Recommendations for long-term home oxygen therapy in children and adolescents

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dc.contributor.author Adde, Fabíola Villac
dc.contributor.author Alvarez, Alfonso Eduardo
dc.contributor.author Barbisan, Beatriz Neuhaus [UNIFESP]
dc.contributor.author Guimaraes, Bianca R.
dc.date.accessioned 2016-01-24T14:28:11Z
dc.date.available 2016-01-24T14:28:11Z
dc.date.issued 2013-01-01
dc.identifier http://dx.doi.org/10.1016/j.jped.2013.02.003
dc.identifier.citation Jornal de Pediatria. Rio de Janeiro, Rj: Soc Brasil Pediatria, v. 89, n. 1, p. 6-17, 2013.
dc.identifier.issn 0021-7557
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/35649
dc.description.abstract Objective: To advise pediatricians, neonatologists, pulmonologists, pediatric pulmonologists, and other professionals in the area on the main indications and characteristics of long-term home oxygen therapy in children and adolescents.Data source: A literature search was carried out in the MEDLINE/PubMed database (1990 to 2011). Additionally, references from selected studies were included. As consistent scientific evidence does not exist for many aspects, some of the recommendations were based on clinical experience.Data synthesis: Long-term home oxygen therapy has been a growing practice in pediatric patients and is indicated in bronchopulnnonary dysplasia, cystic fibrosis, bronchiolitis obliterans, interstitial lung diseases, and pulmonary hypertension, among others. the benefits are: decrease in hospitalizations, optimization of physical growth and neurological development, improvement of exercise tolerance and quality of sleep, and prevention of pulmonary hypertension/cor pulmonale. the levels of oxygen saturation indicative for oxygen therapy differ from those established for adults with chronic obstructive pulmonary disease, and vary according to age and disease. Pulse oximetry is used to evaluate oxygen saturation; arterial blood gas is unnecessary. There are three available sources of oxygen: gas cylinders, liquid oxygen, and oxygen concentrators. the flows used are usually smaller, as are the number of hours/day needed when compared to the use in adults. Some diseases show improvement and oxygen therapy discontinuation is possible.Conclusions: Long-term home oxygen therapy is increasingly common in pediatrics and has many indications. There are relevant particularities when compared to its use in adults, regarding indications, directions for use, and monitoring. (C) 2013 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved. en
dc.format.extent 6-17
dc.language.iso eng
dc.publisher Soc Brasil Pediatria
dc.relation.ispartof Jornal de Pediatria
dc.rights Acesso aberto
dc.subject Home oxygen therapy en
dc.subject Children en
dc.subject Oxygen en
dc.title Recommendations for long-term home oxygen therapy in children and adolescents en
dc.type Resenha
dc.contributor.institution Universidade de São Paulo (USP)
dc.contributor.institution Soc Pediat São Paulo
dc.contributor.institution Universidade Estadual de Campinas (UNICAMP)
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Univ São Paulo Med Sch FMUSP, São Paulo, Brazil
dc.description.affiliation FMUSP, Inst Crianca, Hosp Clin, Pneumol Unit, São Paulo, Brazil
dc.description.affiliation Soc Pediat São Paulo, Dept Pneumol, São Paulo, Brazil
dc.description.affiliation Univ Estadual Campinas UNICAMP, Sch Med Sci, Campinas, SP, Brazil
dc.description.affiliation Soc Med & Cirurgia Campinas 2012 2014, Dept Pediat, Campinas, SP, Brazil
dc.description.affiliation Universidade Federal de São Paulo UNIFESP, São Paulo, Brazil
dc.description.affiliation Universidade Federal de São Paulo, Dept Pediat, Pediat Pneumol Sect, São Paulo, Brazil
dc.description.affiliation FMUSP, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo UNIFESP, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Dept Pediat, Pediat Pneumol Sect, São Paulo, Brazil
dc.identifier.file S0021-75572013000100003.pdf
dc.identifier.scielo S0021-75572013000100003
dc.identifier.doi 10.1016/j.jped.2013.02.003
dc.description.source Web of Science
dc.identifier.wos WOS:000316163600003



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