TY - JOUR T1 - AARC Clinical Practice Guideline: Management of Pediatric Patients With Oxygen in the Acute Care Setting JF - Respiratory Care SP - 1214 LP - 1223 DO - 10.4187/respcare.09006 VL - 66 IS - 7 AU - Natalie Napolitano AU - Ariel Berlinski AU - Brian K Walsh AU - Emily Ginier AU - Shawna L Strickland Y1 - 2021/07/01 UR - http://rc.rcjournal.com/content/66/7/1214.abstract N2 - Oxygen therapy is one of the most important therapeutics offered in the clinical management of pediatric patients with 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 a comparison of delivery devices, the efficacy of humidification, comparison of flows, and goals for use in children. Using a modification of the RAND/UCLA Appropriateness Method, we developed 4 recommendations to assist clinicians in the utilization of oxygen therapy in hospitalized children: (1) the use of an oxygen hood or tent in lieu of a low-flow oxygen device for consistent oxygen delivery is not recommended; (2) the use of high-flow nasal cannula therapy 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 90–97% for infants and children with bronchiolitis is recommended; however, no specific target can be recommended for pediatric patients with respiratory diseases outside of bronchiolitis, and establishing a patient/disease oxygen therapy target upon admission is considered best practice. ER -