Friday, 24 September 2010

MRCP revision battle 19.6: LTOT

LTOT = long term oxygen therapy = 15 or more hours of oxygen per day.

This is the only treatment to increase survival in COPD.

NICE recommends it if:
  • PaO2 <7.3kPa OR
  • PaO2 <8kPa if
    • secondary polycythaemia
    • nocturnal hypoxia (questions may note 'morning headaches;
    • peripheral oedema
    • pulmonary hypertension

How about now trying our exercise tolerance...