Recommandations pour l’oxygénothérapie chez l’enfant en situations aiguës et chroniques : évaluation du besoin, critères de mise en route, modalités de prescription et de surveillance

Aubertin, Guillaume; Marguet, C.; Delacourt, Christophe; Houdouin, Véronique; Leclainche, L.; Lubrano, M.; Marteletti, O.; Pin, I.; Pouessel, G.; Rittie, J. L.; Saulnier, J.-P.; Stremler, Nathalie; Thumerelle, C.; Toutain-Rigolet, A.; Beydon, Nicole; pédiatrique, Le Groupe de recherche sur les avancées en pneumologie

doi:10.1016/j.arcped.2012.02.016

Cited by 20 publications

(11 citation statements)

References 43 publications

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“…Considerámos os seguintes grupos de diagnóstico, decorrente da experiência internacional 3,4,7,8 e do conhecimento prévio da casuística da Unidade:…”

Section: Methodsunclassified

“…Foram revistas orientações pediátricas para prescrição de oxigénio domiciliário publicadas em França, 3 Brasil, 4 Reino Unido 6,8 e Espanha.…”

Section: Orientações Pediátricas E Noc Da Dgsunclassified

“…Esta realidade acompanha as crescentes indicações para OLD, equiparando-se ao descrito noutros paí-ses da Europa. 3,7,9 A necessidade de OLD neste doentes decorre da doença pulmonar associada a pneumonias de aspiração, refluxo gastroesofágico, tosse ineficaz e deformidade torácica. 4,7 Verificámos associação a VNI em cinco doentes, resultado de alterações ventilatórias que condicionam hipoventilação crónica.…”

Section: Síndromes Polimalformativasunclassified

“…4,6,7 A escolha depende da doença respiratória e da necessidade de oxigénio, podendo incluir a preferência dos pais. 6 A monitorização do doente pediátrico em OLD inclui a pesquisa e avaliação frequente das consequências da hipoxemia crónica e é diferente na criança relativamente ao adulto 3,6,7 uma vez que a repercussão mais relevante é alteração do crescimento estaturo-ponderal e do desenvolvimento cognitivo, para além dos habituais aumentos do hematócrito, hipertensão arterial pulmonar e hipertrofia do ventrículo direito. Nas normas orientadoras francesas 3 é sugerida avaliação do doente crónico durante o período de sono (6 -12h) e de atividades; também o valor de CO 2 diurno deve ser monitorizado e, se normal, de CO 2 noturno.…”

Section: Síndromes Polimalformativasunclassified

“…2 A oxigenoterapia domiciliária de longa duração (OLD) tem especificidades pediátricas que motivaram orientações próprias [3][4][5][6][7][8] na sequência de revisões casuísti-cas 2,5 ou de levantamentos nacionais de utilização. 9 A utilização de oxigénio domiciliário favorece redução dos custos hospitalares, alta precoce e a redução da infeção associada aos cuidados de saúde.…”

Section: Introductionunclassified

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Oxigenoterapia Domiciliária de Longa Duração na Criança: Evidências e Questões em Aberto

et al. 2014

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Introduction: Long-term home oxygen therapy is indicated for patients with chronic hypoxemia. We intend to describe pediatric population on long-term home oxygen therapy followed-up at Pediatric Respiratory Unit of a tertiary care hospital between 2003-2012 and to compare with previous 1991-2000 review; to verify conformity with international and national recommendations and need for specific pediatric national guidelines, non-existent in Portugal. Material and Methods: Retrospective, descriptive and comparative study based on clinical files review. Review the guidelines for oxygen therapy in pediatric population. Results: We studied 86 patients (59.3% males). The median age at the beginning of oxygen therapy was 0.0 (0.0-216.0) months, with a median duration of 15.0 (3.0-223.0) months. The most frequent diagnosis was bronchopulmonary dysplasia (53.5%), followed by bronchiolitis obliterans (14.0%), neurologic disorders (10.5%), cystic fibrosis (8.1%), miscellaneous syndromes (5.8%), sickle-cell disease (3.5%), other neonatal lung diseases (2.3%) and interstitial lung diseases (2.3%). Are maintained on follow-up 53 (61.6%) patients, 38 on oxygen therapy; 12 (13.9%) died. The median time of follow-up was 39.5 (1.0-246.0) months, minim on other neonatal lung diseases and maximum on cystic fibrosis. Comparing with previous review, this shows a relative increase in bronchiolitis obliterans and bronchopulmonary dysplasia patients, with increased duration in the latter, and inclusion of neurologic and hematologic patients. Discussion: Prescription of long-term oxygen therapy in pediatric age mainly occurs in specific diseases of infants and pre-school aged. Neurologic and hematologic patients represent new indications, similarly to international publications. Conclusion: The knowledge of national reality and pediatric orientations are needed for care plans and rational prescription. Keywords: Child; Long-Term Care; Respiratory Insufficiency; Oxygen Inhalation Therapy; Portugal.

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“…Considerámos os seguintes grupos de diagnóstico, decorrente da experiência internacional 3,4,7,8 e do conhecimento prévio da casuística da Unidade:…”

Section: Methodsunclassified

“…Foram revistas orientações pediátricas para prescrição de oxigénio domiciliário publicadas em França, 3 Brasil, 4 Reino Unido 6,8 e Espanha.…”

Section: Orientações Pediátricas E Noc Da Dgsunclassified

Section: Síndromes Polimalformativasunclassified

Section: Introductionunclassified

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Oxigenoterapia Domiciliária de Longa Duração na Criança: Evidências e Questões em Aberto

et al. 2014

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Technology dependent children

2010

Journal of Hospital Medicine

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Automatic oxygen flow titration in spontaneously breathing children: An open‐label randomized controlled pilot study

Roué

Delpeut

d'Hennezel

et al. 2020

Pediatric Pulmonology

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Introduction: When children require supplemental oxygen due to acute hypoxemic respiratory distress (AHRD), manual control of the oxygen flow is often difficult and time-consuming, and carries the risk of unrecognized hypoxia and hyperoxia. To date, no automatic oxygen titration system has been developed and evaluated in spontaneously breathing children. Methods: Children between 1 month and 15 years of age receiving supplemental oxygen due to AHRD were recruited within 24 hours following the onset of the O 2 administration in a French University Department of Paediatrics. Patients were randomized to receive either automated oxygen administration using the FreeO2 device, or conventional manual oxygen administration over a maximum period of 6 hours. Stratification was performed to classify the patients into two age groups: 1 month to 2 years of age and 2 to 15 years of age. The primary outcome was % time spent within the SpO 2 target range (92%-98%). Results: 60 patients (30 infants, 30 children) were randomized and 55 could be analyzed for the primary outcome (28 automated, 27 manual). The automated O 2 delivery using the FreeO2 device significantly increased the time spent within the predefined SpO 2 range (94.6% ± 6% vs 76.3% ± 22%, difference [95% confidence interval {CI}] 18.4 [10.1; 26.7]) with less time spent with hypoxemia (1% ± 1.1% vs 15.1% ± 21.8%, difference [95% CI] −14.4 [−22.2; −6.7]). This difference was greater among (2-15 years of age) children, compared to (1 month-2 years of age) infants. Conclusions: The present randomized controlled pilot study indicates that the tested automated closed-loop O 2 titration technology was safe and yielded improved oxygen parameters among spontaneously breathing children. Based on our pilot data, a full randomized controlled trial will be required to verify the potential clinical benefits.

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Recommandations pour l’oxygénothérapie chez l’enfant en situations aiguës et chroniques : évaluation du besoin, critères de mise en route, modalités de prescription et de surveillance

Cited by 20 publications

References 43 publications

Oxigenoterapia Domiciliária de Longa Duração na Criança: Evidências e Questões em Aberto

Oxigenoterapia Domiciliária de Longa Duração na Criança: Evidências e Questões em Aberto

Technology dependent children

Automatic oxygen flow titration in spontaneously breathing children: An open‐label randomized controlled pilot study

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