Name of the Procedure:

Common Name: Portable Oxygen System Purchase
Technical Term: E0430 Portable Gaseous Oxygen System Purchase

Summary

The purchase of a portable gaseous oxygen system provides patients with a self-contained unit for oxygen therapy. This system includes essential components such as a regulator, flowmeter, humidifier, cannula or mask, and necessary tubing to deliver oxygen directly to the patient.

Purpose

Medical Conditions or Problems Addressed:

• Chronic respiratory conditions (e.g., COPD, emphysema)
• Acute respiratory issues (e.g., pneumonia, asthma exacerbations)

Goals or Expected Outcomes:

• Improved oxygenation and breathing
• Enhanced mobility and quality of life
• Reduced symptoms of hypoxia

Indications

Symptoms or Conditions:

• Chronic obstructive pulmonary disease (COPD)
• Pulmonary fibrosis
• Severe asthma
• Congestive heart failure
• Hypoxemia (low blood oxygen levels)

Patient Criteria:

• Diagnosed need for supplemental oxygen
• Prescription from a healthcare provider

Preparation

Pre-Procedure Instructions:

• Obtain a prescription from your healthcare provider.
• Attend an instructional session on how to use the portable oxygen system.

Diagnostic Tests:

• Pulmonary function tests
• Arterial blood gas analysis
• Pulse oximetry

Procedure Description

Step-by-Step Explanation:

1. Assessment: Healthcare provider confirms the need for oxygen therapy.
2. Prescription: Provider writes a prescription for the portable oxygen system.
3. Purchase: The patient acquires the system from a medical supplier.
4. Instruction: Patient receives training on the use and maintenance of the system.
5. Set-Up: Connect the regulator, flowmeter, humidifier (if prescribed), and attach the cannula or mask.
6. Use: Follow the prescribed flow rate and duration of oxygen use.

Tools and Equipment:

• Regulator
• Flowmeter
• Humidifier
• Cannula or Mask
• Tubing

Anesthesia/Sedation:

• Not applicable

Duration

• Initial set-up and instruction typically take 1-2 hours.
• The oxygen therapy duration depends on the individual’s needs, ranging from intermittent use to continuous use.

Setting

• Instruction and set-up are usually provided at a medical supply store or clinic.
• The portable oxygen system is used in the patient's home or any location they need to visit.

Personnel

• Healthcare Provider (e.g., pulmonologist)
• Respiratory Therapist
• Medical Equipment Supplier

Risks and Complications

Common Risks:

• Skin irritation from nasal cannula or mask
• Dryness in the nasal passages ##### Rare Risks:
• Fire hazard if used near open flames or smoking materials
• Oxygen toxicity if used at excessively high levels

Management of Complications:

• Adjusting flow settings and humidification
• Regular skin care and inspection

Benefits

• Improved oxygen levels and reduced symptoms of hypoxia
• Greater mobility and independence
• Improved quality of life and ability to perform daily activities

Recovery

Post-Procedure Care:

• Regular follow-up appointments with a healthcare provider.
• Routine maintenance and inspection of the oxygen system.

Expected Recovery Time:

• Immediate benefit from oxygen therapy; long-term improvements with continuous use.

Restrictions and Follow-up:

• Avoid smoking or open flames around the oxygen system.
• Regular assessment to adjust oxygen needs.

Alternatives

Other Treatment Options:

• Stationary oxygen concentrators
• Liquid oxygen systems
• Medications and inhalers

Pros and Cons:

• Stationary Systems: Provide continuous oxygen but restrict mobility.
• Liquid Oxygen Systems: More portable but require regular refills.

Patient Experience

During the Procedure:

• Training on the use may require some adjustment but is generally straightforward.
• Some discomfort may occur from wearing the nasal cannula or mask.

After the Procedure:

• Enhanced ability to engage in daily activities.
• Regular checks and maintenance to ensure proper functioning.
• Gradual improvement in symptoms with consistent use.

Pain Management:

• Minimal discomfort; any issues with nasal cannula or mask typically manageable with adjustments.