ABC of oxygen - Acute oxygen therapy
ABC of oxygen - Acute oxygen therapy
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DOI：
10.1136/bmj.317.7161.798
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发表时间：
1998-09-19
影响因子：
--
通讯作者：
Leach, RM
中科院分区：
文献类型：
--
作者：
Bateman, NT;Leach, RM
氧气随处可见，并且通常由医务人员和辅助医务人员处方。如果正确使用，可能会挽救生命，但通常在没有仔细评估其潜在益处和副作用的情况下就给予氧气。与任何药物一样，氧气治疗和适当的输送方法都有明确的适应症。剂量不当和未能监测治疗可能会产生严重后果。警惕监测以迅速发现并纠正不良反应至关重要。在最近的一项医院调查中，21% 的氧气处方不合适，85% 的患者没有得到充分的监督。类似的研究表明，在一般实践中，氧气处方是不恰当的。为了确保安全有效的治疗处方应涵盖流速、输送系统、持续时间和治疗监测。
Oxygen is widely available and commonly prescribed by medical and paramedical staff. When administered correctly it may be life saving, but oxygen is often given without careful evaluation of its potential benefits and side effects. Like any drug there are clear indications for treatment with oxygen and appropriate methods of delivery. Inappropriate dose and failure to monitor treatment can have serious consequences. Vigilant monitoring to detect and correct adverse effects swiftly is essential.In a recent hospital survey 21% of oxygen prescriptions were inappropriate and 85% of patients were inadequately supervised. Similar studies report that oxygen is prescribed inappropriately in general practice. To ensure safe and effective treatment prescriptions should cover the flow rate, delivery system, duration, and monitoring of treatment.