Thoracic Society of Australia and New Zealand Position Statement on Acute Oxygen Use in Adults: 'Swimming between the flags'.

2022

Barnett, Adrian

Beasley, Richard

Buchan, Catherine

Chien, Jimmy

Farah, Claude S

King, Gregory

McDonald, Christine F

Miller, Belinda

Munsif, Maitri

Psirides, Alex

Reid, Lynette

Roberts, Mary

Smallwood, Natasha

Smith, Sheree

acute oxygen therapy

oxygen prescription

position statement

target oxygen saturations

titrated oxygen

Journal Article

https://orcid.org/0000-0003-0337-406X

https://orcid.org/0000-0001-5303-5395

https://orcid.org/0000-0003-2489-227X

https://orcid.org/0000-0002-3024-2380

https://orcid.org/0000-0001-6481-3391

https://orcid.org/0000-0002-3403-3586

https://orcid.org/0000-0002-7469-1022

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10.1111/resp.14218

Oxygen is a life-saving therapy but, when given inappropriately, may also be hazardous. Therefore, in the acute medical setting, oxygen should only be given as treatment for hypoxaemia and requires appropriate prescription, monitoring and review. This update to the Thoracic Society of Australia and New Zealand (TSANZ) guidance on acute oxygen therapy is a brief and practical resource for all healthcare workers involved with administering oxygen therapy to adults in the acute medical setting. It does not apply to intubated or paediatric patients. Recommendations are made in the following six clinical areas: assessment of hypoxaemia (including use of arterial blood gases); prescription of oxygen; peripheral oxygen saturation targets; delivery, including non-invasive ventilation and humidified high-flow nasal cannulae; the significance of high oxygen requirements; and acute hypercapnic respiratory failure. There are three sections which provide (1) a brief summary, (2) recommendations in detail with practice points and (3) a detailed explanation of the reasoning and evidence behind the recommendations. It is anticipated that these recommendations will be disseminated widely in structured programmes across Australia and New Zealand.

link

Respirology (Carlton, Vic.) 2022; 27(4): 262-276

Respirology (Carlton, Vic.)