- Title
- Acute oxygen therapy: a review of prescribing and delivery practices
- Creator
- Cousins, Joyce L.; Wark, Peter A. B.; McDonald, Vanessa M.
- Relation
- NHMRC
- Relation
- The International Journal of Chronic Obstructive Pulmonary Disease Vol. 11, Issue 1, p. 1067-1075
- Publisher Link
- http://dx.doi.org/10.2147/COPD.S103607
- Publisher
- Dove Medical Press
- Resource Type
- journal article
- Date
- 2016
- Description
- 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.
- Subject
- chronic obstructive pulmonary disease; COPD; type II respiratory failure; oxygen therapy; prescribing; hypoxia; hypercapnia
- Identifier
- http://hdl.handle.net/1959.13/1347697
- Identifier
- uon:30102
- Identifier
- ISSN:1176-9106
- Rights
- © 2016 Cousins et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
- Language
- eng
- Full Text
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