Pease Patricia
Royal Berkshire NHS Foundation Trust, Reading.
Paediatr Nurs. 2006 Oct;18(8):14-8. doi: 10.7748/paed.18.8.14.s19.
An audit of oxygen administration to children in the paediatric unit of a district general hospital was carried out following the introduction of new guidelines. The aim of the audit was to review oxygen administration practices against the guidance but also to gather information concerning patients, diagnoses, prescription practices and delivery devices. The notes of 36 infants and children admitted during a two week (winter) period who received oxygen were retrospectively reviewed for the audit. The standards for monitoring the amount of oxygen delivered and oxygenation were found to be high but the prescribing of oxygen was varied. The most common diagnosis of children receiving oxygen was bronchiolitis, and the device used to deliver oxygen most frequently was nasal cannula. Few headboxes were used and experienced team members noted this as a marked change in practice. A further examination of the evidence on the use of nasal cannulae for oxygen delivery in the younger age group led to new practice recommendations.
在引入新指南后，对一家地区综合医院儿科病房的儿童氧气供应情况进行了一次审核。审核的目的是对照指南审查氧气供应实践，同时收集有关患者、诊断、处方实践和输送设备的信息。为此次审核，回顾性查阅了在两周（冬季）期间收治的36名接受氧气治疗的婴幼儿和儿童的病历。发现监测氧气输送量和氧合作用的标准很高，但氧气的处方却各不相同。接受氧气治疗的儿童最常见的诊断是细支气管炎，最常使用的氧气输送设备是鼻导管。很少使用头罩，经验丰富的团队成员指出这是实践中的一个显著变化。对在较年幼年龄组中使用鼻导管输送氧气的证据进行的进一步研究得出了新的实践建议。
