Name of the Procedure:

Stationary Compressed Gas System, Purchase (E0425) Common name(s): Home Oxygen Therapy Equipment Technical or medical terms: Stationary Compressed Gas System

Summary

For patients who require supplemental oxygen, a stationary compressed gas system is a setup that allows them to breathe oxygen-enriched air in their home. This system includes all necessary components such as a regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing.

Purpose

This system is used to manage chronic respiratory conditions, such as Chronic Obstructive Pulmonary Disease (COPD), asthma, or other diseases that impair breathing. The primary goal is to ensure that patients have an adequate supply of oxygen to maintain healthy blood oxygen levels, thereby improving their quality of life and minimizing symptoms like shortness of breath.

Indications

• Chronic Obstructive Pulmonary Disease (COPD)
• Severe asthma
• Pulmonary fibrosis
• Heart failure

Patients who show low blood oxygen levels (hypoxemia) despite standard treatments may be prescribed this equipment.

Preparation

• No special preparation required for purchasing the system.
• Patients may need an oxygen assessment to determine the flow rate and duration of oxygen therapy needed.
• Training on how to use the system will be provided.

Procedure Description

1. Assessment: A medical professional assesses the patient’s need for oxygen.
2. Prescription: The healthcare provider prescribes the flow rate and duration of oxygen therapy.
3. Purchase: The stationary compressed gas system is purchased, which includes:
   • Regulator: Controls the pressure of the oxygen.
   • Flowmeter: Measures the flow rate of oxygen.
   • Humidifier: Adds moisture to the oxygen to prevent dryness.
   • Nebulizer: Converts liquid medication into a mist (if needed).
   • Cannula or Mask: Delivers oxygen to the patient.
   • Tubing: Connects the components.
4. Setup & Training: A professional sets up the system at home and trains the patient on its use.

Duration

Initial setup and training typically take about 1-2 hours. Long-term use is continuous and based on the patient’s prescription.

Setting

The system is used in the patient’s home.

Personnel

• Respiratory therapist or nurse for setup and training.
• Healthcare provider for ongoing assessment and prescription updates.

Risks and Complications

• Common Risks: Dry nasal passages, nosebleeds.
• Rare Risks: Equipment malfunction, fire hazard due to improper use.
• Management: Regular maintenance, proper training on fire safety.

Benefits

• Improved blood oxygen levels.
• Reduced symptoms of shortness of breath.
• Enhanced quality of life and overall well-being.
• Benefits often noticed immediately upon use.

Recovery

• No recovery period since this is an ongoing treatment.
• Regular follow-up appointments to monitor oxygen needs.
• Maintenance of the equipment as instructed.

Alternatives

• Portable oxygen concentrators.
• Liquid oxygen systems.
• Continuous Positive Airway Pressure (CPAP) for certain conditions.
• Each alternative varies in portability, cost, and ease of use. Discuss with a healthcare provider to determine the best option.

Patient Experience

• During Use: Initially may feel different or bothersome to wear the cannula or mask.
• After Use: Generally experience relief from symptoms of low oxygen. Trained on managing discomfort, such as using humidifiers for dry airways.
• Pain Management: Typically no pain, but comfort measures involve adjusting flow rates and maintenance of nasal passages.