Oxygen: Can we prescribe it correctly?

Ganeshan, Arul; Hon, Lye Quen; Soonawalla, Zahir

doi:10.1016/j.ejim.2006.02.007

Cited by 12 publications

(17 citation statements)

References 3 publications

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“…In another study that Ganeshan at al. tested the knowledge of junior doctors and nurses found that their participants do not have sufficient knowledge and understanding of oxygen therapy [4]. These study reports are consistent with our results.…”

Section: Discussionsupporting

confidence: 83%

“…There are several ways to administer oxygen such as low flow masks (nasal cannula, simple face masks and face masks with reservoir bag) and high flow masks (sometimes called Venturi masks). It is important to decide mask type and oxygen concentration (FiO 2 ), which should be chosen in different clinical situations [1][2][3][4]. Because of this emergency staff should know how to provide appropriate oxygen therapy in different clinical situations.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Do We Know How to Use Oxygen Properly in Emergeny Department?

Çınar¹

2010

Ann Clin Anal Med

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Özet AmaçAcil serviste görev yapan hekim ve hemşirelerinin oksijen tedavisi ile ilgili bilgi düzeylerini belirlemektir. Gereç ve YöntemlerOksijen tedavisi bilgi düzeylerini değerlendirebilmek amacıyla 7 sorulu bir anket geliştirilerek uygulandı. Çalışmaya 2 üniversite hastanesi acil servisinde görev yapan 20 hemşire, 30 asistan ve 50 intern doktor toplam 100 kişi dahil edildi. Bulgular Katılımcıların ankete cevap oranı %100'dü. Oksijen tedavisi ile ilgili soruların tamamına doğru cevap veren katılımcı sadece %9 olarak tespit edildi. Sonuç Çalışmamız acil serviste görev yapan doktor ve hemşirelerin doğru oksijen tedavisi ile ilgili bilgi düzeylerinde önemli eksiklikler olduğunu göstermiştir. Oksijen tedavisi konusundaki bilgi eksikliğinin hastaların tedavi sonuçlarını olumsuz yönde etkileyeceği göz önüne alındığında, acil servis hekim ve hemşirelerinin bu konuda eğitim almasını ve fakülte eğitim müfredatlarında bu konuya dikkat edilmesini tavsiye ediyoruz. Anahtar KelimelerOksijen, Tedavi, Acil, Bilgi Düzeyi, Maske. Abstract AimThe aim of this study was to determine emergency department doctors' and nurses' knowledge regarding oxygen therapy. Material and MethodsA 7-item questionnaire survey was developed and applied to assess knowledge of oxygen therapy. The questionnaire was administered to a total of 100 (20 nurses, 30 resident physicians and 50 intern doctors (last-year medical students) staff from two university teaching hospital in Ankara, Turkey. Results A response rate of 100 % was achieved from participants in the study. Only 9 % of the participants answered all the questions correctly on oxygen therapy. Conclusions Our study shows that emergency medical staffs have significant gaps in their knowledge on appropriate oxygen therapy. Since deficiencies in emergency medicine staffs knowledge on treatment with oxygen deficits influence patient's outcome, we recommend that emergency medicine staff should be trained regarding oxygen therapy and medical schools should pay much more attention to this issue in their curricula.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Do We Know How to Use Oxygen Properly in Emergeny Department?

Çınar¹

2010

Ann Clin Anal Med

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“…Various reasons have been proposed for this, including: insufficient training and education for medical and nursing staff; 33 , 39 , 41 , 42 , 47 , 51 , 54 , 62 a lack of familiarity with oxygen delivery devices; 51 a lack of understanding of the effects, role and dangers of oxygen therapy; 35 – 37 , 46 , 61 staff time constraints; 48 necessity to maintain SpO 2 >94% due to the “between the flags” track and trigger observations charts; 36 practical issues related to space and place for prescribing oxygen; 35 , 39 , 61 difficulties with changing long established behavior; 36 , 60 patients transferred from other wards/departments with oxygen therapy already in situ; 44 lack of enthusiasm by senior clinical staff; 44 communication difficulties between doctors and nurses; 36 lack of full time staff or staff turnover. 36 , 38 , 48 , 60 …”

Section: Oxygen Prescriptionmentioning

confidence: 99%

Acute oxygen therapy: a review of prescribing and delivery practices

Cousins

Wark

McDonald

2016

COPD

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Oxygen is a commonly used drug in the clinical setting and like other drugs its use must be considered carefully. This is particularly true for those patients who are at risk of type II respiratory failure in whom the risk of hypercapnia is well established. In recent times, several international bodies have advocated for the prescription of oxygen therapy in an attempt to reduce this risk in vulnerable patient groups. Despite this guidance, published data have demonstrated that there has been poor uptake of these recommendations. Multiple interventions have been tested to improve concordance, and while some of these interventions show promise, the sustainability of these interventions are less convincing. In this review, we summarize data that have been published on the prevalence of oxygen prescription and the accurate and appropriate administration of this drug therapy. We also identify strategies that have shown promise in facilitating changes to oxygen prescription and delivery practice. There is a clear need to investigate the barriers, facilitators, and attitudes of clinicians in relation to the prescription of oxygen therapy in acute care. Interventions based on these findings then need to be designed and tested to facilitate the application of evidence-based guidelines to support sustained changes in practice, and ultimately improve patient care.

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“…An education programme for staff on the prescribing of oxygen should address unsatisfactory practices previously identified in respiratory and medical ward audits (Cook et al. 1996, Boyle & Wong 2006, Ganeshan et al. 2006, Hickey 2007).…”

mentioning

confidence: 99%

“…Such a prescription for oxygen therapy should be written in a similar manner to those of other medicinal products administered to patients by health care professionals. An education programme for staff on the prescribing of oxygen should address unsatisfactory practices previously identified in respiratory and medical ward audits (Cook et al 1996, Boyle & Wong 2006, Ganeshan et al 2006, Hickey 2007. One caveat to this recommendation is in the setting of an acute clinical emergency where oxygen would be administer first then documented subsequently.…”

mentioning

confidence: 99%