Attitudes of Dutch intensive care unit clinicians towards oxygen therapy

BACKGROUND: Over the last decade, there has been an increasing awareness for the potential harm of the administration of too much oxygen. We aimed to describe self-reported attitudes towards oxygen therapy by clinicians from a large representative sample of intensive care units (ICUs) in the Netherlands. METHODS: In April 2019, 36 ICUs in the Netherlands were approached and asked to send out a questionnaire (59 questions) to their nursing and medical staff (ICU clinicians) eliciting self-reported behaviour and attitudes towards oxygen therapy in general and in specific ICU case scenarios. RESU... Mehr ...

Verfasser: Grim, C C A
Cornet, A D
Kroner, A
Meiners, A J
Brouwers, A J B W
Reidinga, A C
van Westerloo, D J
Bergmans, D C J J
Gommers, D
Versluis, D
Weller, D
Christiaan Boerma, E
van Driel, E
de Jonge, E
Schoonderbeek, F J
Helmerhorst, H J F
Jongsma-van Netten, H G
Weenink, J
Woittiez, K J
Simons, K S
van Ewelie, L
Petjak, M
Sigtermans, M J
van der Woude, M
Cremer, O L
Bijlstra, P
van der Heiden, P
So, R K L
Vink, R
Jansen, T
de Ruijter, W
Dokumenttyp: Artikel
Erscheinungsdatum: 2020
Schlagwörter: Conservative oxygenation / intensive care unit / mechanical ventilation / oxygen therapy / questionnaire / survey / Journal Article
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27457664
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://dspace.library.uu.nl/handle/1874/440994

BACKGROUND: Over the last decade, there has been an increasing awareness for the potential harm of the administration of too much oxygen. We aimed to describe self-reported attitudes towards oxygen therapy by clinicians from a large representative sample of intensive care units (ICUs) in the Netherlands. METHODS: In April 2019, 36 ICUs in the Netherlands were approached and asked to send out a questionnaire (59 questions) to their nursing and medical staff (ICU clinicians) eliciting self-reported behaviour and attitudes towards oxygen therapy in general and in specific ICU case scenarios. RESULTS: In total, 1361 ICU clinicians (71% nurses, 24% physicians) from 28 ICUs returned the questionnaire. Of responding ICU clinicians, 64% considered oxygen-induced lung injury to be a major concern. The majority of respondents considered a partial pressure of oxygen (PaO2) of 6-10 kPa (45-75 mmHg) and an arterial saturation (SaO2) of 85-90% as acceptable for 15 minutes, and a PaO2 7-10 kPa (53-75 mmHg) and SaO2 90-95% as acceptable for 24-48 hours in an acute respiratory distress syndrome (ARDS) patient. In most case scenarios, respondents reported not to change the fraction of inspired oxygen (FiO2) if SaO2 was 90-95% or PaO2 was 12 kPa (90 mmHg). CONCLUSION: A representative sample of ICU clinicians from the Netherlands were concerned about oxygen-induced lung injury, and reported that they preferred PaO2 and SaO2 targets in the lower physiological range and would adjust ventilation settings accordingly.