Audit of oxygen prescribingTreatment needs to be adjustedOxygen prescribing has implications in neonatal careBMJ 2001; 322 doi: https://doi.org/10.1136/bmj.322.7289.799 (Published 31 March 2001) Cite this as: BMJ 2001;322:799
Treatment needs to be adjusted
- Andrew Inglis, consultant intensivist
- Southern General Hospital, Glasgow G51 4TF
- North Middlesex Hospital, London N18 1QX Arvind@n-m-h.fsnet.co.uk
EDITOR—The results of the audit of oxygen prescribing by Dodd et al raise numerous issues.1 The audit focused solely on the prescribed input rather than a measure of outcome. No reference was made to adjusting treatment with regard to the patient's oxygen saturation.2 Realistic goals for desired saturation would reduce the risks of either continued hypoxia or excessive treatment in severe chronic obstructive pulmonary disease.
The spectre of carbon dioxide narcosis was again raised. Intensivists repeatedly find that seriously hypoxic and exhausted patients have had their oxygen treatment reduced because of a raised arterial concentration of carbon dioxide. …