Thoracic Society of Australia and New Zealand position statement on acute oxygen use in adults : 'swimming between the flags'

Adrian Barnett; Richard Beasley; Catherine Buchan; Jimmy Chien; Claude S. Farah; Gregory King; Christine F. McDonald; Belinda Miller; Maitri Munsif; Alex Psirides; Lynette Reid; Mary Roberts; Natasha Smallwood; Sheree Smith

doi:10.1111/resp.14218

Thoracic Society of Australia and New Zealand position statement on acute oxygen use in adults : 'swimming between the flags'

Adrian Barnett, Richard Beasley, Catherine Buchan, Jimmy Chien, Claude S. Farah, Gregory King, Christine F. McDonald, Belinda Miller, Maitri Munsif, Alex Psirides, Lynette Reid, Mary Roberts, Natasha Smallwood, Sheree Smith

Western Sydney University

Research output: Contribution to journal › Article › peer-review

Abstract

Oxygen is a life-saving therapy but, when given inappropriately, may also be hazardous. Therefore, in the acute medical setting, oxygen should only be given as treatment for hypoxaemia and requires appropriate prescription, monitoring and review. This update to the Thoracic Society of Australia and New Zealand (TSANZ) guidance on acute oxygen therapy is a brief and practical resource for all healthcare workers involved with administering oxygen therapy to adults in the acute medical setting. It does not apply to intubated or paediatric patients. Recommendations are made in the following six clinical areas: assessment of hypoxaemia (including use of arterial blood gases); prescription of oxygen; peripheral oxygen saturation targets; delivery, including non-invasive ventilation and humidified high-flow nasal cannulae; the significance of high oxygen requirements; and acute hypercapnic respiratory failure. There are three sections which provide (1) a brief summary, (2) recommendations in detail with practice points and (3) a detailed explanation of the reasoning and evidence behind the recommendations. It is anticipated that these recommendations will be disseminated widely in structured programmes across Australia and New Zealand.

Original language	English
Pages (from-to)	262-276
Number of pages	15
Journal	Respirology
Volume	27
Issue number	4
DOIs	https://doi.org/10.1111/resp.14218
Publication status	Published - 2022

Open Access - Access Right Statement

© 2022 The Authors. Respirology published by John Wiley & Sons Australia, Ltd on behalf of Asian Pacific Society of Respirology. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

Access to Document

10.1111/resp.14218

Cite this

Barnett, A., Beasley, R., Buchan, C., Chien, J., Farah, C. S., King, G., McDonald, C. F., Miller, B., Munsif, M., Psirides, A., Reid, L., Roberts, M., Smallwood, N., & Smith, S. (2022). Thoracic Society of Australia and New Zealand position statement on acute oxygen use in adults : 'swimming between the flags'. Respirology, 27(4), 262-276. https://doi.org/10.1111/resp.14218

@article{9ba963f6729c444eaf193d345f44f36e,

title = "Thoracic Society of Australia and New Zealand position statement on acute oxygen use in adults : 'swimming between the flags'",

abstract = "Oxygen is a life-saving therapy but, when given inappropriately, may also be hazardous. Therefore, in the acute medical setting, oxygen should only be given as treatment for hypoxaemia and requires appropriate prescription, monitoring and review. This update to the Thoracic Society of Australia and New Zealand (TSANZ) guidance on acute oxygen therapy is a brief and practical resource for all healthcare workers involved with administering oxygen therapy to adults in the acute medical setting. It does not apply to intubated or paediatric patients. Recommendations are made in the following six clinical areas: assessment of hypoxaemia (including use of arterial blood gases); prescription of oxygen; peripheral oxygen saturation targets; delivery, including non-invasive ventilation and humidified high-flow nasal cannulae; the significance of high oxygen requirements; and acute hypercapnic respiratory failure. There are three sections which provide (1) a brief summary, (2) recommendations in detail with practice points and (3) a detailed explanation of the reasoning and evidence behind the recommendations. It is anticipated that these recommendations will be disseminated widely in structured programmes across Australia and New Zealand.",

author = "Adrian Barnett and Richard Beasley and Catherine Buchan and Jimmy Chien and Farah, {Claude S.} and Gregory King and McDonald, {Christine F.} and Belinda Miller and Maitri Munsif and Alex Psirides and Lynette Reid and Mary Roberts and Natasha Smallwood and Sheree Smith",

year = "2022",

doi = "10.1111/resp.14218",

language = "English",

volume = "27",

pages = "262--276",

journal = "Respirology",

issn = "1323-7799",

publisher = "John Wiley & Sons",

number = "4",

}

Barnett, A, Beasley, R, Buchan, C, Chien, J, Farah, CS, King, G, McDonald, CF, Miller, B, Munsif, M, Psirides, A, Reid, L, Roberts, M, Smallwood, N & Smith, S 2022, 'Thoracic Society of Australia and New Zealand position statement on acute oxygen use in adults : 'swimming between the flags'', Respirology, vol. 27, no. 4, pp. 262-276. https://doi.org/10.1111/resp.14218

TY - JOUR

T1 - Thoracic Society of Australia and New Zealand position statement on acute oxygen use in adults : 'swimming between the flags'

AU - Barnett, Adrian

AU - Beasley, Richard

AU - Buchan, Catherine

AU - Chien, Jimmy

AU - Farah, Claude S.

AU - King, Gregory

AU - McDonald, Christine F.

AU - Miller, Belinda

AU - Munsif, Maitri

AU - Psirides, Alex

AU - Reid, Lynette

AU - Roberts, Mary

AU - Smallwood, Natasha

AU - Smith, Sheree

PY - 2022

Y1 - 2022

N2 - Oxygen is a life-saving therapy but, when given inappropriately, may also be hazardous. Therefore, in the acute medical setting, oxygen should only be given as treatment for hypoxaemia and requires appropriate prescription, monitoring and review. This update to the Thoracic Society of Australia and New Zealand (TSANZ) guidance on acute oxygen therapy is a brief and practical resource for all healthcare workers involved with administering oxygen therapy to adults in the acute medical setting. It does not apply to intubated or paediatric patients. Recommendations are made in the following six clinical areas: assessment of hypoxaemia (including use of arterial blood gases); prescription of oxygen; peripheral oxygen saturation targets; delivery, including non-invasive ventilation and humidified high-flow nasal cannulae; the significance of high oxygen requirements; and acute hypercapnic respiratory failure. There are three sections which provide (1) a brief summary, (2) recommendations in detail with practice points and (3) a detailed explanation of the reasoning and evidence behind the recommendations. It is anticipated that these recommendations will be disseminated widely in structured programmes across Australia and New Zealand.

AB - Oxygen is a life-saving therapy but, when given inappropriately, may also be hazardous. Therefore, in the acute medical setting, oxygen should only be given as treatment for hypoxaemia and requires appropriate prescription, monitoring and review. This update to the Thoracic Society of Australia and New Zealand (TSANZ) guidance on acute oxygen therapy is a brief and practical resource for all healthcare workers involved with administering oxygen therapy to adults in the acute medical setting. It does not apply to intubated or paediatric patients. Recommendations are made in the following six clinical areas: assessment of hypoxaemia (including use of arterial blood gases); prescription of oxygen; peripheral oxygen saturation targets; delivery, including non-invasive ventilation and humidified high-flow nasal cannulae; the significance of high oxygen requirements; and acute hypercapnic respiratory failure. There are three sections which provide (1) a brief summary, (2) recommendations in detail with practice points and (3) a detailed explanation of the reasoning and evidence behind the recommendations. It is anticipated that these recommendations will be disseminated widely in structured programmes across Australia and New Zealand.

UR - https://hdl.handle.net/1959.7/uws:70852

U2 - 10.1111/resp.14218

DO - 10.1111/resp.14218

M3 - Article

SN - 1323-7799

VL - 27

SP - 262

EP - 276

JO - Respirology

JF - Respirology

IS - 4

ER -

Thoracic Society of Australia and New Zealand position statement on acute oxygen use in adults : 'swimming between the flags'

Abstract

Open Access - Access Right Statement

Access to Document

Other files and links

Fingerprint

Cite this