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Saturday, January 7, 2012

Some very good information on Oxygen usage

Oxygen Treatment for Chronic Obstructive Pulmonary Disease (COPD)

Oxygen treatment increases the amount of oxygen that flows into your lungs and bloodstream. If your COPD is very bad and your blood oxygen levels are low, getting more oxygen can help you breathe better and live longer.
There are several ways to deliver the oxygen, including:

Recommended Related to COPD

Doctors may make a diagnosis from reported symptoms and findings from the physical exam. For many conditions, however, a diagnosis cannot be made without conducting tests. This is especially true for lung diseases. Individuals with COPD are often diagnosed with "pulmonary emphysema." This means the air sacs, or "alveoli," of the lungs are damaged. These tiny sacs cannot be seen directly in a physical exam. So, health care providers depend on a series of tests. These tests help them diagnose...
  • Oxygen concentrators.
  • Oxygen-gas cylinders.
  • Liquid-oxygen devices.
You don't have to stay at home or in a hospital to use oxygen. Oxygen systems are portable. You can use them while you do your daily tasks.

What To Expect After Treatment

Long-term oxygen treatment may improve your quality of life. It can help you live longer when you have severe COPD and low oxygen levels. You may notice less shortness of breath and have more energy.

Why It Is Done

Long-term oxygen therapy is used for COPD if you have low levels of oxygen in your blood (hypoxia). It is used mostly to slow or prevent right-sided heart failure. It can help you live longer.
Oxygen may be given in a hospital if you have a rapid, sometimes sudden, increased shortness of breath (COPD exacerbation). Oxygen can also be used at home if the oxygen level in your blood is too low for long periods.
Long-term oxygen therapy should be used for at least 15 hours a day with as few interruptions as possible. Regular use can reduce the risk of death from low oxygen levels.1 To get the most benefit from oxygen, you use it 24 hours a day.
An arterial blood gas test should be done first to see if you need oxygen. You may not be able to get Medicare reimbursement for home oxygen therapy without this test. If your test results do not meet the following guidelines, Medicare may not pay for home oxygen therapy:
  • Arterial partial pressure of oxygen (PaO2) is less than or equal to 55 mm Hg (millimeters of mercury, a measure of pressure).
  • Arterial oxygen saturation is less than or equal to 88%.
  • Arterial partial pressure of oxygen (PaO2) is between 56 mm Hg and 59 mm Hg, or oxygen saturation is 89% and you have:
  • Arterial oxygen saturation is greater than 88% when you are resting but becomes less than or equal to 88% when you are exercising or sleeping.

How Well It Works

Several studies show that using oxygen at home for more than 15 hours a day increases quality of life and helps people live longer when they have severe COPD and low blood levels of oxygen.12 Oxygen therapy has good short-term and long-term effects in people with COPD.3
Using oxygen may also improve confusion and memory problems. It may improve impaired kidney function caused by low oxygen levels.


Generally, there are no risks from oxygen treatment as long as you follow your doctor's instructions. But oxygen is a fire hazard, so it is important to follow safety rules. Do not use oxygen around lit cigarettes, open flames, or anything flammable.
Oxygen is usually prescribed to raise the PaO2 to between 60 and 65 mm Hg or the saturations from 90% to 92%. Higher flow rates usually do not help, and they can even be dangerous.

What To Think About

People using oxygen should not smoke.
Do not use oxygen around lit cigarettes or an open flame. If you or those who care for you smoke, or if there are other risks for fire, it is important to consider oxygen treatment very carefully because of the danger of fire or explosion.
You may need oxygen in certain situations, including:
  • During exercise. For some people with COPD, blood oxygen levels drop only when they exercise or are very active. Using oxygen during exercise may help boost performance and reduce shortness of breath for some people. But there are no studies that show any long-term benefits from using oxygen during exercise.
  • During sleep. During sleep, breathing naturally slows down because the body doesn't need as much oxygen. Sleep-related breathing disorders are quite common in people with COPD, and many will have significantly low blood oxygen levels during sleep.
  • For air travel. The level of oxygen in airplanes is about the same as the oxygen level at an elevation of 8000 ft (2438 m). This drop in oxygen can really affect people with COPD. If you normally use oxygen or have borderline-low oxygen levels in your blood, you may need oxygen when you fly. Traveling with oxygenusually is possible. But it is important to plan ahead before you travel.


Gail said...

Good morning,
I was told by my pulmonary Dr. that my breathing may be a bit better if I where at sea level have you heard of any one like us that that is true?

Kellie said...

Yes! I live at 4200 ft above sea level and it makes a huge difference. The air actually is thinner the higher you get. It is a fact. So, the closer to sea level you can get the easier your breathing will be.
Where may I ask, do you live? We have thought that after my surgery, either LVRS or Transplant we will move to the other side of the mountains in Oregon where it is much closer to sea level than where we are.
I wish you good health and easy breathing. :))

Gail said...

Dear Kellie,
I live in Utah which is 4500 and I love the mountains but that is not an option for us anymore with the altitude so high. my husband and i want to go on a mini vacation to check out AZ. that is a chore in itself with all the oxygen i have to order. My husband is a true supporter in all of this but it has changed is life too. I call this the ripple effect everything we do, ends up effecting other people My ex husband of fifteen years just passed away of this and now my husband and son are dealing with it in me go figure.

Kellie said...

My mom lived in the out skirts of Phoenix, and I have friends who live there. My only concern there is the dust storms that they have and what's called Valley Fever..... which is a lung issue. Do some research first. I hope you find somewhere comfortable for you. My best to you. So sorry to hear about your ex husband. This is a terrible disease.

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