PT  - JOURNAL ARTICLE
AU  - Piraino, Thomas
AU  - Madden, Maria
AU  - Roberts, Karsten J
AU  - Lamberti, James
AU  - Ginier, Emily
AU  - Strickland, Shawna L
TI  - AARC Clinical Practice Guideline: Management of Adult Patients With Oxygen in the Acute Care Setting
AID  - 10.4187/respcare.09294
DP  - 2022 Jan 01
TA  - Respiratory Care
PG  - 115--128
VI  - 67
IP  - 1
4099  - http://rc.rcjournal.com/content/67/1/115.short
4100  - http://rc.rcjournal.com/content/67/1/115.full
AB  - Providing supplemental oxygen to hospitalized adults is a frequent practice and can be administered via a variety of devices. Oxygen therapy has evolved over the years, and clinicians should follow evidence-based practices to provide maximum benefit and avoid harm. This systematic review and subsequent clinical practice guidelines were developed to answer questions about oxygenation targets, monitoring, early initiation of high-flow oxygen (HFO), benefits of HFO compared to conventional oxygen therapy, and humidification of supplemental oxygen. Using a modification of the RAND/UCLA Appropriateness Method, 7 recommendations were developed to guide the delivery of supplemental oxygen to hospitalized adults: (1) aim for range of 94–98% for most hospitalized patients (88–92% for those with COPD), (2) the same range of 94–98% for critically ill patients, (3) promote early initiation of HFO, (4) consider HFO to avoid escalation to noninvasive ventilation, (5) consider HFO immediately postextubation to avoid re-intubation, (6) either HFO or conventional oxygen therapy may be used with patients who are immunocompromised, and (7) consider humidification for supplemental oxygen when flows > 4 L/min are used.