E1391 Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each

Name of the Procedure:

Oxygen Concentrator, Dual Delivery Port, Capable of Delivering 85 Percent or Greater Oxygen Concentration at the Prescribed Flow Rate, Each (E1391)

• Common Names: Oxygen Concentrator
• Medical Terms: E1391 Durable Medical Equipment (DME)

Summary

An oxygen concentrator is a medical device that delivers a high concentration of oxygen to individuals who require respiratory support. This specific model (E1391) features dual delivery ports and can provide at least 85% oxygen concentration at a flow rate prescribed by a healthcare provider.

Purpose

Medical Conditions Addressed:

• Chronic Obstructive Pulmonary Disease (COPD)
• Pulmonary Fibrosis
• Severe Asthma
• Heart Failure
• Conditions causing hypoxemia (low blood oxygen levels)

Goals/Expected Outcomes:

• To increase the oxygen levels in the patient's blood.
• To relieve symptoms such as shortness of breath and improve overall oxygenation.
• Enhance the quality of life and physical capability.

Indications

Conditions and Symptoms:

• SpO2 (oxygen saturation) levels below 88% while resting or during exertion.
• Documented chronic lung diseases causing hypoxemia.
• Patients with limited mobility or those who require continuous oxygen therapy.

Patient Criteria:

• Individuals with stable need for supplemental oxygen.
• Patients who are non-compliant with liquid or compressed oxygen systems.

Preparation

Pre-Procedure Instructions:

• No fasting required.
• Patients may need to undergo a pulse oximetry test or arterial blood gas analysis to determine oxygen levels.
• Review of any medications the patient is currently taking with healthcare provider.

Procedure Description

Steps Involved:

1. Assessment: Determine the oxygen flow rate required by the patient.
2. Setup: Position the oxygen concentrator in a well-ventilated area near the patient’s living space.
3. Connection: Attach nasal cannula or mask to one of the delivery ports.
4. Adjustment: Set the prescribed flow rate using the device controls.
5. Monitoring: Regularly check to ensure the device is delivering the correct oxygen concentration and functioning properly.

Tools/Equipment Used:

• E1391 Oxygen Concentrator
• Nasal cannula or oxygen mask
• Pulse oximeter

Anesthesia/Sedation: Not applicable.

Duration

Time Required:

• Initial setup and patient instruction: Approximately 30 minutes.
• Continuous usage as per prescribed treatment plan.

Setting

Procedure Performed:

• Typically at patient's home or long-term care facility.

Personnel

Healthcare Professionals Involved:

• Respiratory therapists
• Home healthcare providers
• Physicians or pulmonologists for prescribing and initial setup.

Risks and Complications

Common Risks:

• Skin irritation or pressure sores from oxygen delivery devices.
• Nasal dryness or bleeding.

Rare Risks:

• Fire hazard if exposed to open flames.

• Electrical malfunction risks.

  Complications Management:

• Regular assessment and mitigation strategies for any skin or nasal issues.
• Ensuring proper safety measures in place to prevent fire hazards.

Benefits

Expected Benefits:

• Improved oxygenation and alleviation of symptoms such as shortness of breath.
• Enhanced mobility and ability to perform daily activities.
• Benefits typically realized immediately upon correct usage of the device.

Recovery

Post-Procedure Care:

• Regular maintenance and cleaning of the equipment.
• Routine follow-up appointments with healthcare provider to monitor oxygen levels and device usage.

Recovery Time: Immediate improvement upon setup with ongoing usage as needed.

Alternatives

Other Treatment Options:

• Liquid oxygen systems
• Compressed gas oxygen cylinders
• Portable oxygen concentrators for mobility

Pros and Cons of Alternatives:

• Liquid oxygen systems offer portability but require regular deliveries.
• Compressed gas cylinders are portable yet bulky and require refills.
• Portable concentrators provide mobility but might have lower flow rates.

Patient Experience

During the Procedure:

• Initial unfamiliarity with device usage.
• Sensation of air flow through nasal cannula or oxygen mask.

After the Procedure:

• Adjustment to wearing the device regularly.
• Mid to minimal discomfort from oxygen delivery devices.
• Assistance for comfort measures like hydration for nasal dryness and skin protection cream for irritation management.

By using the E1391 oxygen concentrator, many patients find relief and a significant improvement in their quality of life through consistent and reliable supplemental oxygen therapy.