Name of the Procedure:

Common Name: Portable Oxygen Concentrator, Rental
Medical Term: HCPCS Code E1392

Summary

A portable oxygen concentrator (POC) is a medical device that provides oxygen therapy to patients at higher concentrations than ambient air. These concentrators are compact and designed for use at home or during travel. It enables patients with chronic respiratory conditions to maintain a comfortable and mobile lifestyle.

Purpose

Portable oxygen concentrators are used to manage conditions that cause low levels of oxygen in the blood (hypoxemia). The primary goal is to improve oxygen saturation levels, reduce symptoms like shortness of breath, and enhance the patient's quality of life and mobility.

Indications

• Chronic Obstructive Pulmonary Disease (COPD)
• Pulmonary fibrosis
• Severe asthma
• Interstitial lung disease
• Other conditions causing hypoxemia

Patient criteria:

• Physician's prescription for oxygen therapy
• Documented need for supplemental oxygen
• Patient's ability to manage a portable device

Preparation

• Follow physician’s instructions for oxygen therapy usage.
• Complete any required diagnostic tests, like blood oxygen level measurement (pulse oximetry or arterial blood gases).
• No specific fasting or medication adjustments are needed.

Procedure Description

1. Prescription: Obtain a physician’s prescription.
2. Device Selection: The healthcare provider will help select a suitable POC model; considering factors like flow rate and battery life.
3. Training: Patients receive training on using the device, setting oxygen flow rates, and maintaining the equipment.
4. Operational Usage: Turn on the device and adjust the flow rate as prescribed. Use the oxygen cannula placed in the nostrils for breathing.
5. Battery Management: Ensure the concentrator is charged, and carry spare batteries if traveling.

Duration

The selection, training, and initial usage typically take 1-2 hours. Ongoing use varies based on patient needs, generally for the duration of daily activities.

Setting

This device is for outpatient use, primarily at home or during travel. Training and device provision usually occur at a clinic or specialized medical equipment supplier.

Personnel

• Prescribing Physician
• Respiratory Therapist or Medical Equipment Specialist
• Patient and Caregivers

Risks and Complications

• Common Risks: Skin irritation from oxygen cannula.
• Rare Risks: Dry or bloody nose, bacterial infections from equipment if not properly maintained.
• Management: Regular cleaning and maintenance of the device, and use of moisturizing nasal sprays as recommended.

Benefits

• Improved oxygen saturation and breathing.
• Enhanced mobility and independence.
• Better quality of life and ability to engage in daily activities.

Recovery

• No specific recovery as the procedure involves ongoing usage of the device.
• Regular follow-up with prescribing physician to adjust oxygen therapy.

Alternatives

• Stationary Oxygen Concentrator: Less mobile but continuous oxygen supply at home.
• Compressed Gas Cylinders: Portable but heavier and require frequent refilling.
• Liquid Oxygen Systems: Lightweight and portable but with complex refilling methods.

Pros and cons need to be discussed with your healthcare provider.

Patient Experience

Patients might initially feel discomfort using the nasal cannula but generally adjust over time. It's crucial to keep the device charged and follow usage guidelines for effectiveness and comfort. Pain is not typically associated with this procedure.

Comfort measures include using the device correctly, proper maintenance, and keeping spare accessories to ensure uninterrupted oxygen therapy.