Survey of Oxygen Delivery Practices in UK Paediatric Intensive Care Units
Purpose. Administration of supplemental oxygen is common in paediatric intensive care. We explored the current practice of oxygen administration using a case vignette in paediatric intensive care units (PICU) in the united kingdom. Methods. We conducted an online survey of Paediatric Intensive Care...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2016/6312970 |
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| author | Sainath Raman Samiran Ray Mark J. Peters |
| author_facet | Sainath Raman Samiran Ray Mark J. Peters |
| author_sort | Sainath Raman |
| collection | DOAJ |
| description | Purpose. Administration of supplemental oxygen is common in paediatric intensive care. We explored the current practice of oxygen administration using a case vignette in paediatric intensive care units (PICU) in the united kingdom. Methods. We conducted an online survey of Paediatric Intensive Care Society members in the UK. The survey outlined a clinical scenario followed by questions on oxygenation targets for 5 common diagnoses seen in critically ill children. Results. Fifty-three paediatric intensive care unit members from 10 institutions completed the survey. In a child with moderate ventilatory requirements, 21 respondents (42%) did not follow arterial partial pressure of oxygen (PaO2) targets. In acute respiratory distress syndrome, cardiac arrest, and sepsis, there was a trend to aim for lower PaO2 as the fraction of inspired oxygen (FiO2) increased. Conversely, in traumatic brain injury and pulmonary hypertension, respondents aimed for normal PaO2 even as the FiO2 increased. Conclusions. In this sample of clinicians PaO2 targets were not commonly used. Clinicians target lower PaO2 as FiO2 increases in acute respiratory distress syndrome, cardiac arrest, and sepsis whilst targeting normal range irrespective of FiO2 in traumatic brain injury and pulmonary hypertension. |
| format | Article |
| id | doaj-art-c880f9522dac429da636363475c077da |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-c880f9522dac429da636363475c077da2025-02-03T05:53:24ZengWileyCritical Care Research and Practice2090-13052090-13132016-01-01201610.1155/2016/63129706312970Survey of Oxygen Delivery Practices in UK Paediatric Intensive Care UnitsSainath Raman0Samiran Ray1Mark J. Peters2Respiratory, Critical Care and Anaesthesia Group, Infection, Immunity, Inflammation and Physiological Medicine Programme, Institute of Child Health, University College London and Great Ormond Street Hospital, Great Ormond Street, London WC1N 3JH, UKRespiratory, Critical Care and Anaesthesia Group, Infection, Immunity, Inflammation and Physiological Medicine Programme, Institute of Child Health, University College London and Great Ormond Street Hospital, Great Ormond Street, London WC1N 3JH, UKRespiratory, Critical Care and Anaesthesia Group, Infection, Immunity, Inflammation and Physiological Medicine Programme, Institute of Child Health, University College London and Great Ormond Street Hospital, Great Ormond Street, London WC1N 3JH, UKPurpose. Administration of supplemental oxygen is common in paediatric intensive care. We explored the current practice of oxygen administration using a case vignette in paediatric intensive care units (PICU) in the united kingdom. Methods. We conducted an online survey of Paediatric Intensive Care Society members in the UK. The survey outlined a clinical scenario followed by questions on oxygenation targets for 5 common diagnoses seen in critically ill children. Results. Fifty-three paediatric intensive care unit members from 10 institutions completed the survey. In a child with moderate ventilatory requirements, 21 respondents (42%) did not follow arterial partial pressure of oxygen (PaO2) targets. In acute respiratory distress syndrome, cardiac arrest, and sepsis, there was a trend to aim for lower PaO2 as the fraction of inspired oxygen (FiO2) increased. Conversely, in traumatic brain injury and pulmonary hypertension, respondents aimed for normal PaO2 even as the FiO2 increased. Conclusions. In this sample of clinicians PaO2 targets were not commonly used. Clinicians target lower PaO2 as FiO2 increases in acute respiratory distress syndrome, cardiac arrest, and sepsis whilst targeting normal range irrespective of FiO2 in traumatic brain injury and pulmonary hypertension.http://dx.doi.org/10.1155/2016/6312970 |
| spellingShingle | Sainath Raman Samiran Ray Mark J. Peters Survey of Oxygen Delivery Practices in UK Paediatric Intensive Care Units Critical Care Research and Practice |
| title | Survey of Oxygen Delivery Practices in UK Paediatric Intensive Care Units |
| title_full | Survey of Oxygen Delivery Practices in UK Paediatric Intensive Care Units |
| title_fullStr | Survey of Oxygen Delivery Practices in UK Paediatric Intensive Care Units |
| title_full_unstemmed | Survey of Oxygen Delivery Practices in UK Paediatric Intensive Care Units |
| title_short | Survey of Oxygen Delivery Practices in UK Paediatric Intensive Care Units |
| title_sort | survey of oxygen delivery practices in uk paediatric intensive care units |
| url | http://dx.doi.org/10.1155/2016/6312970 |
| work_keys_str_mv | AT sainathraman surveyofoxygendeliverypracticesinukpaediatricintensivecareunits AT samiranray surveyofoxygendeliverypracticesinukpaediatricintensivecareunits AT markjpeters surveyofoxygendeliverypracticesinukpaediatricintensivecareunits |