PMID: 9425384Jan 13, 1998Paper

Oxygen administration to hypoxic children in Ethiopia: a randomized controlled study comparing complications in the use of nasal prongs with nasopharyngeal catheters

Annals of Tropical Paediatrics
L MuheE K Mulholland

Abstract

Oxygen administration is one of the most important therapeutic interventions for a child with severe acute lower respiratory tract infection (ALRI). Inexpensive and efficient methods of oxygen administration are highly desirable in hospitals in developing countries. The objectives of this study were to compare the frequency and nature of complications when nasopharyngeal catheters or nasal prongs are used to deliver oxygen. One hundred and twenty-one children between the ages of 2 weeks and 5 years with hypoxia due to ALRI were randomized to receive oxygen via a catheter (61 children) or via nasal prongs (60 children). The two groups were similar in terms of diagnoses, clinical severity, oxygen saturation on admission and case fatality rates. There was no difference in the incidence of hypoxaemic episodes between the two groups. The oxygen flow rates required on the day of admission for adequate oxygenation (SaO2 > 90%) ranged from 0.8 litres per minute to 1.2 litres per minute. The required oxygen flow rate decreased during the course of treatment. Mucus production was more of a problem in the catheter group, and nasal blockage, intolerance of the method of oxygen administration and nursing effort were generally higher amongst...Continue Reading

References

Mar 4, 1989·Lancet·M Klein, L G Reynolds
Nov 26, 1988·Lancet·F ShannR Hutchinson
Sep 2, 1967·British Medical Journal·I D Green

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Citations

Dec 11, 2014·The Cochrane Database of Systematic Reviews·Maria Ximena Rojas-ReyesLaura Patricia Charry-Anzola

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