Section 18 describes the process of providing supplemental oxygen to infants with an ongoing oxygen requirement who do not require ventilation or CPAP
For humidification use the sterile water pack. Once the flow has become micro low flow < 40 L/min there is no need to use humidification
Change humidity weekly
Obtain medical order for the commencement of oxygen therapy.
Explain the procedure and principle of low flow oxygen therapy to the parents
Ensure the neonate is monitored using a pulse oximeter, with the alarm limits set at 88-95% (2) unless otherwise directed by the medical staff
Attach low flow meter to an oxygen outlet
Attach nasal cannula to the low flow meter
Prepare the neonates skin with no sting barrier and duoderm.
Tape the appropriate size nasal cannula, ensuring there is no pressure on the nares
Set oxygen flow rate to maintain SaO2 levels between 88-95%
Observe and record oxygen saturations 1/24 – 4 hourly with cares
Notify neonatal registrar/neonatologist of significant changes in oxygen administration
Document procedure in neonate’s records
For long term oxygen therapy, provide education to the parents and allow them ample opportunity to practice changing the nasal cannula and observing changes in infants condition prior to discharge
Micro low flow & Low flow meters should be attached to the wall oxygen outlet only, do not attach to the blender.
Blended Gas Delivery
Apply nasal cannula as above.
Adjust flow as per Table 1. Please note this table is a guide only.
Consider other modes of respiratory support eg CPAP