Management of Respiratory Failure at Pulmonology unit in a Tertiary Care Hospital

Abstract

Background: Respiratory failure is a common cause of in-hospital mortality. Its correct diagnosis along with the determination of underlying cause/s and appropriate treatment is important. Objective: To audit the management of Respiratory Failure at Pulmonology unit in a Tertiary Care Hospital Patients and Methods: This was an observational study conducted at the Pulmonology department of a tertiary care Hospital from 1st August to 31st October 2021. Medical records of all patients admitted with SpO2 < 92% were retrieved. Parameters of interest were the diagnosis of Respiratory failure, ABGs analysis, and proper oxygen prescription. BTS guidelines (2017) were considered as standard for comparison. Data Analysis: Data were entered into SPSS 19. Percentages were calculated for diagnosis, type of respiratory failure, ABGs Analysis, documentation of Oxygen prescription, target SpO2, and delivery device. Mean and Std. deviation was calculated for age and mean sSpO2. The results were presented as graphs. Results: A total of 100 patients’ charts were reviewed. The mean age of patients was 48.8 (±19) years and among these, 45% were males. The initial SpO2 ranged from 45 to 91%. ABGs were taken in 87% of patients and the majority (64%) had type 1 Respiratory Failure. The correct diagnosis was mentioned in 82% of patients’ charts. Oxygen was prescribed to 96% but the exact flow and target SpO2 were mentioned only in 33%. Conclusion: There is a major problem with oxygen prescription practices and to some extent with the diagnosis of Respiratory Failure.