Pediatric Oxygen Delivery Devices Ppt

Indications for oxygen use low ambient o2 hypoxemia suspected hypoxemia increased work of breathing flaring tachypnea increased myocardial work acute head injury o2 delivery systems high flow venti masks air entrainment masks mechanical aerosol systems high flow humidifier systems low flow nasal cannula simple masks partial rebreathing masks non rebreathing masks entrainment ratios delivered.
Pediatric oxygen delivery devices ppt. Blenders may be used to wean oxygen titration of flow rates. Little consensus existed in the pediatric patient population on the parameters defining hfnc but for our discussion hfnc is classified as a fixed performance oxygen delivery system that is capable of delivering a specific oxygen concentration at flows that meet or exceed the inspiratory flow demand of the patient. Provide oxygen at flow rates that are lower than patients inspiratory demands when the total ventilation exceeds the capacity of the oxygen reservoir room air is entrained 2 high flow devices. The oxygen delivery characteristics of the hudson oxy one face mask.
Inadequate oxygen delivery and vice versa. Selection of the appropriate flow rate and delivery device. Variability in the use of delivery devices suggesting that clinicians often lack adequate knowledge in the use of oxygen delivery equip. 84 this type of oxygen delivery device is composed of traditional nasal.
Selection of an oxygen delivery device for neonatal and pediatric patients 2002 revision update. Withholding oxygen can have a detrimental effect yet continuing to provide oxygen therapy when it is no longer indicated can prolong hospitalization and increase the cost of care. Myers tr american association for respiratory care aarc. Maximum oxygen flow should not exceed 4 l min.
Other factors that complicate achievement of oxygen therapy goals include pa tient size and tolerance of delivery devices. Ensure adequate clearance of secretions and limit the adverse events of hypothermia and insensible water loss by use of optimal humidification dependent on mode of oxygen delivery. Oxygen delivery devices 1. Provide a constant fio2 by delivering the gas at flow rates that exceed the patient s peak inspiratory flow rate and by using devices that entrain a.
Reduce the work of breathing. Child s size and tidal volume alter the oxygen concentration child receives despite same flow rate. Oxygen delivery devices dr. Pulse dose oxygen delivery devices and demand oxygen delivery systems have been shown to be effective in resting exercising and sleeping patients.
Performance characteristics may vary. Aarc clinical practice guideline. May cause drying of nasal mucous. Indications of o2 therapy 1.
Give oxygen therapy in a way which prevents excessive co 2 accumulation i e. Milross j young ih donnelly p. Documented hypoxemia in adults children and infants older than 28 days arterial oxygen tension pao2 of 60 mmhg or arterial oxygen saturation sao2 of 90 in subjects breathing room air or with pao2 and or sao2 below desirable range for specific clinical situation in neonates pao2 50.