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

Dan L Ellsbury; Michael J Acarregui; Gail A McGuinness; Diane L Eastman; Jonathan M Klein

doi:10.1038/sj.jp.7211012

Back

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

Journal article

Peer reviewed

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

Dan L Ellsbury, Michael J Acarregui, Gail A McGuinness, Diane L Eastman and Jonathan M Klein

Journal of perinatology, Vol.24(1), pp.36-40

01/2004

DOI: 10.1038/sj.jp.7211012

PMID: 14726936

View Online

Abstract

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. 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. Surveys were returned by 181 out of 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 oxygen therapy, the target SpO2 also varied widely from >84% to >98%, with only 27% of respondents aiming for an SpO2 of >94%. 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.

Severity of Illness Index

Follow-Up Studies

Risk Assessment

Humans

Oximetry

Blood Gas Analysis

Male

Treatment Outcome

Home Nursing

Bronchopulmonary Dysplasia - diagnosis

Oxygen Inhalation Therapy - standards

Bronchopulmonary Dysplasia - therapy

Infant, Premature

Female

Pulmonary Gas Exchange

Oxygen Inhalation Therapy - trends

Infant, Newborn

Details

Title: Subtitle: Controversy surrounding the use of home oxygen for premature infants with bronchopulmonary dysplasia
Creators: Dan L Ellsbury - Department of Pediatrics, Children's Hospital of Iowa, University of Iowa, Iowa City, IA 52242, USA
Michael J Acarregui
Gail A McGuinness
Diane L Eastman
Jonathan M Klein
Resource Type: Journal article
Publication Details: Journal of perinatology, Vol.24(1), pp.36-40
DOI: 10.1038/sj.jp.7211012
PMID: 14726936
NLM abbreviation: J Perinatol
ISSN: 0743-8346
eISSN: 1476-5543
Language: English
Date published: 01/2004
Academic Unit: Stead Family Department of Pediatrics; Neonatology
Record Identifier: 9984093233102771

Metrics

13 Record Views

See more details