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Grim CCA, Cornet AD, Kroner A, Meiners AJ, Brouwers AJBW, Reidinga AC, van Westerloo DJ, Bergmans DCJJ, Gommers D, Versluis D, Weller D, Christiaan Boerma E, van Driel E, de Jonge E, Schoonderbeek FJ, Helmerhorst HJF, Jongsma-van Netten HG, Weenink J, Woittiez KJ, Simons KS, van Ewelie L, Petjak M, Sigtermans MJ, van der Woude M, Cremer OL, Bijlstra P, van der Heiden P, So RKL, Vink R, Jansen T, de Ruijter W. Attitudes of Dutch intensive care unit clinicians towards oxygen therapy. Neth J Med 2020; 78:167-174. [PMID: 32641541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
BACKGROUND Over the last decade, there has been an increasing awareness for the potential harm of the administration of too much oxygen. We aimed to describe self-reported attitudes towards oxygen therapy by clinicians from a large representative sample of intensive care units (ICUs) in the Netherlands. METHODS In April 2019, 36 ICUs in the Netherlands were approached and asked to send out a questionnaire (59 questions) to their nursing and medical staff (ICU clinicians) eliciting self-reported behaviour and attitudes towards oxygen therapy in general and in specific ICU case scenarios. RESULTS In total, 1361 ICU clinicians (71% nurses, 24% physicians) from 28 ICUs returned the questionnaire. Of responding ICU clinicians, 64% considered oxygen-induced lung injury to be a major concern. The majority of respondents considered a partial pressure of oxygen (PaO2) of 6-10 kPa (45-75 mmHg) and an arterial saturation (SaO2) of 85-90% as acceptable for 15 minutes, and a PaO2 7-10 kPa (53-75 mmHg) and SaO2 90-95% as acceptable for 24-48 hours in an acute respiratory distress syndrome (ARDS) patient. In most case scenarios, respondents reported not to change the fraction of inspired oxygen (FiO2) if SaO2 was 90-95% or PaO2 was 12 kPa (90 mmHg). CONCLUSION A representative sample of ICU clinicians from the Netherlands were concerned about oxygen-induced lung injury, and reported that they preferred PaO2 and SaO2 targets in the lower physiological range and would adjust ventilation settings accordingly.
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Affiliation(s)
- C C A Grim
- Leiden University Medical Centre, Leiden, the Netherlands
| | - A D Cornet
- Leiden University Medical Centre, Leiden, the Netherlands
| | - A Kroner
- Leiden University Medical Centre, Leiden, the Netherlands
| | - A J Meiners
- Leiden University Medical Centre, Leiden, the Netherlands
| | | | - A C Reidinga
- Leiden University Medical Centre, Leiden, the Netherlands
| | | | | | - D Gommers
- Leiden University Medical Centre, Leiden, the Netherlands
| | - D Versluis
- Leiden University Medical Centre, Leiden, the Netherlands
| | - D Weller
- Leiden University Medical Centre, Leiden, the Netherlands
| | | | - E van Driel
- Leiden University Medical Centre, Leiden, the Netherlands
| | - E de Jonge
- Leiden University Medical Centre, Leiden, the Netherlands
| | | | | | | | - J Weenink
- Leiden University Medical Centre, Leiden, the Netherlands
| | - K J Woittiez
- Leiden University Medical Centre, Leiden, the Netherlands
| | - K S Simons
- Leiden University Medical Centre, Leiden, the Netherlands
| | - L van Ewelie
- Leiden University Medical Centre, Leiden, the Netherlands
| | - M Petjak
- Leiden University Medical Centre, Leiden, the Netherlands
| | - M J Sigtermans
- Leiden University Medical Centre, Leiden, the Netherlands
| | | | - O L Cremer
- Leiden University Medical Centre, Leiden, the Netherlands
| | - P Bijlstra
- Leiden University Medical Centre, Leiden, the Netherlands
| | | | - R K L So
- Leiden University Medical Centre, Leiden, the Netherlands
| | - R Vink
- Leiden University Medical Centre, Leiden, the Netherlands
| | - T Jansen
- Leiden University Medical Centre, Leiden, the Netherlands
| | - W de Ruijter
- Leiden University Medical Centre, Leiden, the Netherlands
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