TABLE 3.
INDICATIONS FOR LONG-TERM OXYGEN THERAPY
Absolute | PaO2 ⩽ 55 mm Hg or SaO2 ⩽ 88% |
In presence of cor pulmonale | PaO2 55–59 mm Hg or SaO2 ⩽ 89%, ECG evidence of right atrial enlargement, hematocrit > 55%, congestive heart failure |
Only in specific situations | PaO2 ⩾ 60 mm Hg or SaO2 ⩾ 90%; with lung disease and other clinical needs such as sleep with nocturnal desaturation not corrected by CPAP |
If the patient is normoxemic at rest but desaturates during exercise or sleep | O2 should be prescribed if PaO2 falls below 55 mm Hg during exercise or sleep; also consider nasal CPAP or bilevel positive airway pressure |
Definition of abbreviations: CPAP = continuous positive airway pressure.
Adapted by permission from Criner GJ. Effects of long-term oxygen therapy on mortality and morbidity. Respir Care 2000:45:105–118.