Application status of titrated oxygen therapy in patients with acute exacerbation of COPD: a three-year literature review_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

 ZHANG Li ¹ , HE Quanying ²

1. Medical College of Shanxi Datong University, Datong, Shanxi 037009, P.R.China;
2. Department of Respiratory and Critical Care Medicine, Peking University People’s Hospital, Beijing 100044, P.R.China;

Corresponding?author：

ZHANG Li, Email: zhangli_yhw@sohu.com

Keywords：

Acute exacerbation of chronic obstructive pulmonary disease; Titrated oxygen treatment; Hyperoxemia

DOI：

10.7507/1671-6205.201612012

Video：

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Objective To investigate the application status of titrated oxygen therapy in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) by means of literature retrieving. Methods Database retrieving is taken on eight major domestic medical journals about the treatment for AECOPD patients during the period of January 2013 to December 2015. Results There were 70 articles involving the treatment of AECOPD in the eight major journals during 2013 to 2015. Oxygen therapy was not mentioned in 14 articles, oxygen therapy data were incomplete in 13 papers and relatively complete in 43 papers. None of the articals provided full description of oxygen therapy. The arterial blood gas of the patients was analyzed, and showed excessive or not enough on effect of oxygen treatment. Conclusion The clinicians did not pay enough attention to oxygen treatment for AECOPD patients, so treatment guideline and clinical pathway should be construed to standardize titrated oxygen therapy.

Citation： ZHANG Li, HE Quanying. Application status of titrated oxygen therapy in patients with acute exacerbation of COPD: a three-year literature review. Chinese Journal of Respiratory and Critical Care Medicine, 2017, 16(3): 250-253. doi: 10.7507/1671-6205.201612012 Copy

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3.	Qaseem A, Weinberger SE. Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline update from the American College of Physicians, American Thoracic Society, and European Respiratory Society. Ann Inter Med, 2011, 155(3): 179-191.
4.	Austin MA, Wills KE, Blizzard L, et al. Effect of high flow oxygen on mortality in chronic obstructive pulmonary disease patients in prehospital setting: randomised controlled trial. BMJ, 2010, 341: c5462.
5.	Roberts CM, Stone RA, Buckingham RJ, et al. Acidosis, non-invasive ventilation and mortality in hospitalized COPD exacerbations. Thorax, 2011, 66(1): 43-48.
6.	Martin DS, Grocott MP. Oxygen therapy in critical illness: precise control of arterial oxygenation and permissive hypoxemia. Crit Care Med, 2013, 41(2): 423-432.
7.	Altemeier WA, Sinclair SE. Hyperoxia in the intensive care unit: why more is not always better. Curr Opin Crit Care, 2007, 13(1): 73-78.
8.	Crapo JD, Hayatdavoudi G, Knapp MJ, et al. Progressive alveolar septal injury in primates exposed to 60% oxygen for 14 days. Am J Physiol, 1994, 267(6 Pt 1): L797-L806.
9.	de Graaff AE, Dongelmans DA, Binnekade JM, et al. Clinicians’ response to hyperoxia in ventilated patients in a Dutch ICU depends on the level of FiO ₂. Intensive Care Med, 2001, 37(1): 46-51.
10.	Kilgannon JH, Jones AE, Parrillo JE, et al. Emergency Medicine Shock Research Network (EMShockNet) Investigators. Relationship between supranormal oxygen tension and outcome after resuscitation from cardiac arrest. Circulation, 2011, 123(23): 2717-2722.
11.	O’Driscoll BR, Howard LS, Davison AG, et al. BTS guideline for emergency oxygen use in adult patients. Thorax, 2008, 63(Suppl 6): 1-68.
12.	馬艷良, 何權瀛. 目標氧療多學科學術研討會會議紀要. 中華結核和呼吸雜志, 2011, 39(6): 492-493.

1. GOLD Executive Committee. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (Revised 2015) [EB/OL]. [2015-02-08]. Available at: http://www.goldcopd.com.
2. 中華醫學會呼吸病學分會慢性阻塞性肺疾病學組. 慢性阻塞性肺疾病診治指南(2013 年修訂版). 中華結核和呼吸雜志, 2013, 36(4): 255-264.
3. Qaseem A, Weinberger SE. Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline update from the American College of Physicians, American Thoracic Society, and European Respiratory Society. Ann Inter Med, 2011, 155(3): 179-191.
4. Austin MA, Wills KE, Blizzard L, et al. Effect of high flow oxygen on mortality in chronic obstructive pulmonary disease patients in prehospital setting: randomised controlled trial. BMJ, 2010, 341: c5462.
5. Roberts CM, Stone RA, Buckingham RJ, et al. Acidosis, non-invasive ventilation and mortality in hospitalized COPD exacerbations. Thorax, 2011, 66(1): 43-48.
6. Martin DS, Grocott MP. Oxygen therapy in critical illness: precise control of arterial oxygenation and permissive hypoxemia. Crit Care Med, 2013, 41(2): 423-432.
7. Altemeier WA, Sinclair SE. Hyperoxia in the intensive care unit: why more is not always better. Curr Opin Crit Care, 2007, 13(1): 73-78.
8. Crapo JD, Hayatdavoudi G, Knapp MJ, et al. Progressive alveolar septal injury in primates exposed to 60% oxygen for 14 days. Am J Physiol, 1994, 267(6 Pt 1): L797-L806.
9. de Graaff AE, Dongelmans DA, Binnekade JM, et al. Clinicians’ response to hyperoxia in ventilated patients in a Dutch ICU depends on the level of FiO ₂. Intensive Care Med, 2001, 37(1): 46-51.
10. Kilgannon JH, Jones AE, Parrillo JE, et al. Emergency Medicine Shock Research Network (EMShockNet) Investigators. Relationship between supranormal oxygen tension and outcome after resuscitation from cardiac arrest. Circulation, 2011, 123(23): 2717-2722.
11. O’Driscoll BR, Howard LS, Davison AG, et al. BTS guideline for emergency oxygen use in adult patients. Thorax, 2008, 63(Suppl 6): 1-68.
12. 馬艷良, 何權瀛. 目標氧療多學科學術研討會會議紀要. 中華結核和呼吸雜志, 2011, 39(6): 492-493.

Chinese Journal of Respiratory and Critical Care Medicine

Application status of titrated oxygen therapy in patients with acute exacerbation of COPD: a three-year literature review

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