‘Interview with a Vampire’ – Blood gas monitoring in clinical care最新文献

{"title":"P121 An audit of ambulatory oxygen assessments utilising a pre-established blinded treadmill protocol","authors":"S. Mcarthur, S. Baxter","doi":"10.1136/thorax-2022-btsabstracts.256","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.256","url":null,"abstract":"IntroductionA blinded ambulatory oxygen assessment protocol on a treadmill was established in 2005. Patients perform 2 walking tests, up to fifteen minutes each, on a treadmill at a set speed with a 30 minute rest between tests. The patient wears nasal cannulae on both tests, through which they receive 2L/min of air or Oxygen. Patients rate their breathlessness on a BORG scale every minute and this is recorded with Oxygen saturation via ear probe and heart rate. An increase in distance (10%) or decrease in BORG scores (1 point/10%) would indicate a need for ambulatory Oxygen prescription. The British Thoracic Society (BTS) 2015 ambulatory Oxygen therapy assessment protocol also states that an increase in SpO2 to ≥90% throughout the test would show a benefit to the patient1.AimHow many patients referred for assessment would benefit from prescription of ambulatory Oxygen based on the current BTS protocol?MethodsTest results, demographic and clinical data were collated for all patients referred for ambulatory Oxygen assessment over 1 year.Results88 patients were referred for assessment with 18 excluded (n=70). 11 patients only carried out the baseline test on air without progressing to the second test on oxygen as there was no significant desaturation during exercise. Of the 59 remaining patients 34 would be recommended ambulatory oxygen therapy, 19 would not and the remaining 6 may require higher flow rates than the 4L/min O2 that is the highest rate within the protocol. Only 18 patients (18/59=31%) had a decrease in BORG (felt better) by 10% or 1 point whilst on supplemental O2. 10 patients (10/59=17%) reported higher BORG scores on Oxygen (?fatigue, ? walked further).ConclusionOf the 70 patients included in the audit 34 (48.57%) would be recommended ambulatory oxygen therapy, 30 (42.86%) would not and the remaining 6 (8.57%) may require higher flow rates than the 4L/min that is the highest rate within the protocol. This protocol has been particularly useful during the COVID pandemic and the SOP has been shared with other departments.ReferencesHardinge M, Annandale J, Bourne S, et al. British Thoracic Society guidelines for home oxygen use in adults: accredited by NICE. Thorax 2015;70:i1-i43.","PeriodicalId":224722,"journal":{"name":"‘Interview with a Vampire’ – Blood gas monitoring in clinical care","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123163846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P120 Evaluating the use of the NEWS2 SpO2 Scales in COPD patients admitted to medical wards: a prospective clinical audit","authors":"H. Asfour, S. Saeed, A. Murad, F. Farman, A. Hassan, M. Punjabi, S. Jayalekshmi, R. Imdhad, A. Alkhayyer, H. Lwin, A. Sallam, R. Singh","doi":"10.1136/thorax-2022-btsabstracts.255","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.255","url":null,"abstract":"","PeriodicalId":224722,"journal":{"name":"‘Interview with a Vampire’ – Blood gas monitoring in clinical care","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130419197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P119 An automated audit of hospital oxygen use devised during the covid pandemic","authors":"B. O’Driscoll, N. Bakerly","doi":"10.1136/thorax-2022-btsabstracts.254","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.254","url":null,"abstract":"P119 Figure 1Example of a summary oxygen audit report[Figure omitted. See PDF]ConclusionsIn hospitals with an integrated electronic medical record, it is possible to automate all fundamental aspects of the BTS oxygen audits and to monitor oxygen use at individual patient level and at a hospital-wide level during major events such as the Covid-19 pandemic. This methodology could be extended to other BTS audits where the audit questions relate to routinely collected EMR data.","PeriodicalId":224722,"journal":{"name":"‘Interview with a Vampire’ – Blood gas monitoring in clinical care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128394985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P122 Admission bicarbonate as a determinant of long-term mortality in obesity-related respiratory failure requiring acute non-invasive ventilation","authors":"A. Krishnan, P. Antoine-Pitterson, A. Oakes, E. Gallagher, A. Cartwright, R. Mukherjee","doi":"10.1136/thorax-2022-btsabstracts.257","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.257","url":null,"abstract":"","PeriodicalId":224722,"journal":{"name":"‘Interview with a Vampire’ – Blood gas monitoring in clinical care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130617467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P117 Does the differential measurement error of pulse oximeters in patients with non-white skin delay the initiation of oxygen therapy?","authors":"M. Williams, R. Holt, J. Churchill, R. Singh, D. Shaw, A. Fogarty","doi":"10.1136/thorax-2022-btsabstracts.252","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.252","url":null,"abstract":"","PeriodicalId":224722,"journal":{"name":"‘Interview with a Vampire’ – Blood gas monitoring in clinical care","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114487480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P123 Respiratory failure: assessing knowledge and key skills amongst healthcare professionals in interpreting blood gas analysis and recognising and managing acute disease","authors":"A. Gogokhia, E. Madueke, A. Fatima, J. Kapofu, J. Nixon, E. Crawford, A. Makan, K. Srinivasan, H. Moudgil","doi":"10.1136/thorax-2022-btsabstracts.258","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.258","url":null,"abstract":"","PeriodicalId":224722,"journal":{"name":"‘Interview with a Vampire’ – Blood gas monitoring in clinical care","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133376603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P124 Transcutaneous CO2 measurement in a long term ventilation (LTV) service","authors":"WH Ong, N. Lane, B. Messer, H. Tedd, A. Armstrong, R. Davidson, P. Ireland, J. Rodger, K. George, K. Cattermole, Y. Madhu, R. Fowkes, CK Ho, A. Desoyza","doi":"10.1136/thorax-2022-btsabstracts.259","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.259","url":null,"abstract":"","PeriodicalId":224722,"journal":{"name":"‘Interview with a Vampire’ – Blood gas monitoring in clinical care","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131724107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P118 What oxygen target saturation ranges are currently prescribed for non-hypercapnic patients in UK hospitals and what target ranges would respiratory registrars prefer to use?","authors":"H. Bailey, H. Lee Evans, N. Majeed, M. Nayyar, B. O’Driscoll, V. Palissery","doi":"10.1136/thorax-2022-btsabstracts.253","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.253","url":null,"abstract":"P118 Figure 1ConclusionsAlthough most UK hospitals use a target oxygen saturation range of 94–98% in the non-hypercapnic population, the preference among the respiratory registrars surveyed was for an alternative strategy (most commonly a target saturation of 92–96%). This suggests a perception among clinicians that more conservative target saturations are non-harmful to these patients, but at present the evidence supporting this is lacking. The UK-ROX and Mega-ROX trials are currently recruiting and aim to evaluate conservative versus standard oxygen saturation targets in mechanically ventilated critically ill patients. Once published these trials will hopefully give us a more concrete basis upon which to make recommendations in this important area.","PeriodicalId":224722,"journal":{"name":"‘Interview with a Vampire’ – Blood gas monitoring in clinical care","volume":"24 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113964846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}