title: The debate on continuous home oxygen therapy.
abstract: Two studies published in the early 80s, namely the Nocturnal Oxygen Therapy Trial (NOTT) and the Medical Research Council Trial (MRC), laid the foundations for modern home oxygen therapy. Since then, little progress has been made in terms of therapeutic indications, and several prescription-associated problems have come to light. Advances in technology have gone hand in hand with growing disregard for the recommendations in clinical guidelines on oxygen therapy. The introduction of liquid oxygen brought with it a number of technical problems, clinical problems related to selecting candidate patients for portable delivery devices, and economic problems associated with the rising cost of the therapy. Continuous home oxygen therapy has been further complicated by the recent introduction of portable oxygen concentrators and the development in quick succession of a range of delivery devices with different levels of efficiency and performance. Modern oxygen therapy demands that clinicians evaluate the level of mobility of their patients and the mobility permitted by available oxygen sources, correctly match patients with the most appropriate oxygen source and adjust the therapy accordingly. The future of continuous home oxygen therapy lies in developing the ideal delivery device, improving the regulations systems and information channels, raise patient awareness and drive research.
authors: Servicio de Neumología, Hospital Ramón y Cajal, Madrid, España. Electronic address: sdiazlobato@gmail.com.
authors: Salvador
authors: S
authors: Díaz Lobato
authors: Servicio de Neumología, Hospital Ramón y Cajal, Madrid, España.
authors: José Luis
authors: JL
authors: García González
authors: Servicio de Neumología, Hospital Ramón y Cajal, Madrid, España.
authors: Sagrario
authors: S
authors: Mayoralas Alises
mesh_terms: D000203:Activities of Daily Living; D002986:Clinical Trials as Topic / Q000706:statistics & numerical data; D003072:Cognition Disorders / Q000209:etiology / Q000517:prevention & control / Q000628:therapy; D004867:Equipment Design; D017079:Exercise Tolerance; D006333:Heart Failure / Q000209:etiology / Q000628:therapy; D006699:Home Care Services; D006801:Humans; D000860:Hypoxia / Q000209:etiology / Q000628:therapy; D015337:Multicenter Studies as Topic / Q000706:statistics & numerical data; D010102:Oxygen Inhalation Therapy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D010349:Patient Compliance; D017410:Practice Guidelines as Topic; D055656:Prescriptions; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000628:therapy*; D011788:Quality of Life
keywords: Concentrador portátil; Continuous home oxygen therapy; Controversias; Debate; Liquid oxygen; Oxigenoterapia continua domiciliaria; Oxígeno líquido; Portable concentrator