#JustReleased: ATS 2019 Guideline on Home Oxygen for Childre
Home oxygen therapy (HOT) is often required in children with chronic respiratory conditions. Recognizing the need for clinical guidance regarding HOT specifically for children, the American Thoracic Society (ATS) has recently published a clinical practice guideline on the implementation, monitoring, and discontinuation of home oxygen therapy for the pediatric population. The guidance appears in the American Journal of Respiratory and Critical Care Medicine.

The target audiences of this guideline are clinicians who manage children with diseases complicated by chronic hypoxemia. This group includes pediatric pulmonologists, pediatric cardiologists, neonatologists, general paediatricians and family practitioners, emergency medicine and primary care clinicians.

The guideline suggests that weaning can be achieved by either reducing the flow of oxygen or withdrawing its use during certain periods of the day. Either way, the panel believes weaning should be achieved gradually over the course of weeks or months. If discontinuation is achieved, the guidelines recommend that families maintain access at home to oxygen therapy for several months in the event that the child develops a viral infection or other problem that necessitates restarting oxygen therapy.

The guidance document addresses the following questions:-

• Should Children with Cystic Fibrosis Complicated by Chronic Hypoxemia Be Treated with HOT?

• Should Children with Bronchopulmonary Dysplasia Complicated by Chronic Hypoxemia Be Treated with HOT?

• Should Children with Sleep-disordered Breathing Complicated by Chronic Hypoxemia Be Treated with HOT?

• Should Children with Sickle Cell Disease Complicated by Chronic Hypoxemia Be Treated with HOT?

• Should Children with Pulmonary Hypertension without Congenital Heart Disease Be Treated with HOT?

• Should Children with Pulmonary Hypertension with Congenital Heart Disease Be Treated with HOT?

• Should Children with Interstitial Lung Disease Complicated by Chronic Hypoxemia Be Treated with HOT?

The recommendations have been made on the following topics:-
• Cystic Fibrosis
• Bronchopulmonary Dysplasia
• Sleep-disordered Breathing
• Sickle Cell Disease
• Pulmonary HTN without Congenital Heart Disease
• Pulmonary HTN with Congenital Heart Disease
• Interstitial Lung Disease

About ATS
The American Thoracic Society (ATS) is the world's leading medical association dedicated to advancing our clinical and scientific understanding of pulmonary diseases, critical illnesses and sleep-related breathing disorders.


Note: This list is a brief compilation of some of the key points included in the guidelines and is not exhaustive and does not constitute medical advice. Kindly refer to the original publication here: https://pxmd.co/djD9Y
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