Name of the Procedure:

Portable Liquid Oxygen System, Purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing, and refill adaptor (HCPCS Code: E0435)

Summary

A Portable Liquid Oxygen System provides a means to deliver supplemental oxygen to individuals with difficulty breathing due to various medical conditions. This system is particularly useful for those who need oxygen while moving about or engaging in daily activities.

Purpose

The primary purpose of this procedure is to assist patients suffering from chronic respiratory disorders such as COPD (Chronic Obstructive Pulmonary Disease), asthma, and other conditions that impair lung function. The goal is to improve oxygen levels in the blood, enhance mobility, and improve the overall quality of life.

Indications

• Chronic respiratory diseases like COPD, severe asthma, or interstitial lung disease.
• Ongoing hypoxemia, defined as low levels of oxygen in the blood.
• Any condition where continuous or intermittent portable oxygen therapy is necessary.
• Physicians will assess the need based on arterial blood gases (ABG) or pulse oximetry results.

Preparation

• Patients may need to undergo diagnostic tests such as ABG or pulse oximetry to determine oxygen needs.
• No specific fasting or medication adjustments are generally required specifically for starting portable oxygen therapy.
• Patients may need training on the operation and maintenance of the portable liquid oxygen system.

Procedure Description

1. Selection of Equipment: Medical staff will help choose the appropriate size of the portable container and supply reservoir based on oxygen needs.
2. Setup: The system will be assembled, including connecting the flowmeter, humidifier, and contents gauge.
3. Application: The cannula or mask is attached to the tubing and fitted to the patient.
4. Operation Training: The patient will be taught how to read the contents gauge, adjust the flowmeter, and use the refill adaptor.
5. Refills: The portable container can be refilled from the supply reservoir as needed.
6. Maintenance: Instructions will be provided on cleaning and caring for the equipment.

Duration

Setup and training typically take about 1-2 hours. The use of the system is ongoing and tailored to the patient’s needs.

Setting

This can typically be performed in various settings including but not limited to a hospital, outpatient clinic, or at home.

Personnel

• Respiratory Therapists
• Nurses
• Physicians (Pulmonologists)
• Medical Equipment Suppliers

Risks and Complications

• Common Risks: Skin irritation from cannula or mask use, condensation buildup in tubing.
• Rare Risks: Equipment malfunction or liquid oxygen burns.
• Management includes timely consults with medical professionals for any issues or concerns.

Benefits

• Increased Mobility: The portable nature allows patients to maintain an active lifestyle.
• Improved Respiratory Function: Helps maintain adequate oxygen levels, reducing shortness of breath and fatigue.
• Benefits are typically noticed immediately upon proper use of the system.

Recovery

• No significant recovery period is needed; patients can continue with their daily activities immediately.
• Regular follow-up appointments will ensure the system meets the patient’s needs and appropriate oxygen levels are maintained.

Alternatives

• Home Oxygen Concentrators: Stationary units that generate oxygen from the air.
• Compressed Gas Cylinders: Traditional tanks of compressed oxygen.
• Pros and Cons: Portable liquid systems offer greater mobility, while concentrators do not need refills but are less portable. Gas cylinders are bulky and less convenient for active lifestyles.

Patient Experience

• Patients may experience mild discomfort wearing the cannula or mask.
• Initial training ensures ease of use, minimizing anxiety.
• Continuous availability of oxygen improves energy levels and quality of life.
• Effective pain management includes routine system checks and proper use instructions to ensure comfort.