TY - JOUR T1 - AARC Clinical Practice Guideline Management of Pediatric Patients with Oxygen in the Acute Care Setting JF - Respiratory Care DO - 10.4187/respcare.09006 SP - respcare.09006 AU - Natalie Napolitano AU - Ariel Berlinski AU - Brian K. Walsh AU - Emily Ginier AU - Shawna L. Strickland Y1 - 2021/03/31 UR - http://rc.rcjournal.com/content/early/2021/03/31/respcare.09006.abstract N2 - Oxygen therapy is one of the most important therapeutics offered in the clinical management of pediatric patients suffering from cardiopulmonary disease. As the medical community seeks to ensure evidence-based management of clinical interventions, we conducted a systematic review with the goal of providing evidence-based clinical practice guidelines to answer questions surrounding the use of simple oxygen therapy to improve oxygenation including comparison of delivery devices, the efficacy of humidification, comparison of flows, and goals for hemoglobin oxygen saturation in children. Using a modification of the RAND/UCLA Appropriateness Method, four recommendations were developed to assist clinicians in the utilization of oxygen therapy in hospitalized children: (1) The use if an oxygen hood or tent in lieu of a low-flow oxygen device for consistent oxygen delivery is not recommended; (2) The use of HFNC is safe and more effective than low flow oxygen to treat infants with moderate to severe bronchiolitis; (3) The application of humidification with low flow oxygen delivery is not recommended; (4) Targeting hemoglobin oxygenation saturation of 90% -97% for infants and children suffering from bronchiolitis is recommended, however no specific target can be recommended for pediatric patients suffering from respiratory diseases outside of bronchiolitis and establishing a patient/disease oxygen therapy target upon admission is considered best practice. ER -