title: [Long-term oxygen therapy (LTOT)--what should physicians, homecare-providers and health insurance companies know?].
abstract: Long-term oxygen treatment (LTOT) has been demonstrated to improve prognosis in patients with chronic respiratory insufficiency. In terms of pathogenesis, improved oxygenation, reduction of pulmonary artery pressure as well as reduction of respiratory work are important. Since there are considerable differences between the LTOT systems, individually tailored therapy is needed. In particular, the mobility aspects of the patients must be taken into consideration. It is important to distinguish between stationary/mobile devices with a liquid oxygen system and stationary/mobile devices with oxygen concentrator. Oxygen titration should be performed in relation to rest and activity phases (e. g. 6 minute walk test) as well as in relation to the sleep phase. Employing devices with demand-controlled valves should be critically examined. This can be undertaken only under physician orders and requires continuous monitoring.
authors.affiliation: Klinik für Innere Medizin, SP Pneumologie, Intensiv- und Schlafmedizin (Direktor: Prof. Dr. C. Vogelmeier), Philipps-Universität Marburg.
authors.forename: U
authors.initials: U
authors.lastname: Koehler
authors.affiliation: Klinik für Innere Medizin, SP Pneumologie, Intensiv- und Schlafmedizin (Direktor: Prof. Dr. C. Vogelmeier), Philipps-Universität Marburg.
authors.forename: O
authors.initials: O
authors.lastname: Hildebrandt
authors.affiliation: Klinik für Innere Medizin, SP Pneumologie, Intensiv- und Schlafmedizin (Direktor: Prof. Dr. C. Vogelmeier), Philipps-Universität Marburg.
authors.forename: L
authors.initials: L
authors.lastname: Jerrentrup
authors.affiliation: Klinik für Innere Medizin, SP Pneumologie, Intensiv- und Schlafmedizin (Direktor: Prof. Dr. C. Vogelmeier), Philipps-Universität Marburg.
authors.forename: K-I
authors.initials: KI
authors.lastname: Koehler
authors.affiliation: Medizinische Informatik, Fachbereich MNI (Mathematik, Naturwissenschaft, Informatik), Technische Hochschule Mittelhessen, Gießen.
authors.forename: P
authors.initials: P
authors.lastname: Kianinejad
authors.affiliation: Medizinische Informatik, Fachbereich MNI (Mathematik, Naturwissenschaft, Informatik), Technische Hochschule Mittelhessen, Gießen.
authors.forename: K
authors.initials: K
authors.lastname: Sohrabi
authors.affiliation: Medizinische Klinik II, Innere Medizin und Pneumologie, Lungenzentrum Saar, SHG-Kliniken Völklingen.
authors.forename: H
authors.initials: H
authors.lastname: Schäfer
authors.affiliation: Schön Klinik Berchtesgadener Land, Schönau.
authors.forename: K
authors.initials: K
authors.lastname: Kenn
mesh_terms: D004867:Equipment Design; D019544:Equipment Failure Analysis; D019317:Evidence-Based Medicine; D006699:Home Care Services; D006801:Humans; D010102:Oxygen Inhalation Therapy / Q000295:instrumentation* / Q000379:methods*; D012131:Respiratory Insufficiency / Q000628:therapy*