Recommendations for long-term home oxygen therapy in children and adolescents
Objective: To advise pediatricians, neonatologists, pulmonologists, pediatric pulmonologists, and other professionals in the area on the main indications and characteristics of long-term home oxygen therapy in children and adolescents. Data source: A literature search was carried out in the MEDLINE/...
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| Format: | Article |
| Language: | Portuguese |
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Brazilian Society of Pediatrics
2013-01-01
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| Series: | Jornal de Pediatria (Versão em Português) |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2255553613000049 |
| _version_ | 1811193022524686336 |
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| author | Fabíola V. Adde Alfonso E. Alvarez Beatriz N. Barbisan Bianca R. Guimarães |
| author_facet | Fabíola V. Adde Alfonso E. Alvarez Beatriz N. Barbisan Bianca R. Guimarães |
| author_sort | Fabíola V. Adde |
| collection | DOAJ |
| description | Objective: To advise pediatricians, neonatologists, pulmonologists, pediatric pulmonologists, and other professionals in the area on the main indications and characteristics of long-term home oxygen therapy in children and adolescents.
Data source: A literature search was carried out in the MEDLINE/PubMed database (1990 to 2011). Additionally, references from selected studies were included. As consistent scientific evidence does not exist for many aspects, some of the recommendations were based on clinical experience.
Data synthesis: Long-term home oxygen therapy has been a growing practice in pediatric patients and is indicated in bronchopulmonary dysplasia, cystic fibrosis, bronchiolitis obliterans, interstitial lung diseases, and pulmonary hypertension, among others. The benefits are: decrease in hospitalizations, optimization of physical growth and neurological development, improvement of exercise tolerance and quality of sleep, and prevention of pulmonary hypertension/cor pulmonale. The levels of oxygen saturation indicative for oxygen therapy differ from those established for adults with chronic obstructive pulmonary disease, and vary according to age and disease. Pulse oximetry is used to evaluate oxygen saturation; arterial blood gas is unnecessary. There are three available sources of oxygen: gas cylinders, liquid oxygen, and oxygen concentrators. The flows used are usually smaller, as are the number of hours/day needed when compared to the use in adults. Some diseases show improvement and oxygen therapy discontinuation is possible.
Conclusions: Long-term home oxygen therapy is increasingly common in pediatrics and has many indications. There are relevant particularities when compared to its use in adults, regarding indications, directions for use, and monitoring. |
| first_indexed | 2024-04-12T00:00:12Z |
| format | Article |
| id | doaj.art-2012b87f2dd1438bbbe33fac149eae9c |
| institution | Directory Open Access Journal |
| issn | 2255-5536 |
| language | Portuguese |
| last_indexed | 2024-04-12T00:00:12Z |
| publishDate | 2013-01-01 |
| publisher | Brazilian Society of Pediatrics |
| record_format | Article |
| series | Jornal de Pediatria (Versão em Português) |
| spelling | doaj.art-2012b87f2dd1438bbbe33fac149eae9c2022-12-22T03:56:14ZporBrazilian Society of PediatricsJornal de Pediatria (Versão em Português)2255-55362013-01-0189161710.1016/j.jpedp.2012.08.001Recommendations for long-term home oxygen therapy in children and adolescentsFabíola V. Adde0Alfonso E. Alvarez1Beatriz N. Barbisan2Bianca R. Guimarães3Doutora em Medicina, Faculdade de Medicina da Universidade de São Paulo (USP), São Paulo, SP, Brasil. Médica-assistente, Unidade de Pneumologia, Instituto da Criança, Hospital das Clínicas, FMUSP, São Paulo, SP, Brasil Departamento de Pneumologia, Sociedade de Pediatria de São Paulo, São Paulo, SP, BrasilMestre. Doutorando em Saúde da Criança e do Adolescente, Faculdade de Ciências Médicas, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brasil. Presidente, Departamento de Pediatria, Sociedade de Medicina e Cirurgia de Campinas (2012-2014), Campinas, SP, Brasil. Departamento de Pneumologia, Sociedade de Pediatria de São Paulo, São Paulo, SP, BrasilMestre em Ciências, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil. Médica-assistente, Setor de Pneumologia Pediátrica, Departamento de Pediatria, UNIFESP, São Paulo, SP, Brasil. Departamento de Pneumologia, Sociedade de Pediatria de São Paulo, São Paulo, SP, BrasilMestre em Pediatria, FMUSP, São Paulo, SP, Brasil. Pneumologista Pediátrica. Departamento de Pneumologia, Sociedade de Pediatria de São Paulo, São Paulo, SP, BrasilObjective: To advise pediatricians, neonatologists, pulmonologists, pediatric pulmonologists, and other professionals in the area on the main indications and characteristics of long-term home oxygen therapy in children and adolescents. Data source: A literature search was carried out in the MEDLINE/PubMed database (1990 to 2011). Additionally, references from selected studies were included. As consistent scientific evidence does not exist for many aspects, some of the recommendations were based on clinical experience. Data synthesis: Long-term home oxygen therapy has been a growing practice in pediatric patients and is indicated in bronchopulmonary dysplasia, cystic fibrosis, bronchiolitis obliterans, interstitial lung diseases, and pulmonary hypertension, among others. The benefits are: decrease in hospitalizations, optimization of physical growth and neurological development, improvement of exercise tolerance and quality of sleep, and prevention of pulmonary hypertension/cor pulmonale. The levels of oxygen saturation indicative for oxygen therapy differ from those established for adults with chronic obstructive pulmonary disease, and vary according to age and disease. Pulse oximetry is used to evaluate oxygen saturation; arterial blood gas is unnecessary. There are three available sources of oxygen: gas cylinders, liquid oxygen, and oxygen concentrators. The flows used are usually smaller, as are the number of hours/day needed when compared to the use in adults. Some diseases show improvement and oxygen therapy discontinuation is possible. Conclusions: Long-term home oxygen therapy is increasingly common in pediatrics and has many indications. There are relevant particularities when compared to its use in adults, regarding indications, directions for use, and monitoring.http://www.sciencedirect.com/science/article/pii/S2255553613000049Home oxygen therapyChildrenOxygen |
| spellingShingle | Fabíola V. Adde Alfonso E. Alvarez Beatriz N. Barbisan Bianca R. Guimarães Recommendations for long-term home oxygen therapy in children and adolescents Jornal de Pediatria (Versão em Português) Home oxygen therapy Children Oxygen |
| title | Recommendations for long-term home oxygen therapy in children and adolescents |
| title_full | Recommendations for long-term home oxygen therapy in children and adolescents |
| title_fullStr | Recommendations for long-term home oxygen therapy in children and adolescents |
| title_full_unstemmed | Recommendations for long-term home oxygen therapy in children and adolescents |
| title_short | Recommendations for long-term home oxygen therapy in children and adolescents |
| title_sort | recommendations for long term home oxygen therapy in children and adolescents |
| topic | Home oxygen therapy Children Oxygen |
| url | http://www.sciencedirect.com/science/article/pii/S2255553613000049 |
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