Evaluation of Knowledge of Oxygen Therapy and Reading of Flowmeter among the Health Workers in the Pediatric Unit of the Hospital Universitario San Ignacio, Bogotá, Colombia
##plugins.themes.bootstrap3.article.details##
Introduction: Supplemental oxygen is considered a pharmaceutical drug; therefore, it can produce adverse effects. Lack of consensus regarding the reading of oxygen flowmeters and the peripheral oxygen saturation (SpO2) goals can influence clinical and paraclinical decisions and hospital stay length. Objective: To assess knowledge on oxygen therapy, adverse effects, SpO2 goals and reading of oxygen flowmeters among personnel in the Pediatric Unit at Hospital Universitario San Ignacio, Bogotá, Colombia. Methodology: Cross-sectional study derived from convenience sampling through a self-applied survey between December 2016 and January 2017. The poll evaluated topics on supplemental oxygen therapy fundamentals and adverse effects, SpO2 goals and flowmeter readings through flowmeters photographs indicating a specific fraction of inspired oxygen (FiO2). Results: The response rate was 77% from 259 subjects. 22% considered that the oxygen saturation either increases or remains the same during sleep periods in children. 78% of participants knew at least one complication associated to prolonged oxygen therapy and 67% due to supplemental oxygen concentration greater than required. In neonatal population, 10% considered oxygen saturation goals equal to or greater than 96%. In the flowmeter’s reading evaluation, incorrect answers ranged from 9 to 19%. Conclusion: It is imperative to reinforce updated concepts on oxygen therapy, with emphasis in SpO2 goals, adverse effects and appropriate flowmeter’s readings through periodic educational campaigns.
2. Mellingen H, Langeland AJ, Graue M. Oxygen therapy to children in hospitals. Sykepl Forsk. 2016;11(2):126-33.
3. Lozano JM, Duque OR, Buitrago T, Behaine S. Pulse oximetry reference values at high altitude. Arch Dis Child. 1992;67(11):299-301.
4. Cairo J. Administering medical gases: regulators, flowmeters, and controlling devices. In: Mosby´s respiratory care equipment. 9th ed. Missouri: Elsevier; 2014. p. 37-47.
5. Davidson J, Gazzeta C, Torres LC, Jardim JR, Nascimento O. Precision and accuracy of oxygen flow meters used at hospital settings. Respir Care. 2012;57(7):1071-5.
6. Posada Díaz A, Parra Cardeño W, editores. Guía de práctica clínica: oxigenoterapia [Internet]. Medellin: Asociación Colombiana de Neumología Pediátrica; 2010. Disponible en. https://issuu.com/acnp/docs/oxigenoterapia1
7. Comité Nacional de Neumología. Guías para el manejo de la oxigenoterapia domiciliaria en pediatría. Parte 1: Generalidades, indicaciones y monitoreo. Arch Argent Pediatr. 2013;111(5):448-54.
8. World Health Organization. Oxygen therapy for children: A manual for healh workers [Internet]. Geneva: WHO; 2016. Available from: http://apps.who.int/iris/bitstream/10665/204584/1/9789241549554_eng.pdf.
9. Cooper N, Forrest K, Cramp P. Oxygen therapy. In: Essential guide to acute care. 2a ed. Philadelphia: John Wiley & Sons; 2008. p. 14-35.
10. Duprez F, Barile M, Bonus T, Cuvelier G, Ollieuz S, Mashayekhi S, et al. Accuracy of medical oxygen flowmeters: A multicentric field study. Health (Irvine Calif). 2014;6(15):1978-83.
11. Walsh BK, Smallwood CD. Pediatric oxygen therapy: A review and update. Respir Care [Internet]. 2017;62(6):645-61. Available from: http://rc.rcjournal.com/lookup/doi/10.4187/respcare.05245
12. Torres Y, Osorio L, Ramos N. Medición de los valores de oximetría de pulso durante sueño, vigilia y succión en neonatos sanos en Bogotá (2640 metros de altura sobre el nivel del mar). Av Pediátricos. 1999;1:2-8.
13. Hay WW, Bell EF. Oxygen therapy, oxygen toxicity, and the STOP-ROP Trial. Pediatrics. 2000;105:424.
14. Askie L, Henderson-Smart D, Irwig L, Simpson J. Oxygen-saturation targets in extremely preterm infants. N Engl J Med. 2013;368(20):1949-50.
15. Bancalari MA. Estrategias de prevención y tratamiento en displasia broncopulmonar. Rev Chil Pediatr. 2009;80(4):309-22.
16. Small D, Duha A, Wieskopf B, Dajczman E, Laporta D, Kreisman H, et al. Uses and misuses of oxygen in hospitalized patients. Am J Med. 1992;92(6):591-5.
17. Ucrós S, Granados C, Parejo K, Guillén F, Ortega F, Restrepo S, et al. Saturación de oxígeno, respiración periódica y apnea durante el sueño en lactantes de 1 a 4 meses a 2560 metros de altura. Arch Argent Pediatr. 2015;113(4):341-4.
18. Duenas-Meza E, Bazurto-Zapata MA, Gozal D, González-García M, Durán-Cantolla J, Torres-Duque CA. Overnight polysomnographic characteristics and oxygen saturation of healthy infants, 1 to 18 months of age, born and residing at high altitude (2,640 meters). Chest. 2015;148(1):120-7.
19. Ucrós S, Granados C, Parejo K, Ortegad F, Guillén F, Restrepo S, et al. Saturación de oxígeno, respiración periódica y apnea durante el sueño en lactantes de 1 a 4 meses a 3200 metros de altura. Arch Argent Pediatr. 2017;115(1):50-7.
20. Thilo EE, Park-Moore B, Berman ER, Carson BS. Oxygen saturation by pulse oximetry in healthy infants at an altitude of 1610m (5280 ft): What is normal? Am J Dis Child. 1991;145(10):1137-40.
21. Escamilla JM, Morales J, Romero D, Caraballo A, Gil I. Valores de referencia de la saturación arterial de oxígeno mediante oximetría de pulso en niños y en adolescentes sanos entre 2 y 17 años en Cartagena. Rev Pediatr. 2010;43(2):92-9.