Clinical Case Database / Category: Case Based Discussion
Prescription of long-term oxygen therapy
Publication details
J. Coates, D. Laws
Foundation Years Journal, volume 2, issue 5, p.213 (123Doc Education, London, June 2008)
Abstract
Mr Smith is a 78-year-old man admitted to hospital with an exacerbation of chronic obstructive pulmonary disease (COPD). He is known to have moderately severe COPD with a 50 pack year smoking history; and his usual treatment was Symbicort and tiotropium inhalers. The exacerbation settles with appropriate standard medical management and he is ready to be discharged. Throughout his admission he has required oxygen therapy and is still using it. He raises the question that his GP has mentioned the possibility of having oxygen at home and asks if this can be arranged.
Access the Clinical Cases Database
A subscription is required to read the full article. Please subscribe using one of the options below.
| Product | Price | Subscription | |
|---|---|---|---|
| Foundation Years Clinical Cases Database | £29.00 | 6 months | |
| Foundation Years Clinical Cases Database | £39.00 | 12 months |
Authors
J. Coates
FY1 doctor
Royal Bournemouth Hospital
D. Laws
Consultant Respiratory Physician
Royal Bournemouth Hospital
Bournemouth
BH7 7DW
Diane.laws@rcbh.nhs.uk
References
1. Cranston JM, Crockett AJ, Moss JF , Alpers JH. Domiciliary oxygen for Chronic Obstructive Pulmonary Disease. Cochrane Database Syst Rev 2005; (4):CD001744.
2. Crockett AJ, Cranston JM, Antic N. Domiciliary oxygen for interstitial lung disease. Cochrane Database Syst Rev 2001; (3):CD002883.
3. Mallory GB, Fullmer JJ, V aughan DJ. Oygen therapy for cystic fibrosis. Cochrane Database Syst Rev 2005; (4) CD003884.
4. Gorecka D, Gorzelak K, Sliwinski P , Tobiasz M, Zielinski J. Effect of long term oxygen therapy on survival in Chronic Obstructive Pulmonary Disease with moderate hypoxaemia. Thorax 1997;52:674–79.
5. Gustafson T, Franklin KA, Midgren B, P ehrsson K, Ranstam J, Ström K. Survival of patients with kyphoscoliosis receiving mechanical ventilation or oxygen at home. Chest 2006; 130:1828–33.
6. Dheda K, Lim K, Olivere S et al. Assessment for oxygen therapy in Chronic Obstructive Pulmonary Disease: are we under-correcting arterial oxygen tensions? Eur Respir J 2004; 24:954–7.
7. Bradley JM, Lasserson T, Elborn S, MacMahon J, O’Neill B. A systematic review of randomised controlled trails examining the short term benefit of Ambulatory Oxygen in Chronic Obstructive Disease. Chest 2007; 131:278–85.
8. Bradley JM, O’Neill B. Short-term ambulatory oxygen for Chronic Obstructive Pulmonary Disease. Cochrane Database Syst Rev 2005; (4):CD004356.
9. Eaton T, Garrett JE, Young P, Fergusson W, Kolbe J, R udkin S, Whyte K. Ambulatory Oxygen improves quality of life of Chronic Obstructive Pulmonary Disease – a randomised controlled study. Eur Respir J 2002; 20:306–12.
10. O’Neill B, Mahon JM, Bradley J. Short burst oxygen therapy in Chronic Obstructive Pulmonary Disease. Respir Med 2006; 100:1129–38.
11. Eaton T, Fergusson N, Kolbe J, Lewis CA, West T. Short burst oxygen therapy for Chronic Obstructive Pulmonary Disease patients: A 6 month randomised controlled study. Eur Respir J 2006; 27:697–704.
12. British Thoracic Society. Clinical Component for the Home Oxygen Service in England and Wales (Updated January 2006). London: British Thoracic Society.
Disclaimers
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
Financial Statement
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.