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Dyspnoea in Advanced DiseaseA guide to clinical management$
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Sara Booth and Deborah Dudgeon

Print publication date: 2005

Print ISBN-13: 9780198530039

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198530039.001.0001

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Oxygen in the palliation of breathlessness

Oxygen in the palliation of breathlessness

Chapter:
(p.205) 12 Oxygen in the palliation of breathlessness
Source:
Dyspnoea in Advanced Disease
Author(s):

Anna Spathis

Rosemary Wade

Sara Booth

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198530039.003.0012

This chapter discusses the use of oxygen in the palliative management of breathlessness. In the hospital setting, supplemental oxygen is commonly used in the palliation of dyspnoea. Since the primary function of ventilation is transfer of oxygen from the environment to the blood, it is often assumed that increase in oxygen concentration can alleviate dyspnoea. However, it is not a universal palliative strategy to all patients. Some receive benefits from supplemental oxygen while others do not gain from it. The chapter aims to address the issues concerning the proper selection of patients who may benefit from supplemental oxygen and the seeming failure of supplemental oxygen in alleviating dyspnoea and in correcting blood gas abnormalities. It discusses the mechanisms of action of oxygen, reviews research evidences, and describes methods of assessing the effectiveness of oxygen in individual patients. The chapter also discusses practical issues and pragmatic clinical guidelines.

Keywords:   oxygen, supplemental oxygen, ventilation, selection of patients, blood gas abnormalities, mechanisms of action, methods, effectiveness of oxygen, practical issues, clinical guidelines

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