I.

TILE/ REFERENCE

Automated Oxygen Delivery in Hospitalized Patients with Acute Respiratory Failure

Foteini Malli, Stelios Boutlas, Nick Lioufas, Konstantinos I. Gourgoulianis, "Automated Oxygen
Delivery in Hospitalized Patients with Acute Respiratory Failure: A Pilot Study", Canadian
Respiratory Journal, vol. 2019, Article ID 4901049, 7 pages, 2019.
https://doi.org/10.1155/2019/4901049

II. SUMMARY

Although oxygen is commonly used in the clinical setting, its use should be carefully
monitored by experts. It is especially important for patients with respiratory failure, chronic
obstructive pulmonary disease (COPD), chest wall deformities, or muscle weakness and
hypercapnia. Automated oxygen delivery systems may aid in avoiding these complications. The
scope of the prevailing look at is to check the efficacy and safety of a brand new automatic
oxygen delivery tool. This take a look at included 23 sufferers with acute respiratory failure
(ARF) hospitalized inside the Respiratory Medicine Department of the University Hospital of
Larissa. Automated oxygen administration was performed with Digital Oxygen Therapy, a new
closed-loop system designed to automatically adjust oxygen flow. The device was applied for 4 
hours. Arterial blood gas analysis was performed at 1 hour and 3 hours following the device
application. This study concludes that automated oxygen administration in hospitalized patients
with acute respiratory failure is practical and safe.

III. NURSING IMPLICATIONS

When administering oxygen therapy, it is important for the nurse to assess the patient
before, during, and after the procedure and document the findings. If situations warrant, the
nurse should establish a brief history of respiratory disorders and collect data on present
symptoms connected with the patient's sense of shortness of breath prior to commencing
oxygen therapy. The length of this concentrated examination should be adjusted according to
the severity of the patient's dyspnea.

The nurse should check and document oxygen equipment set up at the commencement
of each shift and with any change in patient condition. Hourly checks should be made for the
following: oxygen flow rate, patency of tubing and humidifier settings (if being used). Hourly
checks should be made and recorded on the patient observation chart for the following (unless
otherwise directed by the treating medical team): heart rate, respiratory rate, respiratory distress
(descriptive assessment - i.e. use of accessory muscles/nasal flaring), oxygen saturation and
ensure the individual MET criteria are observed regardless of oxygen requirements.

IV. NURSING INSIGHTS

I learned that the different closed-loop systems share some similarities but have different
technical parameters such as reaction time to SpO2, flow accuracy, flow range, and availability
of the alarm. Oxygen therapy is essential in the treatment of patients with respiratory failure.
However, studies have observed poor compliance of health professionals with international
guidelines concerning the use of oxygen therapy in the acute setting. Optimizing oxygen
delivery may have the potential to decrease morbidity associated with COPD along with
minimizing hyperopia-associated risks. Additionally, by providing automated titration of oxygen
delivery in a predefined target range may reduce the workload of the medical staff provided fail-
safe mechanisms exist.