Commentary on The impact of a postoperative oxygen therapy protocol on use of pulse oximetry and oxygen therapy [original article by Komara JJ Jr. et al appears in RESPIR CARE 1995;40(11):1125-9].
PURPOSE: To investigate the clinical and financial impact of a postoperative oxygen therapy protocol on patient management practices. METHOD: A nonrandom sample of postoperative patients (N = 40) was divided into two groups. In Group 1, O2 therapy was managed by physicians; in Group 2, O2 therapy wa...
| Published in: | AACN Nursing Scan In Critical Care Vol. 6; no. 3; pp. 34 - 35 |
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| Format: | abstract brief item commentary Journal Article |
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Wiley-Blackwell
1996 Jul-Sep
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107304418&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107304418 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10558349 DJ4 jtl: AACN Nursing Scan In Critical Care issn: 10558349 maglogo: Y pubinfo: dt: 1996 Jul-Sep vid: 6 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 107304418 107304418 1998072955 107304418 ppf: 34 ppct: 1 formats: tig: atl: Commentary on The impact of a postoperative oxygen therapy protocol on use of pulse oximetry and oxygen therapy [original article by Komara JJ Jr. et al appears in RESPIR CARE 1995;40(11):1125-9]. aug: au: Ruggles L sug: subj: Pulse Oximetry Utilization Oxygen Therapy Utilization Postoperative Care Treatment Duration Protocols Utilization Blood Gas Analysis Surgical Patients Pulse Oximetry Economics Oxygen Therapy Economics Convenience Sample Physicians Respiratory Therapists Descriptive Statistics Prospective Studies Oxygenation Evaluation Adult Middle Age Aged Aged, 80 and Over Inpatients Male Female Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: PURPOSE: To investigate the clinical and financial impact of a postoperative oxygen therapy protocol on patient management practices. METHOD: A nonrandom sample of postoperative patients (N = 40) was divided into two groups. In Group 1, O2 therapy was managed by physicians; in Group 2, O2 therapy was managed by respiratory therapists using a standard protocol with a stop criterion of room air pulse oximetry saturation (SPO2) >/=92%. FINDINGS: Statistically significant differences were noted between groups on both per patient costs of O2 therapy ($27.94 vs. $7.84) and pulse oximetry ($18.64 vs. $7.84). The average duration of O2 therapy in Group 1 was 3.45 days (SD 1.28) compared to 2.1 days (SD 0.64) in Group 2. In Group 1, 16 patients continued to receive O2 therapy after attaining the room-air SPO2 Stop criterion used in Group 2. No adverse outcomes related to hypoxemia were reported in either group. CONCLUSIONS: Use of a uniform stop criterion for low-flow O2 therapy in postoperative management of nonthoracic surgical patients could safely shorten the duration of O2 therapy and reduce the number of pulse oximetry measurements. [Original article accession number: 1996002383 (algorithm, research, tables/charts)] pubtype: Periodical doctype: abstract brief item commentary Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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