The Science Journal of the American Association for Respiratory Care

2000 OPEN FORUM Abstracts

Selecting The Most Appropriate Ambulatory Oxygen System For Your Patient

Gregg Spratt, RRT Rotech Medical Corporation, Kirksville, Missouri

Presents a process that can be used to match a particular ambulatory oxygen system to a patient's needs. Describes the appropriate manner of ensuring that an oxygen-consuming device provides acceptable saturation during all phases of ambulation.
I. Factors in choosing an appropriate system
A. Patient Needs/Requirements
1. Oxygen requirements during activity
a. Liter flow
b. Usage per day/week/month
2. Patient desires
3. Physical limitations
a. Strength
b. Dexterity
c. Orthopedic limitations
4. Cosmetic/aesthetics
5. Deliveries
a. Distance
b. Frequency
B. Physician Requirements
C. System Benefits/Limitations
1. Conserver vs. Continuous flow
2. Weight
3. User-friendliness
4. Special Cannulas
5. Refillability/Ability to carry spare
D. Using Multiple Modalities
E. Costs
II. Medical Appropriateness
A. One liter flow versus need-based flow
B. Assessing appropriateness
C. Therapist Driven Protocols
1. Assessment for oxygen flow
2. Assessment for conserver
III. Role of Home Care Therapist

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