title: A pilot study comparing 2 oxygen delivery methods for patients' comfort and administration of oxygen.
abstract: BACKGROUND
  The traditional oxygen delivery methods for oxygen therapy are continuous flow oxygen (CFO) and demand oxygen delivery (DOD); however, oxygen waste is considerable in CFO, while DOD is uncomfortable for patients. Synchronized DOD (SDOD), which was designed to overcome the drawbacks of both CFO and DOD, supplies oxygen according to the patient's breathing pattern and the desired oxygen saving. This study was conducted to examine the overall performance of SDOD in terms of oxygen saturation (SpO2 ), patients' comfort, and oxygen saving ratio (SR).
  
  
  METHODS
  Study subjects were patients who required oxygen for COPD or pneumonia. Patients received oxygen through nasal prongs by CFO and SDOD for 30 min each. SpO2 was measured every 10 min by pulse oximetry, and subjects recorded their level of comfort after 30 min. The flow of discharged oxygen was recorded to calculate SR.
  
  
  RESULTS
  Ten subjects (median age, 68 y; range, 56-86 y) were enrolled. The SpO2 of patients during SDOD (97 ± 2%) was similar to that during CFO (96 ± 3%) with no statistically significant difference (P = .53). Subjects reported SDOD to be more comfortable than CFO. The comfort score of subjects treated with SDOD was 7.05 ± 2.07 (0: very uncomfortable, 10: very comfortable); this was significantly higher (P = .02) than the comfort score (5.20 ± 1.83) of subjects treated with CFO. The SR values set by clinicians were very similar to calculated SR values.
  
  
  CONCLUSIONS
  SDOD appears to be more suitable for oxygen therapy than CFO when considering SpO2 , patients' comfort, and SR.
authors.affiliation: Graduate School of Sogang University.
authors.forename: Gil Jun
authors.initials: GJ
authors.lastname: Lee
authors.affiliation: Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine.
authors.forename: Sei Won
authors.initials: SW
authors.lastname: Lee
authors.affiliation: Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine.
authors.forename: Yeon-Mok
authors.initials: YM
authors.lastname: Oh
authors.affiliation: Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine.
authors.forename: Jae Seung
authors.initials: JS
authors.lastname: Lee
authors.affiliation: Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine.
authors.forename: Sang-Do
authors.initials: SD
authors.lastname: Lee
authors.affiliation: Department of Mechanical Engineering, Sogang University, Seoul, Republic of Korea. cshin@sogang.ac.kr.
authors.forename: Choongsoo S
authors.initials: CS
authors.lastname: Shin
authors.affiliation: Department of Mechanical Engineering, Sogang University, Seoul, Republic of Korea.
authors.forename: Tae Soo
authors.initials: TS
authors.lastname: Lee
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000008:administration & dosage*; D010102:Oxygen Inhalation Therapy / Q000295:instrumentation*; D017060:Patient Satisfaction; D010865:Pilot Projects; D011014:Pneumonia / Q000628:therapy*; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy*; D012119:Respiration
chemical_list: D010100:Oxygen
keywords: SpO2; continuous flow oxygen; discomfort; oxygen therapy; saving ratio; synchronized demand oxygen delivery