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  • 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, O2
  • 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
  • weighted collar.
  • 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, and alarms
  • periodically.
  • 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
  •  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 from tubing.
  • 2.45 Fit vent tubing to inside of 22 mm adaptor
  • 2.46 Continue with regular hood set up.
  • 3. Cool Mist
  • 3.1 Purpose: To provide a cool, humid environment to help relieve upper airway symptoms
  • 3.2 Equipment needed: Air flowmeter with prefilled nebulizer, 3' corrigated tubing,  flow
  • deflector.
  • 3.3 Procedure:
  • 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.
  •