Supportive Oxygen Concentrators

Mr. Magnuson has had slow decline in his functional status over many years, which is consistent with his progressive chronic obstructive pulmonary disease and chronic respiratory failure. At this time, I have ordered a six-minute walk test as well as arterial blood gas to document the need for supplemental oxygen on a continuous basis. Provided that there is sufficient evidence for him to qualify for oxygen, we will work with his durable medical equipment company and order an oxygen concentrator as well as portable oxygen

This study focuses on methods to confirm proper tube placement. Through a cross sectional study, the research concluded that over seventy eight percent of critical care health workers use multiple methods to confirm tube placement. Some of the more common methods include looking at the gastric aspirate’s pH, observing the patient for signs or respiratory distress, and capnography. Auscultation of the air bolus was not included in the study because it was deemed “unreliable”. However, a small separate study was done and about eighty eight percent of critical care health workers claimed they also used an air bolus auscultation as a method of confirming placement. So, what is the reasoning for health care workers to continue doing this if it is unreliable? It has been hypothesized that this method requires the least amount of supplies and the nurses can do it quickly and easily. This research study along with many others concludes that air bolus auscultation is not an accurate method because the sounds nurses are used to hearing that “confirm” proper tube placement in the gastrointestinal tract are the same as sounds heard in the lungs and other areas of the

Oxygen can be a comforting, life sustaining treatment and a potent killer. As one of three components of the fire triangle (heat, fuel, and oxygen), it has the potential to cause great injury and even death in those who ignore the risks and fail to follow safety guidelines. The Joint Commission has identified the risk of medical oxygen home fires as serious enough to include it as the 2015 National Patient Safety Goal (NPSG) 15.02.01. It states a home care organization must “Identify patient safety areas: Find out if there are any risks for patients who are getting oxygen. For example, fires in the patient’s home.” (The Joint Commission, 2015). This work is a review of available literature on the issue, its link to nursing administration, the significance to quality and safe nursing practice, as well as potential opportunities for improvement and recommendations for strategies to improve the safety of patients, families, and nursing staff. According to 2003 – 2006 data from the Consumer Product Safety Commission’s National Injury Surveillance System, medical oxygen in the home was a factor in and average of 1,190 thermal burns seen annually in U.S. emergency rooms (Galligan, et al., 2015). Smoking is the leading cause in these incidents and several studies suggest that the incidence of burn

The pure oxygen gives the user a lot easier time breathing and allows there body to work less to take in oxygen. The amount of intake of the pure oxygen is prescribed by a doctor and should not be tampered with, or the user might succumb to oxygen poising. The pure oxygen is only a temporary solution as the user’s lungs will eventually become so weak on their own the amount of pure oxygen will not be enough to keep them alive. After a patient’s lung capacity shrinks to where the pure oxygen is not enough they have to go get there blood and organs oxygenated. If the oxygenation of the body goes well they will have to repeat the process for the rest of their lives until the respiratory failure kills

Miracle Home Oxygen (MHO) has introduced their new home-based portable Oxygen Cylinder filling device, Miracle Home Oxygen Machine (MHOM), as disruptive technology designed to address significant structural challenges in the Home Oxygen market. Medicare reimbursements have begun to contract due to recent budget cuts, with additional drops widely expected. The current prevailing delivery method for Medical Equipment dealers to their home oxygen patients, regularly scheduled deliveries of filled O2 cylinders, is comparatively costly and inefficient (and arguably, unsustainable). For example, the traditional delivery method incurs significant labor costs for the drivers necessary to deliver the O2 cylinders, as well as sizable capital expenses in the purchase and maintenance of delivery vehicles, fuel, and to a lesser extent, oxygen cylinders. Moreover, these costs are projected to increase (most notably, gas prices / vehicle expenses, as well as employee benefits / health care expenses for drivers.) The new model based on serving home oxygen patients exclusively with MHO equipment, providing an unlimited supply of portable oxygen, utilizing the refillable cylinders with filling station, was estimated by MHO to be 50-67% less expensive than the current delivery model employed by their independent dealer target market. As a result of these seemingly compelling economics for the O2 / Medical Equipment Dealers, MHO anticipated that their proprietary new technology would immediately capture a significant share of the portable home oxygen market. MHO's Sales Manager infamously remarked “our

The number of patients who are suffering from asthma and breathing problems in the UK is on the rise. Companies such as Ruritanian Oxygen Company (ROC), therefore, are mainly established in order to securely supply both those patients and local hospitals with medical gases (such as Oxygen in cylinders). Hospitals can basically order oxygen cylinders from ROC to be delivered to patients at their home when they are not at hospital.

less than 2500 gram that are receiving oxygen. The Intervention is to target low range of

In my opinion, if HFNC is proven to be a safe high flow system, I think it’s a great idea. I could not imaging needing a high flow delivery system and having to wear a mask for hours or days at a time. I hope to see and read more about HFNC research and other new oxygen system delivery systems in the future. Does anyone have an opinion about HFNC? Would you prefer it over a simple mask, non-rebreather, or partial

Inside the tank respirator, the patient lay on a bed (once in a while called a "treat plate") that could slide all through the chamber as required. The side of the tank had entrance windows so orderlies could reach in and alter appendages, sheets, or hot

I didn’t get any information from the patient’s chart, but I did hear the nurse and physician talking about the patient prior to the patient’s arrival. The patient is a Native American male who has COPD and is on 5 liters of oxygen via nasal cannula. They were saying how the patient was trying to get a portable concentrator that he could take with him, that way he can be more mobile. I can’t remember if the patient had his own private insurance or Medicare, I believe it was Medicare though. As I was researching information on whether Medicare or insurance companies are willing to cover the finances of giving a patient a portable concentrator, I found that many times patients get denied. This is because more insurance companies and Medicare have strict guidelines or requirements to meet before a patient can receive items, including oxygen supplies. Some insurance companies deny the coverage of a portable concentrator because they view oxygen via this route is considered a “luxury” item to have (Burkhart, 2017). I thought this was sad because we need to all be on the same page and help give all patient’s the best quality of life

High cost of the Nasal Alar SpO2 sensor, £20.62 per unit may deter its use in resource limited settings. Alternatively, invasive arterial line could be inserted to measure arterial blood gases pre-induction, post intubation and following extubation, which could give a better information in such patients posted for major surgeries.

Respiratory therapy refers to both a subject area within clinical medicine and to a distinct health care profession. During the 20th century, there were many health care fundamental transformations. Here are 10 possible predictions of what may occur in the future of respiratory care: (1) Less focus on raising PaO2 as a primary goal in managing patients with acute hypoxemic respiratory failure. (2) More attention to

The second priority problem is the poor gas exchange; this is evident due to Mr Jensen's oxygenation saturations of 95% on 6 litres per minute via a Hudson mask. A patient experiencing hypovolaemia has low cardiac output this stimulates

Within a hospital many units will have pipeline supplied medical gases. Oxygen is the most frequently used gas, while operating theatres can include nitrous oxide and medical air. The source of this pipeline system distribution starts from a central storage that may be cylinders on a manifold or a bulk storage facility. Cryogenic liquids systems introduced in both central and reserve supply due to the demand of oxygen supply and stores medical gases in forms of liquid. The medical gases used in a hospital are life –supporting element that gives direct influence in maintaining the life of a patient. Therefore, the gases must be clean, highly pure and supplied under stable pressure. Any change in these parameters can prove vital for the patient

As a respiratory therapist I often use ventilators to help ventilate and oxygenate patient. The ventilator has many functions and capabilities. I collect various data to determine how compliant a patient lung is or if the patient lung is strong enough to come of the ventilator. Prior to extubation in collect a set numbers record and provide the doctor with the information to determine if the patient can off the breathing machine.