Name of the Procedure:

Portable Liquid Oxygen System Rental (HCPCS Code: E0434)

Summary

A portable liquid oxygen system rental provides a patient with a convenient and efficient way to receive supplemental oxygen. The system includes various components such as a portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing, making it suitable for mobile use.

Purpose

This oxygen delivery system is primarily used to address chronic respiratory conditions. It ensures that the patient receives a continuous supply of oxygen, enhancing their ability to breathe and maintain an adequate oxygen level. The goal is to alleviate symptoms of low blood oxygen levels and improve quality of life.

Indications

The procedure is indicated for patients with:

• Chronic Obstructive Pulmonary Disease (COPD)
• Severe asthma
• Pulmonary fibrosis
• Chronic bronchitis
• Other conditions causing significant hypoxemia

Preparation

Before using the portable liquid oxygen system:

• Patients may need to undergo an initial assessment, including pulse oximetry or arterial blood gas tests to measure oxygen levels.
• The patient may receive training on how to use the system, handle the equipment, and troubleshoot common issues.

Procedure Description

1. Setup: The system includes a portable container that is filled with liquid oxygen.
2. Usage: The patient attaches the cannula or mask to the flowmeter, adjusts the flow rate as prescribed, and begins breathing the oxygen.
3. Refilling: The portable container can be refilled from the supply reservoir using the refill adaptor.
4. Monitoring: The contents gauge helps track remaining oxygen levels.

No anesthesia or sedation is required for this procedure.

Duration

The daily use of the system continues as prescribed by the healthcare provider. The duration of actual usage depends on the patient's oxygen needs and the settings on the flowmeter.

Setting

The system is designed for use in a variety of settings, including the patient's home or during travel, providing flexibility and mobility.

Personnel

Typically, a respiratory therapist or healthcare provider will be involved in setting up and instructing the patient on the use of the system. Medical professionals will also oversee ongoing patient care and adjustments.

Risks and Complications

• Common Risks:
  • Skin irritation from the cannula or mask.
  • Discomfort or dryness from oxygen flow.
• Rare Risks:
  • Risk of oxygen toxicity with incorrect usage.
  • Potential for frostbite injuries from liquid oxygen mishandling.

Benefits

• Improved oxygen saturation levels in the blood.
• Enhanced breathing and reduced shortness of breath.
• Increased mobility and ability to perform daily activities. The benefits can be noticed quickly, often within the first use.

Recovery

• Regular monitoring and follow-up appointments to adjust oxygen settings as needed.
• Patients should follow all safety guidelines provided.
• Immediate reduction in symptoms of hypoxemia with use.

Alternatives

• Compressed Gas Oxygen Systems: Offer similar benefits but lack portability.
• Oxygen Concentrators: Provide continuous oxygen by filtering room air but may not be suitable for all mobility needs.
• Pros and Cons: Portable liquid oxygen systems offer superior mobility at higher costs and more complex handling requirements compared to alternatives.

Patient Experience

Patients might experience the following:

• Initial adjustment to the weight and usage of the portable system.
• Minimal discomfort with proper fitting cannula or mask.
• Immediate relief in symptoms of low blood oxygen. Pain management and comfort measures, including skin protection and humidity adjustments, will be provided as part of patient education.