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Accueil Home Oxygen Therapy: re-thinking the role of devices.
Home Oxygen Therapy: re-thinking the role of devices. Imprimer Envoyer
Jeudi, 28 Décembre 2017 07:06
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Home Oxygen Therapy: re-thinking the role of devices.

Expert Rev Clin Pharmacol. 2017 Dec 22;:

Authors: Melani AS, Sestini P, Rottoli P

Abstract
INTRODUCTION: A range of devices are available for delivering and monitoring Home Oxygen Therapy (HOT). Guidelines do not give indications for the choice of the delivery device but recommend the use of an ambulatory system in subjects on HOT whilst walking. Areas covered: We provide a clinical overview of HOT and review traditional and newer delivery and monitoring devices for HOT. Despite relevant technology advancements, clinicians, faced with many challenges when they prescribe oxygen therapy, often remain familiar to traditional devices and continuous flow delivery of oxygen. Some self-filling delivery-less devices could increase the users' level of independence with ecological advantage and, perhaps, reduced cost. Some newer portable oxygen concentrators are being available, but more work is needed to understand their performances in different diseases and clinical settings. Pulse oximetry has gained large diffusion worldwide and some models permit long-term monitoring. Some closed-loop portable devices could be able to adjust oxygen flow automatically. This might help to improve adherence and the practice of proper oxygen titration that has often been omitted because difficult to perform and time-consuming. Expert commentary: The prescribing physicians should know the characteristics of newer devices and use technological advancements to improve the practice of HOT.

PMID: 29272974 [PubMed - as supplied by publisher]


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