Acute oxygen therapy: a review of prescribing and delivery practices
Joyce L Cousins,1–3 Peter AB Wark,3–5 Vanessa M McDonald2–5 1Faculty of Arts, Nursing and Theology, Avondale College of Higher Education, Sydney, 2School of Nursing and Midwifery, 3Priority Research Centre for Healthy Lungs, 4School of Medicine and Public Health, The U...
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doaj-14307d60b7c044ccb60d76bb9da6fd582020-11-25T00:30:35ZengDove Medical PressInternational Journal of COPD1178-20052016-05-012016Issue 11067107527078Acute oxygen therapy: a review of prescribing and delivery practicesCousins JLWark PABMcDonald VMJoyce L Cousins,1–3 Peter AB Wark,3–5 Vanessa M McDonald2–5 1Faculty of Arts, Nursing and Theology, Avondale College of Higher Education, Sydney, 2School of Nursing and Midwifery, 3Priority Research Centre for Healthy Lungs, 4School of Medicine and Public Health, The University of Newcastle, 5Department of Respiratory and Sleep Medicine, Hunter Medical Research Institute, John Hunter Hospital, Newcastle, NSW, Australia Abstract: 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. Keywords: chronic obstructive pulmonary disease, COPD, type II respiratory failure, oxygen therapy, prescribing, hypoxia, hypercapniahttps://www.dovepress.com/acute-oxygen-therapy-a-review-of-prescribing-and-delivery-practices-peer-reviewed-article-COPDChronic obstructive pulmonary disease (COPD)type II respiratory failureoxygen therapyprescribing. |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Cousins JL Wark PAB McDonald VM |
spellingShingle |
Cousins JL Wark PAB McDonald VM Acute oxygen therapy: a review of prescribing and delivery practices International Journal of COPD Chronic obstructive pulmonary disease (COPD) type II respiratory failure oxygen therapy prescribing. |
author_facet |
Cousins JL Wark PAB McDonald VM |
author_sort |
Cousins JL |
title |
Acute oxygen therapy: a review of prescribing and delivery practices |
title_short |
Acute oxygen therapy: a review of prescribing and delivery practices |
title_full |
Acute oxygen therapy: a review of prescribing and delivery practices |
title_fullStr |
Acute oxygen therapy: a review of prescribing and delivery practices |
title_full_unstemmed |
Acute oxygen therapy: a review of prescribing and delivery practices |
title_sort |
acute oxygen therapy: a review of prescribing and delivery practices |
publisher |
Dove Medical Press |
series |
International Journal of COPD |
issn |
1178-2005 |
publishDate |
2016-05-01 |
description |
Joyce L Cousins,1–3 Peter AB Wark,3–5 Vanessa M McDonald2–5 1Faculty of Arts, Nursing and Theology, Avondale College of Higher Education, Sydney, 2School of Nursing and Midwifery, 3Priority Research Centre for Healthy Lungs, 4School of Medicine and Public Health, The University of Newcastle, 5Department of Respiratory and Sleep Medicine, Hunter Medical Research Institute, John Hunter Hospital, Newcastle, NSW, Australia Abstract: 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. Keywords: chronic obstructive pulmonary disease, COPD, type II respiratory failure, oxygen therapy, prescribing, hypoxia, hypercapnia |
topic |
Chronic obstructive pulmonary disease (COPD) type II respiratory failure oxygen therapy prescribing. |
url |
https://www.dovepress.com/acute-oxygen-therapy-a-review-of-prescribing-and-delivery-practices-peer-reviewed-article-COPD |
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