دورية أكاديمية

Attitudes of Dutch intensive care unit clinicians towards oxygen therapy.

التفاصيل البيبلوغرافية
العنوان: Attitudes of Dutch intensive care unit clinicians towards oxygen therapy.
المؤلفون: Grim CCA; Leiden University Medical Centre, Leiden, the Netherlands., Cornet AD; Leiden University Medical Centre, Leiden, the Netherlands., Kroner A; Leiden University Medical Centre, Leiden, the Netherlands., Meiners AJ; Leiden University Medical Centre, Leiden, the Netherlands., Brouwers AJBW; Leiden University Medical Centre, Leiden, the Netherlands., Reidinga AC; Leiden University Medical Centre, Leiden, the Netherlands., van Westerloo DJ; Leiden University Medical Centre, Leiden, the Netherlands., Bergmans DCJJ; Leiden University Medical Centre, Leiden, the Netherlands., Gommers D; Leiden University Medical Centre, Leiden, the Netherlands., Versluis D; Leiden University Medical Centre, Leiden, the Netherlands., Weller D; Leiden University Medical Centre, Leiden, the Netherlands., Christiaan Boerma E; Leiden University Medical Centre, Leiden, the Netherlands., van Driel E; Leiden University Medical Centre, Leiden, the Netherlands., de Jonge E; Leiden University Medical Centre, Leiden, the Netherlands., Schoonderbeek FJ; Leiden University Medical Centre, Leiden, the Netherlands., Helmerhorst HJF; Leiden University Medical Centre, Leiden, the Netherlands., Jongsma-van Netten HG; Leiden University Medical Centre, Leiden, the Netherlands., Weenink J; Leiden University Medical Centre, Leiden, the Netherlands., Woittiez KJ; Leiden University Medical Centre, Leiden, the Netherlands., Simons KS; Leiden University Medical Centre, Leiden, the Netherlands., van Ewelie L; Leiden University Medical Centre, Leiden, the Netherlands., Petjak M; Leiden University Medical Centre, Leiden, the Netherlands., Sigtermans MJ; Leiden University Medical Centre, Leiden, the Netherlands., van der Woude M; Leiden University Medical Centre, Leiden, the Netherlands., Cremer OL; Leiden University Medical Centre, Leiden, the Netherlands., Bijlstra P; Leiden University Medical Centre, Leiden, the Netherlands., van der Heiden P; Leiden University Medical Centre, Leiden, the Netherlands., So RKL; Leiden University Medical Centre, Leiden, the Netherlands., Vink R; Leiden University Medical Centre, Leiden, the Netherlands., Jansen T; Leiden University Medical Centre, Leiden, the Netherlands., de Ruijter W; Leiden University Medical Centre, Leiden, the Netherlands.
المصدر: The Netherlands journal of medicine [Neth J Med] 2020 Jul; Vol. 78 (4), pp. 167-174.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Van Zuiden Communications Country of Publication: Netherlands NLM ID: 0356133 Publication Model: Print Cited Medium: Internet ISSN: 1872-9061 (Electronic) Linking ISSN: 03002977 NLM ISO Abbreviation: Neth J Med Subsets: MEDLINE
أسماء مطبوعة: Publication: 2002- : Alphen aan de Rijn, The Netherlands : Van Zuiden Communications
Original Publication: Haarlem, Bohn
مواضيع طبية MeSH: Attitude of Health Personnel*, Critical Care/*psychology , Nursing Staff, Hospital/*psychology , Oxygen Inhalation Therapy/*psychology , Physicians/*psychology, Adult ; Female ; Humans ; Intensive Care Units ; Male ; Middle Aged ; Netherlands ; Practice Patterns, Physicians' ; Surveys and Questionnaires
مستخلص: 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.
تواريخ الأحداث: Date Created: 20200710 Date Completed: 20210602 Latest Revision: 20210602
رمز التحديث: 20221213
PMID: 32641541
قاعدة البيانات: MEDLINE