The concept of oxygen as a therapeutic agent was introducedin the 1920s by Alvin Barach.1 Since then, a better understandingof the effects of hypoxemia, and of their reversal with oxygensupplementation, has enhanced the treatment of patients withpulmonary diseases. There are close to 800,000 patients receivinglong-term oxygen therapy in the United States, at a yearly costof $1.8 billion.2,3 We need to understand the effects of oxygentherapy, the indications for it, and its modes of delivery inorder to make the most appropriate use of this effective therapeuticresource. In this article, we discuss long-term . . . [Full Text of this Article]
Physiologic Responses to Hypoxemia
Effects of Long-Term Oxygen Therapy
Survival
Pulmonary Hemodynamics
Exercise Capacity
The Work of Breathing
Neuropsychological Effects
Sleep
Determining the Need for Oxygen
Prescribing Oxygen
Systems of Oxygen Delivery
Misconceptions and Hazards
Oxygen-Administration Devices
Future Directions
Source Information
From the Pulmonary Center, Boston University School of Medicine (S.P.T.), and St. Elizabeth's Medical Center and Tufts University School of Medicine (B.R.C.) all in Boston.
Address reprint requests to Dr. Celli at the Department of Pulmonary and Critical Care, St. Elizabeth's Medical Center, 736 Cambridge St., Boston, MA 02135.
References
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