If you use oxygen tanks, make sure your tank is secured and stays upright. If it falls and cracks or the top breaks off, the tank can fly like a missile. Hyperbaric oxygen therapy HBOT is a different type of oxygen therapy.
It involves breathing oxygen in a pressurized chamber or tube. This allows your lungs to gather up to three times more oxygen than you would get by breathing oxygen at normal air pressure.
The extra oxygen moves through your blood and to your organs and body tissues. HBOT is used to treat certain serious wounds , burns , injuries, and infections. It also treats air or gas embolisms bubbles of air in your bloodstream , decompression sickness suffered by divers, and carbon monoxide poisoning. The U. There are risks to using HBOT, so always check with your primary health care provider before you try it.
The information on this site should not be used as a substitute for professional medical care or advice. Contact a health care provider if you have questions about your health. Oxygen Therapy. On this page Basics Summary Start Here. For example, your doctor may tell you to use oxygen therapy when you exercise or sleep, or if your blood oxygen is 88 percent or less.
It is important to talk with your doctor if you think your oxygen therapy needs to change. There are serious health risks, including strain on your heart and lungs, if you stop using extra oxygen when you need it.
This report is for you to use when talking with your health-care provider. It is not a substitute for medical advice and treatment. Use of this report is at your own risk. Continue the Conversation. Has two modes:. When commencing therapy on a new patient, ensure the disinfection cycle was performed. An orange traffic light confirms the AIRVO 2 has not been cleaned and disinfected since last use, and is not safe for use on a new patient.
Follow the instructions in the disinfection kit manual :. Click to view the delivery mode quick reference table. This system is simple and convenient to use. Simple nasal prongs are available in different sizes. To ensure the patient is able to entrain room air around the nasal prongs and a complete seal is not created the prong size should be approximately half the diameter of the nares. Select the appropriate size nasal prong for the patient's age and size.
For nasal prong oxygen without humidification a maximum flow of:. With the above flow rates humidification is not usually required. However, if humidification is clinically indicated - set up as per the recommended guidelines for the specific equipment used. As with the other delivery systems the inspired FiO2 depends on the flow rate of oxygen and varies according to the patient's minute ventilation. If the required flow rate exceeds those as recommended above this may result in nasal discomfort and irritation of the mucous membranes.
Therefore, humidification of nasal prong oxygen therapy is recommended. For nasal prong oxygen with humidification a maximum flow of:. Optiflow nasal prongs are compatible for use in humidified low or high flow oxygen delivery. See guide below for recommended patient sizing and flow rates. Fisher and Paykel Optiflow nasal cannula junior range Four sizes of prongs:. See Appendix A for further information regarding appropriate junior range sizing: Fisher and Paykel Optiflow junior range sizing guide.
RT circuit - click here for instructions for use. This valve has been designed to minimize the risk of excessive pressure being delivered to the infant in the event that the nasal prongs seal around the infant's nares while the mouth is closed.
The image below is of the RT circuit. RT Circuit and O2 stem - click here for instructions for use. High Flow in approved areas only. Optiflow Nasal Prong junior and standard humidification and flow rate guide for Airvo.
At RCH both simple face masks in various sizes and tracheostomy masks are available. The minimum flow rate through any face mask or tracheostomy mask is 4 LPM as this prevents the possibility of CO 2 accumulation and CO 2 re-breathing.
Select a mask which best fits from the child's bridge of nose to the cleft of jaw, and adjust the nose clip and head strap to secure in place.
Oxygen via intact upper airway via a simple face mask at flow rates of 4LPM does not routinely require humidification. Additionally in some conditions eg. Asthma , the inhalation of dry gases can compound bronchoconstriction. A non-rebreathing face mask has an oxygen reservoir bag and one-way valve system which prevents exhaled gases mixing with fresh gas flow. The non-rebreathing mask system may also have a valve on the side ports of the mask which prevents entrainment of room air into the mask.
While a specific FiO 2 is delivered to the patient the FiO 2 that is actually inspired by the patient ie what the patient actually receives varies depending on:. At the RCH, oxygen therapy via an isolette is usually only for use in the Butterfly neonatal intensive care unit. See Isolette use in paediatric wards , RCH internal link only. Appendix A - Pediatric sizing guides for nasal prongs.
Fisher and Paykel Optiflow junior range sizing guide. The evidence table for this guideline can be viewed here.
Please remember to read the disclaimer. Updated July The Royal Children's Hospital Melbourne. Oxygen delivery. This can increase the risk for infection. Similar problems can occur with nasal CPAP devices. Also, some CPAP devices use wide nasal prongs that can change the shape of the nose. Mechanical ventilators have a number of risks as well. Your baby's providers will closely monitor and try to balance the risks and benefits of your baby's breathing support.
If you have questions, discuss these with your baby's provider. Hypoxia - oxygen therapy in infants; Chronic lung disease - oxygen therapy in infants; BPD - oxygen therapy in infants; Bronchopulmonary dysplasia - oxygen therapy in infants.
Neonatal respiratory therapy. Avery's Diseases of the Newborn. Philadelphia, PA: Elsevier; chap Resuscitation of the newborn. Conn's Current Therapy Philadelphia, PA: Elsevier Vento M.
0コメント