Initial oxygen management in patients with an exacerbation of chronic obstructive pulmonary disease

Hannah J. Durrington, M. Flubacher, C. F. Ramsay, L. S G E Howard, B. D W Harrison

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Background: The Norfolk and Norwich University Hospital (NNUH) is situa ted in rural Norfolk, and ambulance journey times are often >30 min. Longer ambulance journeys could lead to a greater risk of hypercapnia, if inappropriately high concentrations of oxygen are given during an exacerbation of COPD. Aim: To investigate the effect of high concentration oxygen (HCO, FiO2 > 0.28) on COPD patients, and the outcome of instituting a simple protocol to reduce such exposure. Design: Retrospe ctive audit. Method: An audit was conducted of all patients admitted with an exacerbation of COPD to the NNUH during the 2 months from 1 December 2001 to 31 January 2002 (n=108). Results were shared with paramedics, and guidelines agreed for the initial provision of lower concentrations of oxygen (LCO, FiO2 ≤ 0.28). A second audit was conducted a year later between 1 December 2002 and 31 January 2003 (n=103). Results: HCO caused significant (p
    Original languageEnglish
    Pages (from-to)499-504
    Number of pages5
    JournalQJM: an international journal of medicine
    Volume98
    Issue number7
    DOIs
    Publication statusPublished - Jul 2005

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