Administration of High Flow Oxygen Therapy in pediatric patients of the Santísima Trinidad Children's Hospital.

The way to provide oxygen has been an idea in constant evolution that has triggered in doctors the concern to implement different support devices, from the nasal cannula, the rebreathing mask and low flow, to continuous pressure in the airway (CPAP). ) and  noninvasive ventilation (NIV). Re...

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Autores principales: Salvático, Estela, Chávez, Nilda Cecilia, Oliva, Olga del Valle, Prado, Solange
Formato: Artículo revista
Lenguaje:Español
Publicado: Sanatorio Allende. Departamento de enfermería 2022
Materias:
Oxygen therapy
high flow
pediatric nursing
administration
Oxigenoterapia
alto flujo
enfermería
pediatría
administración
alto fluxo
enfermagem pediátrica
administração
Acceso en línea:https://revistas.unc.edu.ar/index.php/notasenf/article/view/39599
Aporte de:
Notas de Enfermería de Universidad Nacional de Córdoba
id I10-R322-article-39599
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-322
container_title_str Notas de Enfermería
language Español
format Artículo revista
topic Oxygen therapy
high flow
pediatric nursing
administration
Oxigenoterapia
alto flujo
enfermería
pediatría
administración
Oxigenoterapia
alto fluxo
enfermagem pediátrica
administração
spellingShingle Oxygen therapy
high flow
pediatric nursing
administration
Oxigenoterapia
alto flujo
enfermería
pediatría
administración
Oxigenoterapia
alto fluxo
enfermagem pediátrica
administração
Salvático, Estela
Chávez, Nilda Cecilia
Oliva, Olga del Valle
Prado, Solange
Administration of High Flow Oxygen Therapy in pediatric patients of the Santísima Trinidad Children's Hospital.
topic_facet Oxygen therapy
high flow
pediatric nursing
administration
Oxigenoterapia
alto flujo
enfermería
pediatría
administración
Oxigenoterapia
alto fluxo
enfermagem pediátrica
administração
author Salvático, Estela
Chávez, Nilda Cecilia
Oliva, Olga del Valle
Prado, Solange
author_facet Salvático, Estela
Chávez, Nilda Cecilia
Oliva, Olga del Valle
Prado, Solange
author_sort Salvático, Estela
title Administration of High Flow Oxygen Therapy in pediatric patients of the Santísima Trinidad Children's Hospital.
title_short Administration of High Flow Oxygen Therapy in pediatric patients of the Santísima Trinidad Children's Hospital.
title_full Administration of High Flow Oxygen Therapy in pediatric patients of the Santísima Trinidad Children's Hospital.
title_fullStr Administration of High Flow Oxygen Therapy in pediatric patients of the Santísima Trinidad Children's Hospital.
title_full_unstemmed Administration of High Flow Oxygen Therapy in pediatric patients of the Santísima Trinidad Children's Hospital.
title_sort administration of high flow oxygen therapy in pediatric patients of the santísima trinidad children's hospital.
description The way to provide oxygen has been an idea in constant evolution that has triggered in doctors the concern to implement different support devices, from the nasal cannula, the rebreathing mask and low flow, to continuous pressure in the airway (CPAP). ) and  noninvasive ventilation (NIV). Recently, a new device that provides high-flow oxygen has been inserted between both extremes. The objective of the present work was to describe clinical and technical aspects in the administration of High Flow Oxygen Therapy (OAF)  in pediatric patients of the Santísima Trinidad Children's Hospital, in the UEPE service (Emergency Pediatric Stabilization Unit)  2017 and SIP ( pediatric hospitalization room) 500 2018, 2019, in the summer period. A retrospective cross-sectional descriptive studywas carried out. The universe was the pediatric patients who received HFO at the Santísima Trinidad Children's Hospital, in the UEPE service in 2017 and SIP 500 2018, 2019 in the summer period. The data dump table was used as an instrument. The main results show that a total of 697 patients were attended. The prevalent age was under 6 months, with an average of 60%. The vast majority of children who required this treatment were admitted due to a diagnosis of bronchiolitis, followed by BOR (recurrent obstructive  bronchitis). In relation to the score of such modified on admission, we can observe that in the UEPE sector the mean is 8, while the SIP 500 is 7. Regarding the material resource, there are several OAF systems. There are no studies that demonstrate the superiority of one system over another. Finally, it was observed that having implemented this technique in the institution, the maximum required ventilatory escalation was avoided in large numbers, since in the UEPE service the evolution was 65% of the OAF, while in the SIP 500 in 2018 it was 72% and in 2019 it was 79%. Therefore, we can establish that HFO achieves clinical improvement through its impact on functional respiratory syndrome, as well as on the modified Tal score in children, and allows treatment of these patients in general hospital wards, with minimal effects. adverse effects, reducing admission to intensive care.
publisher Sanatorio Allende. Departamento de enfermería
publishDate 2022
url https://revistas.unc.edu.ar/index.php/notasenf/article/view/39599
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spelling I10-R322-article-395992023-11-04T19:03:24Z Administration of High Flow Oxygen Therapy in pediatric patients of the Santísima Trinidad Children's Hospital. Administración de Oxigenoterapia de Alto Flujo en pacientes pediátricos del Hospital de Niños Santísima Trinidad. Administração de Oxigenoterapia de Alto Fluxo em pacientes pediátricos do Hospital Infantíl Santísima Trinidad. Salvático, Estela Chávez, Nilda Cecilia Oliva, Olga del Valle Prado, Solange Oxygen therapy high flow pediatric nursing administration Oxigenoterapia alto flujo enfermería pediatría administración Oxigenoterapia alto fluxo enfermagem pediátrica administração The way to provide oxygen has been an idea in constant evolution that has triggered in doctors the concern to implement different support devices, from the nasal cannula, the rebreathing mask and low flow, to continuous pressure in the airway (CPAP). ) and  noninvasive ventilation (NIV). Recently, a new device that provides high-flow oxygen has been inserted between both extremes. The objective of the present work was to describe clinical and technical aspects in the administration of High Flow Oxygen Therapy (OAF)  in pediatric patients of the Santísima Trinidad Children's Hospital, in the UEPE service (Emergency Pediatric Stabilization Unit)  2017 and SIP ( pediatric hospitalization room) 500 2018, 2019, in the summer period. A retrospective cross-sectional descriptive studywas carried out. The universe was the pediatric patients who received HFO at the Santísima Trinidad Children's Hospital, in the UEPE service in 2017 and SIP 500 2018, 2019 in the summer period. The data dump table was used as an instrument. The main results show that a total of 697 patients were attended. The prevalent age was under 6 months, with an average of 60%. The vast majority of children who required this treatment were admitted due to a diagnosis of bronchiolitis, followed by BOR (recurrent obstructive  bronchitis). In relation to the score of such modified on admission, we can observe that in the UEPE sector the mean is 8, while the SIP 500 is 7. Regarding the material resource, there are several OAF systems. There are no studies that demonstrate the superiority of one system over another. Finally, it was observed that having implemented this technique in the institution, the maximum required ventilatory escalation was avoided in large numbers, since in the UEPE service the evolution was 65% of the OAF, while in the SIP 500 in 2018 it was 72% and in 2019 it was 79%. Therefore, we can establish that HFO achieves clinical improvement through its impact on functional respiratory syndrome, as well as on the modified Tal score in children, and allows treatment of these patients in general hospital wards, with minimal effects. adverse effects, reducing admission to intensive care. La manera de proveer oxígeno ha sido una idea en permanente evolución que ha gatillado en los médicos la inquietud de implementar distintos dispositivos de soporte, desde la cánula nasal, la máscara de reinhalación y bajo flujo, hasta la presión continua en la vía aérea (CPAP) y la ventilación no invasiva (VNI). Recientemente se ha insertado entre ambos extremos  mencionados un nuevo dispositivo que provee oxígeno a alto flujo. El objetivo del presente trabajo fue describir aspectos clínicos y técnicos en la administración de Oxigenoterapia de Alto Flujo (OAF) en pacientes pediátricos del Hospital de Niños de la Santísima Trinidad, en el servicio de UEPE (Unidad estabilización pediátrica en emergencia) 2017 y SIP (sala de internación pediátrica) 500 2018, 2019, en el periodo estival. Se realizó un Estudio descriptivo transversal, retrospectivo. El universo fueron los pacientes  pediátricos que recibieron OAF en el Hospital de Niños Santísima Trinidad, en el servicio de UEPE del 2017 y SIP 500 2018, 2019 en el periodo estival. Se utilizó como instrumento la tabla de volcado de datos. Los principales resultados demuestran que se asistieron un total de 697 pacientes. La edad prevalente fue de menores de 6 meses, con un promedio del 60%. Los niños que requerían este tratamiento, en su gran mayoría ingresaban por diagnóstico de bronquiolitis, seguido de BOR (bronquitis obstructiva recurrente).En relación al escore de tal modificado al ingreso, podemos observar que en el sector de UEPE la media es de 8, mientras que la SIP 500 es de 7. En referente al recurso material, existen varios sistemas de OAF. No hay estudios que demuestren la superioridad de un sistema sobre otro.Por último, se observó que el haber implementado esta técnica en la institución, se logró evitar en gran numero la escalada ventilatoria máxima requerida, ya que en el servicio de UEPE la evolución fue 65% la OAF, mientras que en la SIP 500 en el 2018 fue 72%y en el 2019 fue 79%. Por lo que podemos establecer que la OAF logra una mejoría clínica a través de su impacto en el síndrome funcional respiratorio, así como en el score de Tal modificado en los niños y permite un tratamiento de estos pacientes en salas de internado general, con mínimos efectos adversos, disminuyendo el ingreso a cuidados intensivos. A forma de fornecer oxigênio tem sido uma ideia em constante evolução que desencadeou nos médicos a preocupação em implementar diferentes dispositivos de suporte, desde a cânula nasal, a máscara de reinalação e baixo fluxo, até a pressão contínuanas vias aéreas (CPAP). ) -ventilação invasiva (VNI). Recentemente, um novo dispositivo que fornece oxigênio de alto fluxo foi  inserido entre os dois extremos. O objetivo do presente trabalho foi descrever aspectos clínicos e técnicos na administração de Oxigenoterapia de Alto Fluxo (OAF) em pacientes pediátricos do Hospital Infantil Santísima Trinidad, no serviço UEPE (Unidade de Emergência Pediátrica de Estabilização) 2017 e SIP (internação pediátrica quarto) 500 2018, 2019, no período de verão. Foi realizado  um estudo descritivo transversal retrospectivo. O universo foram os pacientes pediátricos que receberam HFO no Hospital Infantil Santísima Trinidad, no serviço da UEPE em 2017 e SIP 500 2018, 2019 no período de verão. A tabela de despejo de dados foi utilizada como instrumento. Os principais resultados mostram que foram atendidos um total de 697 pacientes, sendo a idade prevalente inferior a 6 meses, com média de 60%. A grande maioria das crianças que necessitaram desse tratamento foi internada por diagnóstico de bronquiolite, seguido de BOR (bronquite obstrutiva recorrente). Em relação ao escore desta modificada na admissão, observa-se que no setor da UEPE a média é 8 , enquanto o SIP 500 é 7. Em relação ao recurso material, existem vários sistemas OAF. Não há estudos que demonstrem a superioridade de um sistema sobre o outro. Por fim, observou-se que com a implantação dessa técnica na instituição, evitou-se em grande número o escalonamento ventilatório máximo necessário, pois no serviço da UEPE a evolução foi de 65% de na OAF, enquanto no SIP 500 em 2018 foi de 72% e em 2019 foi de 79%. Portanto, podemos estabelecer que a HFO obtém melhora clínica por meio de seu impacto na síndrome respiratória funcional, bem como no escore de Tal modificado em crianças, e permite o tratamento desses pacientes em enfermarias de hospital geral, com efeitos mínimos. tratamento intensivo. Sanatorio Allende. Departamento de enfermería 2022-12-02 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/notasenf/article/view/39599 10.59843/2618-3692.v23.n40.39599 Notas de Enfermería; Vol. 23 Núm. 40 (2022): Notas de Enfermería; 60-66 2618-3692 1668-8821 10.59843/2618-3692.v23.n40 spa https://revistas.unc.edu.ar/index.php/notasenf/article/view/39599/39633 Derechos de autor 2022 Sanatorio Allende https://creativecommons.org/licenses/by-nc/4.0

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