oxygen Saturation Targeting (BOOST) trial to determine whether maintaining the oxygen saturation at a level higher than the standard range in extremely preterm infants with a long-term dependence on supplemental oxygen improves growth and neurodevelopmental outcomes.…”

mentioning

confidence: 99%

Oxygen-Saturation Targets and Outcomes in Extremely Preterm Infants

et al. 2003

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confidence: 99%

Oxygen-Saturation Targets and Outcomes in Extremely Preterm Infants

et al. 2003

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“…Consistent with the study from Germany, they found a wide range of SpO 2 thresholds (85 to 98%) with 46% again using a threshold less than Poets' recommendation. 2 It is clear that this practice pattern is not unique to a specific country and may actually be representative of a global inconsistency in the use of home oxygen therapy.…”

Section: Discussionmentioning

confidence: 99%

“…Despite over 20 years of experience with home oxygen therapy for infants with bronchopulmonary dysplasia (BPD), no consensus exists regarding specific indications for its use. 1,2 In a previous study, we found large variations in criteria for the use of oxygen to treat premature infants at 36 weeks postmenstrual age (PMA). 3 In this current study, we wanted to determine if this same variability in practice extended into the use of home oxygen.…”

Section: Introductionmentioning

confidence: 99%

Controversy Surrounding the Use of Home Oxygen for Premature Infants with Bronchopulmonary Dysplasia

et al. 2003

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OBJECTIVE:To determine the criteria used in the current practice of neonatology for the initiation of home oxygen therapy in premature infants with bronchopulmonary 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 of 297 participants. Pulse oximetry saturation (SpO 2 ) 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 oxygen therapy, the target SpO 2 also varied widely from >84% to >98%, with only 27% of respondents aiming for an SpO 2 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.

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“…Unfortunately, there is no specific evidence available to support any particular strategy of oxygen withdrawal, hence the lack of consensus over best practice 185. If a child needs more than 0.5 l/min of nasal cannulae oxygen, it would seem prudent to continue to reduce the oxygen flow rate, guided by the assessment of Sp o 2 .…”

Section: Follow-up After Dischargementioning

confidence: 99%