Attitudes of Dutch intensive care unit clinicians towards oxygen therapy

C C A Grim; A D Cornet; A Kroner; A J Meiners; A J B W Brouwers; A C Reidinga; D J van Westerloo; D C J J Bergmans; D Gommers; D Versluis; D Weller; E Christiaan Boerma; E van Driel; E de Jonge; F J Schoonderbeek; H J F Helmerhorst; H G Jongsma-van Netten; J Weenink; K J Woittiez; K S Simons; L van Ewelie; M Petjak; M J Sigtermans; M van der Woude; O L Cremer; P Bijlstra; P van der Heiden; R K L So; R Vink; T Jansen; W de Ruijter

Attitudes of Dutch intensive care unit clinicians towards oxygen therapy

C C A Grim
, A D Cornet
, A Kroner
, A J Meiners
, A J B W Brouwers
, A C Reidinga
, D J van Westerloo
, D C J J Bergmans
, D Gommers
, D Versluis
, D Weller
, E Christiaan Boerma
, E van Driel
, E de Jonge
, F J Schoonderbeek
, H J F Helmerhorst
, H G Jongsma-van Netten
, J Weenink
, K J Woittiez
, K S Simons

L van Ewelie, M Petjak, M J Sigtermans, M van der Woude, O L Cremer, P Bijlstra, P van der Heiden, R K L So, R Vink, T Jansen, W de Ruijter

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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.

Original language	English
Pages (from-to)	167-174
Number of pages	8
Journal	The Netherlands journal of medicine
Volume	78
Issue number	4
Publication status	Published - Jul 2020

Keywords

Conservative oxygenation
intensive care unit
mechanical ventilation
oxygen therapy
questionnaire
survey

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Grim, C. C. A., Cornet, A. D., Kroner, A., Meiners, A. J., Brouwers, A. J. B. W., Reidinga, A. C., van Westerloo, D. J., Bergmans, D. C. J. J., Gommers, D., Versluis, D., Weller, D., Christiaan Boerma, E., van Driel, E., de Jonge, E., Schoonderbeek, F. J., Helmerhorst, H. J. F., Jongsma-van Netten, H. G., Weenink, J., Woittiez, K. J., ... de Ruijter, W. (2020). Attitudes of Dutch intensive care unit clinicians towards oxygen therapy. The Netherlands journal of medicine, 78(4), 167-174.

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title = "Attitudes of Dutch intensive care unit clinicians towards oxygen therapy",

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.",

keywords = "Conservative oxygenation, intensive care unit, mechanical ventilation, oxygen therapy, questionnaire, survey",

author = "Grim, \{C C A\} and Cornet, \{A D\} and A Kroner and Meiners, \{A J\} and Brouwers, \{A J B W\} and Reidinga, \{A C\} and \{van Westerloo\}, \{D J\} and Bergmans, \{D C J J\} and D Gommers and D Versluis and D Weller and \{Christiaan Boerma\}, E and \{van Driel\}, E and \{de Jonge\}, E and Schoonderbeek, \{F J\} and Helmerhorst, \{H J F\} and \{Jongsma-van Netten\}, \{H G\} and J Weenink and Woittiez, \{K J\} and Simons, \{K S\} and \{van Ewelie\}, L and M Petjak and Sigtermans, \{M J\} and \{van der Woude\}, M and Cremer, \{O L\} and P Bijlstra and \{van der Heiden\}, P and So, \{R K L\} and R Vink and T Jansen and \{de Ruijter\}, W",

year = "2020",

month = jul,

language = "English",

volume = "78",

pages = "167--174",

journal = "The Netherlands journal of medicine",

issn = "0300-2977",

publisher = "Van Zuiden Communications BV",

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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 2020, 'Attitudes of Dutch intensive care unit clinicians towards oxygen therapy', The Netherlands journal of medicine, vol. 78, no. 4, pp. 167-174.

TY - JOUR

T1 - Attitudes of Dutch intensive care unit clinicians towards oxygen therapy

AU - Grim, C C A

AU - Cornet, A D

AU - Kroner, A

AU - Meiners, A J

AU - Brouwers, A J B W

AU - Reidinga, A C

AU - van Westerloo, D J

AU - Bergmans, D C J J

AU - Gommers, D

AU - Versluis, D

AU - Weller, D

AU - Christiaan Boerma, E

AU - van Driel, E

AU - de Jonge, E

AU - Schoonderbeek, F J

AU - Helmerhorst, H J F

AU - Jongsma-van Netten, H G

AU - Weenink, J

AU - Woittiez, K J

AU - Simons, K S

AU - van Ewelie, L

AU - Petjak, M

AU - Sigtermans, M J

AU - van der Woude, M

AU - Cremer, O L

AU - Bijlstra, P

AU - van der Heiden, P

AU - So, R K L

AU - Vink, R

AU - Jansen, T

AU - de Ruijter, W

PY - 2020/7

Y1 - 2020/7

N2 - 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.

AB - 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.

KW - Conservative oxygenation

KW - intensive care unit

KW - mechanical ventilation

KW - oxygen therapy

KW - questionnaire

KW - survey

UR - http://www.njmonline.nl/getpdf.php?id=2221

UR - https://pubmed.ncbi.nlm.nih.gov/32641541/

M3 - Article

C2 - 32641541

SN - 0300-2977

VL - 78

SP - 167

EP - 174

JO - The Netherlands journal of medicine

JF - The Netherlands journal of medicine

IS - 4

ER -

Attitudes of Dutch intensive care unit clinicians towards oxygen therapy

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Keywords

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