Home oxygen

Management

Criteria in Ontario

• If SpO₂ <= 90% on room air at rest, then perform ABG on room air at rest (off oxygen for 30 minutes)
  • ABG may be waived for end-of-life palliative care, or if patient chooses to self-pay ($300-400/month)
  • If SpO₂ >91% but desaturates on exertion, can skip ABG and perform independent exercise assessment
• Eligible based on ABG results:
  • PaO₂<= 55 mmHg
  • PaO₂ 56 to 60 mmHg, if one of the following:
    • Cor pulmonale
    • Persistent erythrocytosis
    • Pulmonary hypertension
    • Exercise limited by hypoxemia and documented improvement with supplemental oxygen
    • Nocturnal hypoxemia
  • PaO₂ >60 mmHg, if also has SpO₂ <= 88% during independent exercise assessment