Skip to main content

Main menu

  • Home
  • Current issue
  • ERJ Early View
  • Past issues
  • Authors/reviewers
    • Instructions for authors
    • Submit a manuscript
    • Open access
    • COVID-19 submission information
    • Peer reviewer login
  • Alerts
  • Podcasts
  • Subscriptions
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

User menu

  • Log in
  • Subscribe
  • Contact Us
  • My Cart

Search

  • Advanced search
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

Login

European Respiratory Society

Advanced Search

  • Home
  • Current issue
  • ERJ Early View
  • Past issues
  • Authors/reviewers
    • Instructions for authors
    • Submit a manuscript
    • Open access
    • COVID-19 submission information
    • Peer reviewer login
  • Alerts
  • Podcasts
  • Subscriptions

Weight-based oxygen flow rate is predictive of successful weaning of long-term oxygen therapy in babies with bronchopulmonary dysplasia

Katherine Millard, Matthew Hurley, Andrew Prayle, Sarah Spencer, Dushyant Batra, Jayesh M. Bhatt
European Respiratory Journal 2016 48: PA1298; DOI: 10.1183/13993003.congress-2016.PA1298
Katherine Millard
Respiratory Paediatrics, Nottingham Children's Hospital, Nottingham, NottinghamshireUnited Kingdom
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Matthew Hurley
Respiratory Paediatrics, Nottingham Children's Hospital, Nottingham, NottinghamshireUnited Kingdom
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Andrew Prayle
Respiratory Paediatrics, Nottingham Children's Hospital, Nottingham, NottinghamshireUnited Kingdom
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sarah Spencer
Respiratory Paediatrics, Nottingham Children's Hospital, Nottingham, NottinghamshireUnited Kingdom
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Dushyant Batra
Respiratory Paediatrics, Nottingham Children's Hospital, Nottingham, NottinghamshireUnited Kingdom
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jayesh M. Bhatt
Respiratory Paediatrics, Nottingham Children's Hospital, Nottingham, NottinghamshireUnited Kingdom
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
Loading

Abstract

Background: There are currently no evidence-based guidelines to wean home oxygen in babies with bronchopulmonary dysplasia(BPD). We perform serial overnight oximetry guiding a wean to a reduced flow rate until discontinuation if babies meet set targets(wean by decrements of 0.1L/min until a flow rate of 0.1L/min is achieved→ 2 hour day time oximetry in air→ increasing awake time off oxygen over 2 weeks→ overnight air study→ discontinue). Previous small studies suggest that flow rates of ≤20 ml/kg/min are predictive of successful oxygen discontinuation.

Aims: To evaluate the pre-weaning weight-based flow rates of babies successfully weaned from oxygen.

Methods: 173 babies were successfully weaned from home oxygen for BPD. The weight of the child at time of oxygen discontinuation was recorded. Babies without a recorded weight were excluded (n=24). Flow rates for each baby immediately prior to coming off oxygen were calculated in ml/kg/min.

Results: This analysis includes 5 babies who were successfully weaned from a flow rate of ≤20 ml/kg/min i.e. weaned from an absolute flow rate of ≥0.1 L/min, or who had day and night air studies carried out on the same day, thereby reducing the duration of home oxygen therapy.

Number of babies149
Mean weight in Kg(SD) at cessation of oxygen6.55(± 1.75)
Flow rate in ml/kg/min(SD)16.52(± 4.79)
Number of babies successfully weaned at flow rates ≤20 ml/kg/min121/149(81.2%)

Conclusions:Successful weaning from home oxygen in a large cohort of babies with BPD is associated with pre-weaning flow rates of ≤20 ml/kg/min. This validates previous suggestions that this may be a useful predictor of readiness to come off oxygen.

  • Children
  • Oxygen therapy
  • Monitoring
  • Copyright ©the authors 2016
Previous
Back to top
Vol 48 Issue suppl 60 Table of Contents
  • Table of Contents
  • Index by author
Email

Thank you for your interest in spreading the word on European Respiratory Society .

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Weight-based oxygen flow rate is predictive of successful weaning of long-term oxygen therapy in babies with bronchopulmonary dysplasia
(Your Name) has sent you a message from European Respiratory Society
(Your Name) thought you would like to see the European Respiratory Society web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Weight-based oxygen flow rate is predictive of successful weaning of long-term oxygen therapy in babies with bronchopulmonary dysplasia
Katherine Millard, Matthew Hurley, Andrew Prayle, Sarah Spencer, Dushyant Batra, Jayesh M. Bhatt
European Respiratory Journal Sep 2016, 48 (suppl 60) PA1298; DOI: 10.1183/13993003.congress-2016.PA1298

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
Weight-based oxygen flow rate is predictive of successful weaning of long-term oxygen therapy in babies with bronchopulmonary dysplasia
Katherine Millard, Matthew Hurley, Andrew Prayle, Sarah Spencer, Dushyant Batra, Jayesh M. Bhatt
European Respiratory Journal Sep 2016, 48 (suppl 60) PA1298; DOI: 10.1183/13993003.congress-2016.PA1298
del.icio.us logo Digg logo Reddit logo Technorati logo Twitter logo CiteULike logo Connotea logo Facebook logo Google logo Mendeley logo

Jump To

  • Article
  • Figures & Data
  • Info & Metrics
  • Tweet Widget
  • Facebook Like
  • Google Plus One

More in this TOC Section

  • Nasal high flow reduces minute ventilation in neonates
  • Use of heated humidified high flow nasal cannula therapy in a tertiary children's hospital
Show more 7.5 Neonatology and Paediatric Intensive Care

Related Articles

Navigate

  • Home
  • Current issue
  • Archive

About the ERJ

  • Journal information
  • Editorial board
  • Reviewers
  • Press
  • Permissions and reprints
  • Advertising

The European Respiratory Society

  • Society home
  • myERS
  • Privacy policy
  • Accessibility

ERS publications

  • European Respiratory Journal
  • ERJ Open Research
  • European Respiratory Review
  • Breathe
  • ERS books online
  • ERS Bookshop

Help

  • Feedback

For authors

  • Instructions for authors
  • Publication ethics and malpractice
  • Submit a manuscript

For readers

  • Alerts
  • Subjects
  • Podcasts
  • RSS

Subscriptions

  • Accessing the ERS publications

Contact us

European Respiratory Society
442 Glossop Road
Sheffield S10 2PX
United Kingdom
Tel: +44 114 2672860
Email: journals@ersnet.org

ISSN

Print ISSN:  0903-1936
Online ISSN: 1399-3003

Copyright © 2022 by the European Respiratory Society