Hood O2 Therapy and Cool Mist
1. Hood O2
1.1 Equipment needed: Humidifier, blender, O2 analyzer, hood with weighted
collar, 3 ft. corrigated aerosol
tubing, 6" flex tubing,
flow deflector, distal temperature monitoring device, a tcom or oximeter,
tubing, inlet nipple adaptor, sterile water
1.2 Hood Procedure:
1.2.1 Once a need for O2 has been determined, obtain a
written physician's order
1.2.2 Set up humidifier per humidifier policy.
1.2.3 Set up blender per blender policy . Turn analyzer
on per analyzer policy
1.2.4 Connect oxygen tubing to flowmeter nipple on blender
and to humidifier inlet nipple.
1.2.5 Attach corrigated aerosol tubing to humidifier outlet.
1.2.6 Attach distal temperature monitoring device, flex tubing,
and flow deflector to hood with
1.2.7 Put sterile water in humidifier and turn on to appropriate
temperature (33-35C). Turn flow
on blender to 10-12 lpm.
1.2.8 Place patient in hood. Allow at least one hand
to be near face.
1.2.9 An oximeter or tcom. should be applied to patient, as
described in section 6, to assist
in monitoring effectiveness of therapy.
1.2.10 Calibrate O2 analyzer, and place in hood close to patient airway.
Set alarm limits. A 4x4
gauze may be place over hood opening to control FiO2.
1.2.11 Assess effectiveness of therapy and patient after initiation
of therapy.This includes color, ,
tcom. or oximeter reading, respiratory rate and breath sounds
1.2.12 Continuously monitor and reassess the infant.
1.2.13 Empty tubing of condensed water and check temperature, water level,
2. Hood Therapy via Sechrist Ventilator
2.1 Indications: Oxyhoods are run off ventilators and Fisher-Paykel
humidifiers only as a step
down after extubation.
2.2 As soon as it is determined the infant will not need to be intubated
in the near future, a hood set
up should be used as outlined in section 7-2.
2.3 Equipment needed: Hood with weighted collar, flow deflector,
and flex tubing
2.4 Procedures for hood
3. Cool Mist
2.41 Leave vent tubing inpiratory line in place. Tubing wire
plugged in. Turn off vent and alarm.
2.42 Unplug expiratory tubing wire. F/P alarm should not sound.
2.43 Leave temperature probes in place.
2.44 Remove inspiratory line from patient "Y" and remove hard plastic adapter
2.45 Fit vent tubing to inside of 22 mm adaptor
2.46 Continue with regular hood set up.
3.1 Purpose: To provide a cool, humid environment to help relieve upper
3.2 Equipment needed: Air flowmeter with prefilled nebulizer, 3' corrigated
3.31 Obtain physician's order for cool mist.
3.32 Connect air flowmeter to wall outlet.
3.33 Attach nebulizer to air flowmeter.
3.34 Attach 3' corrigated tubing to outlet with oxygen nebulizer.
3.35 Attach blue flow deflector to distal end of corrigated_tubing.
3.36 Place distal end of corrigated tubing with flow_deflector at head
of infant's crib.
3.37 Turn flow on to 10 lpm.