Question

Considerations for the Child Receiving Oxygen Therapy for : infants (1st year) toddlers(1-3 years)preschool (4-6 years) school age (7-11 years) adolescence ( 12-18 years). Thank you in advance!.

Answer 1

There are some points should be considered for giving oxygen therapy to children

There are different devices are available for oxygen therapy

1)Infants (age - 1yr)

Devices like

Nasal prongs

Nasal catheter

Nasopharyngeal cather

These 3 devices can be used.

Devices like Head box, face mask, incubator tents is not useful , it is discouraged.

Maximum flow of Oxygen 2 L/min when the nasal prongs are used

Maximum flow of Oxygen 1L/min when the nasal catheter is used

Maximum flow of Oxygen 1L/min when the naspharyngeal catheter is used

2)Toddler (1-3 age)

Nasal prongs is the best device preferred

Maximum flow of Oxygen 3 L/min when the nasal prongs are used

3)Preschool(4-6 yr)

Nasal prongs are preferred

Maximum flow of Oxygen 4L/min when the nasal prongs are used

4)School Age (4-6 yr)

Nnasal prongs can be used

Maximum flow of Oxygen 6L/min when the nasal prongs are used

when there is a high flow of oxygen of 4 or more L/min ,the air should be Humidified

Maximum flow of Oxygen 10L/min when the nasal prongs are used with Humdification

Other consideration

Children with emergency symptoms (obstructed or absent breathing, severe breathing distress, significant cyanosis, signs of shock, coma or convulsions) need to receive oxygen therapy

\at some stage in the resuscitation section if their SpO2 is < 94> 90% have to be disconnected from oxygen for 10–15 min and carefully tested for modifications in clinical signs and symptoms and SpO2 , to determine whether supplemental oxygen is still required

Children ought to now not be discharged till their SpO2 has been solid at ≥ 90% even asbreathing room air for at least 24 h, till all danger symptoms have resolved and until appropriate home treatment has been organized.

There is a high risk of developing damage to the nasal mucosa when dry oxygen is giving continously. So proper humidification should be done