Normativa para la indicación y empleo de la oxigenoterapia continuada domiciliaria (OCD)

Agudo, L. Sánchez; Cornudella, R.; Miró, Ramón; Martín, L.; Pieras, Emilio Servera

doi:10.1016/s0300-2896(15)30487-7

Cited by 45 publications

(5 citation statements)

References 15 publications

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“…One must be careful not to allow air to escape through the fittings on the pressure gauge and nasal masks, or through any connectors in the hose, if connections are necessary. The connector should be cleaned weekly with water and soap 16,31. In some cases in the present study the hose length was shorter than the length necessary to allow patients to perform activities of daily living.…”

Section: Discussionmentioning

confidence: 79%

The importance of knowing the home conditions of patients receiving long-term oxygen therapy

Godoy¹,

Tanni²,

Hernández³

et al. 2012

COPD

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PurposeLong-term oxygen therapy (LTOT) is one of the main treatments for patients with chronic obstructive pulmonary disease. Patients receiving LTOT may have less than optimal home conditions and this may interfere with treatment. The objective of this study was, through home visits, to identify the characteristics of patients receiving LTOT and to develop knowledge regarding the home environments of these patients.MethodsNinety-seven patients with a mean age of 69 plus or minus 10.5 years were evaluated. This study was a cross-sectional descriptive analysis. Data were collected during an initial home visit, using a questionnaire standardized for the study. The results were analyzed retrospectively.ResultsSeventy-five percent of the patients had chronic obstructive pulmonary disease, and 11% were active smokers. The patients’ mean pulse oximetry values were 85.9% plus or minus 4.7% on room air and 92% plus or minus 3.9% on the prescribed flow of oxygen. Most of the patients did not use the treatment as prescribed and most used a humidifier. The extension hose had a mean length of 5 plus or minus 3.9 m (range, 1.5–16 m). In the year prior to the visit, 26% of the patients received emergency medical care because of respiratory problems. Few patients reported engaging in leisure activities.ConclusionThe home visit allowed us to identify problems and interventions that could improve the way LTOT is used. The most common interventions related to smoking cessation, concentrator maintenance and cleaning, use of a humidifier, and adjustments of the length of the connector hose. Therefore, the home visit is a very important tool in providing comprehensive care to patients receiving LTOT, especially those who show lack of adequate progress and those who show uncertainty about the treatment method.

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Section: Discussionmentioning

confidence: 79%

The importance of knowing the home conditions of patients receiving long-term oxygen therapy

Godoy¹,

Tanni²,

Hernández³

et al. 2012

COPD

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“…A pesar de que la OCD ha demostrado ser eficaz si se realiza al menos 16 h al día, tal como proponen las diversas normativas [4][5][6] , parece claro a partir del estudio NOTT 1 que los beneficios de la oxigenoterapia continua (24 h) son superiores. En los últimos años la introducción del oxígeno líquido ha permitido prolongar las horas de tratamiento, así como administrarlo fuera del domicilio del paciente.…”

Section: Introductionunclassified

Eficacia de la prueba de los 6 minutos de marcha en la valoración de la oxigenoterapia de deambulación

Morante

Güell

Mayos

2005

Archivos de Bronconeumología

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“…These findings were reaffirmed in later trials (Dubois et al 1994; Zielinski et al 1998). NOTT (1980) and MRC (1981) trials led to the establishment of criteria for oxygen therapy in almost every country in the developed world (Table 1) (Sanchez-Agudo et al 1998; ATS 1995; Siafakas et al 1995; Celli et al 2004; Rabe et al 2007). There is also evidence that LTOT has benefits other than survival.…”

Section: Benefits Of Long-term Oxygen Therapymentioning

confidence: 99%

“…According to COPD and LTOT treatment guidelines (Sanchez-Agudo et al 1998; ATS 1995; Siafakas et al 1995; Celli et al 2004; Rabe et al 2007) the oxygen flow should be titrated during the daytime when the patient is clinically stable and awake, using the same oxygen source as that received at home. It is recom- mended to set the oxygen flow to achieve SaO 2 ≥90% using a pulse oximeter, taking an arterial blood gas sample to assure correct titration.…”

Section: Does the Oxygen Flow Prescribed Adequately Correct Saturaciomentioning

confidence: 99%

Long-term oxygen therapy: Are we prescribing appropriately?

Rous

2008

COPD

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Long-term oxygen therapy (LTOT) is the treatment proven to improve survival in chronic obstructive pulmonary disease (COPD) patients with chronic respiratory failure. It also appears to reduce the number of hospitalizations, increase effort capacity, and improve health-related quality of life. Standard LTOT criteria are related to COPD patients who have PaO2 <60 mmHg, are in a clinical stable situation, and are receiving optimal pharmacological treatment. According to LTOT guidelines, oxygen should be prescribed for at least 18 hours per day although some authors consider 24 hours would be more beneficial. The benefits of LTOT depend on correction of hypoxemia. Arterial blood gases should be measured at rest. During exercise, an effort test should be done to assure adequate SaO2. During sleep, continuous monitoring of SaO2 and PaCO2 should be performed to confirm correction of SaO2 overnight. An arterial blood gas sample should be taken at awakening to assess PaCO2 in order to prevent hypoventilation from the oxygen therapy. Several issues that need to be addressed are the use of LTOT in COPD patients with moderate hypoxemia, the efficacy of LTOT in patients who desaturate during exercise or during sleep, the optimal dosage of oxygen supplementation, LTOT compliance, and the LTOT prescription in diseases other than COPD.

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Normativa para la indicación y empleo de la oxigenoterapia continuada domiciliaria (OCD)

Cited by 45 publications

References 15 publications

The importance of knowing the home conditions of patients receiving long-term oxygen therapy

The importance of knowing the home conditions of patients receiving long-term oxygen therapy

Eficacia de la prueba de los 6 minutos de marcha en la valoración de la oxigenoterapia de deambulación

Long-term oxygen therapy: Are we prescribing appropriately?

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