Descriptive analysis of emergency department oxygen use in acute exacerbation of chronic obstructive pulmonary disease

Internal Medicine Journal

Volumn 42, Issue 4, 2012, Pages

  Considine, J ^a,b   Botti, M ^b,c   Thomas, S ^c  

^a NORTHERN HEALTH   (Australia)

^b DEAKIN UNIVERSITY   (Australia)

^c MONASH UNIVERSITY   (Australia)

Author keywords

Chronic obstructive pulmonary disease; Emergency medicine; Evidence based practice; Oxygen

Indexed keywords

ADULT; AGED; AMBULANCE; ARTICLE; BREATHING; BREATHING RATE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CONTROLLED STUDY; DESCRIPTIVE RESEARCH; DISEASE EXACERBATION; DYSPNEA; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FEMALE; FLOW RATE; HEART RATE; HOME OXYGEN THERAPY; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; OUTCOME ASSESSMENT; OXYGEN CONSUMPTION; OXYGEN DELIVERY DEVICE; OXYGEN SATURATION; OXYGEN THERAPY; PATIENT CARE; PRIORITY JOURNAL; RETROSPECTIVE STUDY;

ADULT; AGED; AGED, 80 AND OVER; ANOXIA; AUSTRALIA; CLINICAL AUDIT; EMERGENCY SERVICE, HOSPITAL; EMERGENCY TREATMENT; FEMALE; HUMANS; MALE; MIDDLE AGED; OXYGEN; OXYGEN INHALATION THERAPY; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; RETROSPECTIVE STUDIES;

EID: 84859848136     PISSN: 14440903     EISSN: 14455994     Source Type: Journal    
DOI: 10.1111/j.1445-5994.2010.02220.x     Document Type: Article

References (57)

1. Tsai C-L, Griswold SK, Clark S, Camargo CA. Factors associated with frequency of emergency department visits for chronic obstructive pulmonary disease exacerbation. J Gen Intern Med 2007; 22: 799-804.
2. Australian Institute of Health and Welfare (AIHW). Australia's Health 2008. AIHW Cat. No. AUS 99. Canberra: AIHW; 2008.
3. Gooptu B, Ward L, Ansari SO, Eraut CD, Law D, Davison AG. Oxygen alert cards and controlled oxygen: preventing emergency admissions at risk of hypercapnic acidosis receiving high inspired oxygen concentrations in ambulances and A&E departments. Emerg Med J 2006; 23: 636-8.
4. Verrinder A, Kinsman L. Physiology for emergency care. In: Curtis K, Ramsden C, Friendship J, eds. Emergency and Trauma Nursing. Sydney: Elsevier; 2007; 245-63.
5. Brown LH, Manring EA. A comparison of oxygen administration practices of EMTs and emergency physicians. Am J Emerg Med 1997; 15: 648-51.
6. Bateman NT, Leach RM. ABC of oxygen. Acute oxygen therapy. Br Med J 1998; 317(7161): 798-801.
7. Lavery GG. Fear of hypercapnia is leading to inadequate oxygen treatment. Br Med J 1999; 318(7187): 872.
8. Doyle DJ. The rational use of medical oxygen. Emerg Med 1992; 24(12): 214-29.
9. Block ER, Ryerson GG. Safe use of oxygen therapy: avoiding oxygen toxicity...part 1. Respir Ther 1983; 13: 17-21.
10. Young IH. Revisiting oxygen therapy in patients with exacerbation of chronic obstructive pulmonary disease. Med J Aust 2007; 186: 239-40.
11. Joosten SA, Koh MS, Bu X, Smallwood D, Irving LB. The effects of oxygen therapy in patients presenting to an emergency department with exacerbation of chronic obstructive pulmonary disease. Med J Aust 2007; 186: 235-8.
12. National Institute for Clinical Excellence (NICE). Chronic Obstructive Pulmonary Disease: Management of Chronic Obstructive Pulmonary Disease in Adults in Primary and Secondary Care. Clinical Guideline 12. London: National Institute for Clinical Excellence; 2004. [cited 2010 Mar 29]. Available from URL:
13. Global Initiative for Chronic Obstructive Lung Disease. Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Pulmonary Disease: Executive Summary Global Initiative for Chronic Obstructive Lung Disease. 2006. [cited 2010 Mar 29]. Available from URL:
14. McKenzie DK, Abramson M, Crockett AJ, Glasgow N, Jenkins S, McDonald C etal. The COPD-X Plan: Australian and New Zealand Guidelines for the Management of Chronic Obstructive Pulmonary Disease Lutwyche. Queensland: The Australian Lung Foundation; 2008. [cited 2009 Jan 17]. Available from URL:
15. American Thoracic Society/European Respiratory Society Task Force. Standards for the Diagnosis and Management of Patients with COPD: Version 1.2 (Updated 2005). New York: American Thoracic Society; 2004. [cited 2010 Mar 29]. Available from URL:
16. O'Driscoll BR, Howard LS, Davison AG, on behalf of the British Thoracic Society Emergency Oxygen Guideline Development Group. Guideline for Emergency Oxygen Use in Adult Patients. London: British Thoracic Society Emergency Oxygen Guideline Group; 2008. [cited 2009 Nov 2]. Available from URL:
17. McKenzie DK, Frith PA, Burdon JGW, Town GI. The COPD-X Plan: Australian and New Zealand Guidelines for the Management of Chronic Obstructive Pulmonary Disease Lutwyche. Queensland: The Australian Lung Foundation; 2006. [cited 2006 July 1]. Available from URL:
18. National Institute for Clinical Excellence (NICE). Chronic obstructive pulmonary disease. National clinical guideline on management of chronic obstructive pulmonary disease in adults in primary and secondary care. Thorax 2004; 59(Suppl 1): 1-232.
19. Murphy R, Driscoll P, O'Driscoll R. Emergency oxygen therapy for the COPD patient. Emerg Med J 2001; 18: 333-9.
20. Fracchia G, Torda TA. Performance of venturi oxygen delivery devices. Anaesth Intensive Care 1980; 8: 426-30.
21. Nerlich S. Clinical update. Oxygen therapy. Aust Nurs J 1997; 5: insert 4p.
22. Veterans Health Administration USA. Clinical Practice Guideline for the Management of COPD or Asthma. [cited 2010 Mar 29]. Available from URL:
23. Smart D, Mark P. Oxygen therapy in emergency medicine (part 1): physiology and oxygen delivery systems. Emerg Med 1992; 4: 163-78.
24. Tinits P. Oxygen therapy and oxygen toxicity. Ann Emerg Med 1983; 12: 321-8.
25. Hill SL, Barnes PK, Hollway T, Tennant R. Fixed performance oxygen masks: an evaluation. Br Med J Clin Res Educ 1984; 288: 1261-3.
26. Considine J, Botti M, Thomas S. The effect of education on hypothetical and actual oxygen administration decisions. Nurs Educ Today; 2007; 27: 651-60.
27. Bazuaye EA, Stone TN, Corris PA, Gibson GJ. Variability of inspired oxygen concentration with nasal cannulas. Thorax 1992; 47: 609-11.
28. Jeffrey AA, Warren PM. Should we judge a mask by its cover? Thorax 1992; 47: 543-6.
29. Oh TE, Duncan AW. Oxygen therapy. Med J Aust 1988; 149: 141-6.
30. Powner DJ. Supplemental oxygen therapy for adults. Indiana Med 1984; 77: 780-2.
31. Branson RD. The nuts and bolts of increasing arterial oxygenation: devices and techniques. Respir Care 1993; 38: 672-89.
32. Mathewson M. A nasal cannula guarantees a low oxygen concentration to the patient...fact or myth? Crit Care Nurse 1983; 3: 30.
33. Denniston AKO, Stableforth DE, O'Brien C. The use of oxygen in acute exacerbations of chronic obstructive pulmonary disease: a prospective audit of pre-hospital and hospital emergency management. Clin Med 2002; 2: 499-51.
34. Gomersall CD, Joynt GM, Freebairn RC, Lai CKW, Oh TE. Oxygen therapy for hypercapnic patients with chronic obstructive pulmonary disease and acute respiratory failure: a randomized, controlled pilot study. Crit Care Med 2002; 30: 113-16.
35. Victorian Department of Human Services. Your Hospitals: A Report on Victoria's Public Hospitals July 2006 to June 2007. Melbourne: Metropolitan Health and Aged Care Services Division, Victorian Government Department of Human Services; 2007. [cited 2009 May 12]. Available from URL:
36. Epworth Healthcare. Medical Practitioners News. April 2007. Melbourne: Epworth Healthcare; 2007. [cited 2009 May 12]. Available from URL:
37. Roberts RF, Innes, KC, Walker, SM. Casemix: moving forward. Introducing ICD-10-AM in Australian hospitals. Med J Aust 1998; S32-5.
38. Victorian Department of Human Services. Your Hospitals: A Report on Victoria's Public Hospitals July 2007 to June 2008. Melbourne: Metropolitan Health and Aged Care Services Division, Victorian Government Department of Human Services; 2008. [cited 2009 Jan 7]. Available from URL:
39. Australasian College for Emergency Medicine. Policy Document: Standard Terminology. 2001. [cited 2008 Sep]. Available from URL:
40. Hale KE, Gavin C, O'Driscoll BR. Audit of oxygen use in emergency ambulances and in a hospital emergency department. Emerg Med J 2008; 25: 773-6.
41. Camarata SJ, Weil MH, Hanashiro PK, Shubin H. Cardiac arrest in the critically ill. I: a study of predisposing causes in 132 patients. Circulation 1971; 44: 688-95.
42. Suljaga Pechtel K, Goldberg E, Strickon P, Berger M, Skovron ML. Cardiopulmonary resuscitation in a hospitalized population: prospective study of factors associated with outcome. Resuscitation 1984; 12: 77-95.
43. McGloin H, Adam SK, Singer M. Unexpected deaths and referrals to intensive care of patients on general wards. Are some cases potentially avoidable? J R Coll Physicians Lond 1999; 33: 255-9.
44. Considine J. The role of nurses in preventing adverse events related to respiratory dysfunction: literature review. J Adv Nurs 2005; 49: 624-33.
45. Goodacre S, Turner J, Nicholl J. Prediction of mortality among emergency medical admissions. Emerg Med J 2006; 23: 372-5.
46. Jeffrey AA, Warren PM, Flenley DC. Acute hypercapnic respiratory failure in patients with chronic obstructive lung disease: risk factors and use of guidelines for management. Thorax 1992; 47: 34-40.
47. O'Driscoll BR, Howard LS, Davison AG. On behalf of the British Thoracic Society. BTS guideline for emergency oxygen use in adult patients. Thorax 2008; 63(Suppl 6): vi1-68.
48. Rubins HB, Moskowitz MA. Discharge decision-making in a medical intensive care unit. Identifying patients at high risk of unexpected death or unit readmission. Am J Med 1988; 84: 863-9.
49. Goldhill DR, McNarry AF. Physiological abnormalities in early warning scores are related to mortality in adult inpatients. Br J Anaesth 2004; 92: 822-4.
50. Schein RM, Hazday N, Pena M, Ruben BH, Sprung CL. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest 1990; 98: 1388-92.
51. Olsson T, Lind L. Comparison of the Rapid Emergency Medicine Score and APAHE II in nonsurgical emergency department patients. Acad Emerg Med J 2003; 10: 1040-8.
52. Lee A, Bishop G, Hillman KM, Daffurn K. The Medical Emergency Team. Anaesth Intensive Care 1995; 23: 183-6.
53. Hourihan F, Bishop G, Hillman K, Daffurn K, Lee A. The Medical Emergency Team: a new strategy to identify and intervene in high risk patients. Clin Intensive Care 1995; 6: 269-72.
54. Considine J, Thomas S, Potter R. Predictors of critical care admission in emergency department patients triaged as low to moderate urgency. J Adv Nurs 2009; 65: 818-27.
55. A Prelude to Outreach: Prevalence and Mortality of Ward Patients with Abnormal Vital Signs. 15th Annual Congress of the European Society of Intensive Care Medicine; 2002. Barcelona, Spain Intensive Care Medicine.
56. Gerdtz M, Considine J, Sands N, Stewart C, Crellin D, Pollock W etal. Emergency Triage Education Kit. Canberra: Department of Health and Ageing; 2007.
57. Ruger JP, Richter CJ, Lewis LM. Clinical and economic factors associated with ambulance use to the emergency department. Acad Emerg Med 2006; 13: 879-85.