Continuous home oxygen therapy

Arch Bronconeumol. 2014 May;50(5):185-200. doi: 10.1016/j.arbres.2013.11.025. Epub 2014 Jan 23.
[Article in English, Spanish]

Abstract

Oxygen therapy is defined as the therapeutic use of oxygen and consists of administering oxygen at higher concentrations than those found in room air, with the aim of treating or preventing hypoxia. This therapeutic intervention has been shown to increase survival in patients with chronic obstructive pulmonary disease (COPD) and respiratory failure. Although this concept has been extended by analogy to chronic respiratory failure caused by respiratory and non-respiratory diseases, continuous oxygen therapy has not been shown to be effective in other disorders. Oxygen therapy has not been shown to improve survival in patients with COPD and moderate hypoxaemia, nor is there consensus regarding its use during nocturnal desaturations in COPD or desaturations caused by effort. The choice of the oxygen source must be made on the basis of criteria such as technical issues, patient comfort and adaptability and cost. Flow must be adjusted to achieve appropriate transcutaneous oxyhaemoglobin saturation correction.

Keywords: Enfermedades respiratorias; Oxigenoterapia; Oxygen therapy; Procedimientos y técnicas domiciliarias; Procedures and domiciliary techniques; Respiratory diseases; Respiratory therapy; Terapias respiratorias.

Publication types

  • Practice Guideline

MeSH terms

  • Equipment Design
  • Home Care Services*
  • Humans
  • Hypoxia / therapy
  • Oxygen Inhalation Therapy* / instrumentation
  • Pulmonary Disease, Chronic Obstructive / therapy
  • Respiratory Insufficiency / therapy