Oxygen treatment of critically ill children: A lack of evidence

In hospitals, oxygen is the most frequently administered medication to pediatric in-patients. Too much oxygen in arterial blood is not a natural occurrence, consequently hyperoxia can be caused by healthcare providers. The aim of this scoping study was to synthesize evidence that could contribute to safe and appropriate oxygen treatment in children 0–3 years of age. The method was in line with Arksey and O’Malley’s framework, and 11 research articles regarding oxygen treatment were included. The main results are presented as three key findings: 1) overview of assessing the need for oxygen based on the use of pulse oximetry, 2) overview of oxygen treatment, and 3) overview of the need for educational intervention. In conclusion, there is a shortage of research literature to guide nurses in assessment of oxygen requirements, and administration of oxygen treatment in critically ill children. Consensus and guidelines are needed, as there are variations in practice regarding oxygen treatment.