Document Detail


Chronic oxygen therapy.
MedLine Citation:
PMID:  412017     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Chronic low flow oxygen is useful therapy for patients with chronic obstructive lung disease who are crippled by hypoxemia despite optimal programs of usual respiratory care. Patients should be considered for chronic oxygen therapy who have (a) a resting Pao2 less than 55 mm Hg while breathing room air; or (b) profound tissue hypoxemia measured by mixed venous Pao2 and suggested by symptoms such as cor pulmonale and congestive heart failure; or (c) pulmonary hypertension or polycythemia even though daytime Pao2 is greater than 55 mm Hg. Arterial blood must be obtained to demonstrate hypoxemia and assess the benefits of oxygen therapy. Patients on chronic oxygen must remain under close medical supervision. There are no absolute contraindications to chronic oxygen therapy, other than refusal of the patient to quit smoking. Complications of therapy appear to be negligible. The exciting suggestion of improved prognosis in patients with chronic obstructive lung disease on oxygen therapy and the possibility of delaying the long-term sequelae of chronic respiratory failure bear careful watching in the future.
Authors:
M R Flick; A J Block
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Medical clinics of North America     Volume:  61     ISSN:  0025-7125     ISO Abbreviation:  Med. Clin. North Am.     Publication Date:  1977 Nov 
Date Detail:
Created Date:  1978-01-27     Completed Date:  1978-01-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985236R     Medline TA:  Med Clin North Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1397-406     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Acidosis, Respiratory / therapy
Humans
Long-Term Care
Lung Diseases, Obstructive / therapy*
Oxygen Inhalation Therapy* / instrumentation,  methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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