Oxygen delivery to children with hypoxaemia in small hospitals in developing countries

Authors
Citation
L. Muhe et M. Weber, Oxygen delivery to children with hypoxaemia in small hospitals in developing countries, INT J TUBE, 5(6), 2001, pp. 527-532
Citations number
20
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Cardiovascular & Respiratory Systems
Journal title
INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE
ISSN journal
1027-3719 → ACNP
Volume
5
Issue
6
Year of publication
2001
Pages
527 - 532
Database
ISI
SICI code
1027-3719(200106)5:6<527:ODTCWH>2.0.ZU;2-5
Abstract
Oxygen administration is one of the most important modalities of therapy fo r a patient with hypoxaemia to prevent death. This review summarises the me thods of oxygen delivery applicable in small hospitals in developing countr ies, and evaluates information about their safety and efficacy. The followi ng criteria were considered: cost and availability, efficiency/oxygen conce ntration achieved, tolerability/comfort of the method, requirement of humid ification, demand for nursing care, and safety of the method and complicati ons. In summary, it is concluded that all low-flow methods, i.e., nasopharyngeal catheters, nasal catheters and prongs, are effective in the oxygenation of sick children with severe pneumonia or bronchiolitis. Nasal prongs are the safest method of oxygen delivery, but nasopharyngeal catheters and nasal c atheters are more easily available and less expensive. However, if they are used, they need close supervision to avoid serious complications. Nasal pr ongs are the method of choice for oxygen delivery in small hospitals in dev eloping countries.