| Oxygen titration strategies in chronic neonatal lung disease. | |
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MedLine Citation:
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PMID: 20692629 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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The history of oxygen therapy in neonatology has been littered with error. Controversies remain in a number of areas of oxygen therapy, including targets and strategies in supplemental oxygen therapy in Chronic Neonatal Lung Disease (CNLD). This article reviews some of these controversies, and makes some recommendations based on the available evidence. In graduates of neonatal units who are left with CNLD, oxygen saturation should be kept above 93-95%, with levels below 90% being avoided as far as possible. Titration of oxygen should be done using oximetry recordings which include periods of different activities. Weaning of oxygen supplementation should only be done based on satisfactory recordings during a trial of a lower flow. There is insufficient evidence to say whether weaning for increasing hours a day or stepwise weaning to a continuous lower flow is a better method. |
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Authors:
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Robert Primhak |
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Publication Detail:
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Type: Journal Article Date: 2010-01-25 |
Journal Detail:
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Title: Paediatric respiratory reviews Volume: 11 ISSN: 1526-0550 ISO Abbreviation: Paediatr Respir Rev Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-09 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100898941 Medline TA: Paediatr Respir Rev Country: England |
Other Details:
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Languages: eng Pagination: 154-7 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
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Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK. r.a.primhak@sheffield.ac.uk |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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