The role of general practitioners in home oxygen therapy

  • SB Khoo
Keywords: Long term oxygen therapy, short burst oxygen therapy, chronic hypoxaemia, breathlessness, palliation

Abstract

Recommendation of oxygen therapy must include clear indication and benefits of its use, appropriate prescription, vigilant monitoring and appropriate methods of delivery. Home oxygen therapy is expensive, inconvenient and cumbersome; it should be recommended only if benefits outweigh the disadvantages and adverse effects of oxygen. GPs play an important supportive and supervisory role in the use of long-term oxygen therapy (LTOT) to improve mortality of patients with chronic hypoxaemia. Prescription of short burst oxygen therapy (SBOT) for palliation of breathlessness is without clear evidence of its efficacy. GPs can prescribe SBOT when other secondary causes of breathlessness are excluded or treated, when breathlessness is not relieved by other treatments and if an improvement can be documented in patients.

References

Mosenthal AC, Lee FK. Management of dyspnea at the end of life: relief for patients and surgeons. J Am Coll Surg. 2002;194(3):377-86.

Bateman NT, Leach RM. ABC of oxygen. Acute oxygen therapy. BMJ. 1998; 317:798-801.

McDonald CF, Crockett AJ, Young IH. Adult domiciliary oxygen therapy. Position statement of the Thoracic Society of Australia and New Zealand. Med J Aust. 2005;182(12):621-6.

Cornford CS. Lay beliefs of patients using domiciliary oxygen: a qualitative study from general practice. Br J Gen Pract. 2000;50(459):791-3.

British Thoracic Society. Clinical component for the home oxygen service in England and Wales. 2006. [http://www.britthoracic.org.uk/c2/uploads/clinical%20adultoxygenjan06.pdf].

Ringbaek TJ. Home oxygen therapy in COPD patients. Results from the Danish Oxygen Register 1994-2000. Dan Med Bull. 2006;53(3):310-25.

Weg JG, Haas CF. Long-term oxygen therapy for COPD. Improving longevity and quality of life in hypoxemic patients. Postgrad Med. 1998;103(4):143-8.

Tarpy SP, Celli BR. Long term oxygen therapy. N Engl J Med. 1995;333(11):710-4.

Booth S, Wade R. Oxygen or air for palliation of breathlessness in advanced cancer. J R Soc Med. 2003;96(5):215-8.

Booth S, Anderson H, Swannick M, et al. The use of oxygen in the palliation of breathlessness? A report of the expert working group of the Scientific Committee of the Association of Palliative Medicine. Respir Med. 2004;98(1):66-77.

Schwartzstsein RM, Lahive K, Pope A, et al. Cold facial stimulation reduces breathlessness induced in normal subjects. Am Rev Respir Dis. 1987;136(1):58-61.

Liss HP, Grant BJ. The effect of nasal flow on breathlessness in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis. 1988;137(6):1285-8.

Long term domiciliary oxygen therapy in chronic hypoxic cor pulmonale complicating chronic bronchitis and emphysema. Report of the Medical Research Council Working Party. Lancet. 1981;1:681-6.

Swinburn CR, Mould H, Stone TN, et al. Symptomatic benefit of supplemental oxygen in hypoxemic patients with chronic lung disease. Am Rev Respir Dis. 1991;143(5 Pt 1):913-5.

Health information: Home Oxygen Therapy for COPD. Cleveland Clinic Health System, 2004 http://www.cchs.net/health/health-info/docs/2400/2412.asp?index=8707.

Published
2007-10-01
How to Cite
KhooS. (2007). The role of general practitioners in home oxygen therapy. Malaysian Family Physician, 2(2), 6. Retrieved from https://www.e-mfp.org/ojs3/index.php/MFP/article/view/246
Section
Original Articles