Andere richtlijnen

AAP: American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis. Diagnosis and management of bronchiolitis. Pediatrics 2006 Oct;118(4):1774-93: Supplemental oxygen is indicated if oxyhemoglobin saturation (SpO₂) falls persistently below 90% in previously healthy infants. If the SpO₂ does persistently fall below 90%, adequate supplemental oxygen should be used to maintain SpO₂ at or above 90%. Oxygen may be discontinued if SpO₂ is at or above 90% and the infant is feeding well and has minimal respiratory distress (option: evidence level D).                                                   Cincinnati: Evidence Based Clinical Practice Guideline For Infants with Bronchiolitis. Medications and Oxygen: It is recommended to consider starting supplemental oxygen when the saturation is consistently less than 91% and consider weaning oxygen when consistently higher than 94% (NIH 1997 [E], Local Expert Consensus [E]). Oxygen therapy is frequently required in the treatment of bronchiolitis. See Monitoring section for recommendation regarding oxygen saturation monitoring to maintain blood oxygen levels within a normal (variable in definition and patient-specific) range.  .SIGN: Infants with oxygen saturation > 94% in air may be considered for discharge.