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

^*Corresponding author for this work

Macquarie Medical School

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

24 Citations (Scopus)

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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
Early online date	17 Feb 2022
DOIs	https://doi.org/10.1111/resp.14218
Publication status	Published - Apr 2022

Bibliographical note

Copyright the Author(s) 2022. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

acute oxygen therapy
oxygen prescription
position statement
target oxygen saturations
titrated oxygen

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10.1111/resp.14218Licence: CC BY-NC

Publisher version (open access)Final published version, 2 MBLicence: CC BY-NC

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

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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.",

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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",

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year = "2022",

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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

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AU - Roberts, Mary

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Thoracic Society of Australia and New Zealand position statement on acute oxygen use in adults: ‘Swimming between the flags’

Abstract

Bibliographical note

Keywords

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