{"id":1915,"date":"2015-11-04T16:00:44","date_gmt":"2015-11-04T15:00:44","guid":{"rendered":"http:\/\/www.alpha1-deutschland.org\/?p=1915"},"modified":"2020-03-16T14:33:53","modified_gmt":"2020-03-16T13:33:53","slug":"sauerstoff-im-alltag","status":"publish","type":"post","link":"https:\/\/alpha1-deutschland.org\/en\/sauerstoff-im-alltag","title":{"rendered":"Oxygen in everyday life \u2013 but how?"},"content":{"rendered":"<div id=\"fws_6a8e718bef9e8\"  data-column-margin=\"default\" data-midnight=\"dark\" data-top-percent=\"3%\"  class=\"wpb_row vc_row-fluid vc_row full-width-section\"  style=\"padding-top: calc(100vw * 0.03); padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t\n<div class=\"wpb_text_column wpb_content_element\" >\n\t<h1><span style=\"color: #004267;\">Oxygen in everyday life \u2013 but how?<\/span><\/h1>\n<\/div>\n\n\n\n<div class=\"divider-wrap\" data-alignment=\"default\"><div style=\"height: 50px;\" class=\"divider\"><\/div><\/div><div class=\"vc_separator wpb_content_element vc_separator_align_center vc_sep_width_100 vc_sep_border_width_5 vc_sep_pos_align_center vc_sep_color_grey wpb_content_element vc_separator-has-text\" ><span class=\"vc_sep_holder vc_sep_holder_l\"><span class=\"vc_sep_line\"><\/span><\/span><h4>Author<\/h4><span class=\"vc_sep_holder vc_sep_holder_r\"><span class=\"vc_sep_line\"><\/span><\/span>\n<\/div>\n<div class=\"wpb_text_column wpb_content_element\" >\n\t<div class=\"cmsms_post_content entry-content\">\n<div id=\"cmsms_row_5e68c3b0cb5cd\" class=\"cmsms_row cmsms_color_scheme_default\">\n<div class=\"cmsms_row_outer_parent\">\n<div class=\"cmsms_row_outer\">\n<div class=\"cmsms_row_inner\">\n<div class=\"cmsms_row_margin cmsms_11\">\n<div class=\"cmsms_column one_first\">\n<div class=\"cmsms_text fadeInUp animated\" data-animation=\"fadeInUp\" data-delay=\"0\">\n<p>Published in Alpha1 Journal 2\/2015<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<footer class=\"cmsms_post_footer entry-meta\"><\/footer>\n<\/div>\n\n\n\n<div class=\"divider-wrap\" data-alignment=\"default\"><div style=\"margin-top: 25px; height: 5px; margin-bottom: 25px;\" data-width=\"100%\" data-animate=\"\" data-animation-delay=\"\" data-color=\"default\" class=\"divider-border\"><\/div><\/div>\n<div class=\"wpb_text_column wpb_content_element\" >\n\t<p><strong>Information about long-term oxygen therapy from the training program of the German Oxygen League LOT eV<\/strong><\/p>\n<p>To improve the quality and duration of life for patients with chronic and severe oxygen deficiency, those affected are tested for the possibility of long-term oxygen therapy (LTOT). All drug treatment options are exhausted beforehand. During testing, which involves multiple blood gas analyses \u2013 including under stress \u2013 the partial pressure of oxygen must repeatedly fall within a critical range of &lt; 55 mmHg. Furthermore, it must be demonstrated that oxygen administration improves these values.<\/p>\n<h2><span style=\"color: #004267;\">Lung diseases are the main cause of oxygen deficiency<\/span><\/h2>\n<p>Oxygen deficiency can be caused by various illnesses. Above all, lung diseases, especially...\u00a0<a href=\"https:\/\/alpha1-deutschland.org\/en\/copd\/\">COPD<\/a>, emphysema and\u00a0<a href=\"https:\/\/alpha1-deutschland.org\/en\/alpha-1-antitrypsinmangel\/\">Alpha-1 antitrypsin deficiency<\/a>. Pulmonary fibrosis, pulmonary embolisms, and pulmonary hypertension can also lead to oxygen deficiency; in addition, certain heart defects or paralysis of the respiratory muscles can cause it. Long-term oxygen therapy serves not only to supply the internal organs but also to relieve the strain on the heart.<\/p>\n<p>Long-term oxygen therapy should be administered for at least 16 hours a day, ideally 24 hours, according to the guidelines of the German Society for Pneumology. Good patient cooperation is essential for the success of the treatment. The required 16-hour daily duration of use may seem easy to achieve. Many patients &quot;hide&quot; most of their oxygen therapy at night, meaning they take the oxygen during the first eight hours while sleeping. The remaining eight hours are then distributed, for example, between the morning and evening. This way, some patients manage to reach the required 16 hours. However, it is particularly important to have sufficient oxygen, especially during physical exertion, such as shopping, walking, or lifting heavy objects. Performance increases with supplemental oxygen.<\/p>\n<p>The\u00a0<a href=\"https:\/\/alpha1-deutschland.org\/en\/lungensport\/\">Pulmonary exercise\u00a0<\/a>Symptoms are alleviated when long-term oxygen therapy is carried out as prescribed by the doctor. The body cannot store oxygen. Long-term oxygen therapy does not replace exercise therapy or other medications. It also does not improve the underlying condition or its symptoms, such as coughing or phlegm. However, it does support the patient in coping with everyday stresses.<\/p>\n<h2><span style=\"color: #004267;\">The pillars and devices of long-term oxygen therapy<\/span><\/h2>\n<p>The three pillars of long-term oxygen therapy consist of a concentrator (stationary or portable units), pressurized gas cylinders and liquid oxygen tanks for home use, and portable units for self-filling. With a concentrator, oxygen is extracted from the ambient air using a molecular sieve. For a stationary concentrator used as the primary supply at home, patients receive pressurized gas cylinders (weighing approximately 5 kg + accessories) for use outside the home. Those with statutory health insurance should submit their electricity costs to their health insurance provider for reimbursement. This is not just about the \u20ac5 monthly flat rate. It is better to read the operating time of the device from the meter to calculate the actual electricity costs. This precise calculation often results in a significantly higher reimbursement amount.<\/p>\n<p>Portable liquid oxygen devices come in two main types: continuous flow and demand-based. Continuous flow devices deliver oxygen constantly, regardless of whether you are inhaling or exhaling. This allows you to inhale oxygen through your mouth or nose. Breath-actuated devices (demand or triggered devices), on the other hand, release oxygen only during a brief inhalation phase. Effective nasal breathing is required to activate a valve within the device.<\/p>\n<p>Generally, for demand-controlled liquid oxygen devices, portable concentrators, and the oxygen-saving system for gas cylinders, it is essential to have the settings checked by a pulmonologist at least once a year. This is because all devices deliver a different oxygen flow rate per breath, meaning they are not interchangeable. Furthermore, as the disease progresses, the valve may no longer be able to activate during inhalation, or a different setting may be required.<\/p>\n<p>When setting the breath-controlled flow rate, the setting is given in levels, not liters. A setting of, for example, 2 liters is not the same as level 2. It should also be noted that breathing patterns are always different at night, during exertion, or when feeling unwell. In these situations, it may no longer be possible to breathe effectively through the nose to trigger the valve.<\/p>\n<h2><span style=\"color: #004267;\">Nasal cans and accessories<\/span><\/h2>\n<p>Oxygen is delivered via a tubing system made of PVC, Kraton, or silicone. PVC nasal cannulas should be changed at least every 14 days, and possibly sooner, for example, in the case of an infection. Silicone tubing can be boiled or cleaned with a special cleaning gel. In addition to cosmetic solutions for long-term oxygen therapy, other accessories are available to facilitate daily treatment, such as extension tubes, anti-tangle devices, condensation traps, and ear protectors.<\/p>\n<h2><span style=\"color: #004267;\">Oxygen passport<\/span><\/h2>\n<p>The oxygen passport records the device used, the system the patient was tested on, and the oxygen requirements determined by the doctor at rest, during exertion, and during sleep. Since the measurements are repeated at time intervals, the current values can be read.<\/p>\n<h2><span style=\"color: #004267;\">Humidification<\/span><\/h2>\n<p>If you experience continuous nasal discharge and a feeling of dryness, you should use a humidifier. Closed water systems are hygienic and easy to use. You can also fill the humidifier reservoir with sterile water. Otherwise, the water \u2013 whether tap or distilled \u2013 must be boiled daily. The humidifier reservoir must also be cleaned daily.<\/p>\n<h2><span style=\"color: #004267;\">Carrying aids<\/span><\/h2>\n<p>Heavy portable oxygen concentrators can be transported in various ways. Smaller systems are available in belt bags or backpacks. Larger units can be transported in a caddy. Riding comfort varies depending on the device. Air-filled tires and a well-padded handle are helpful. Rollators also vary in weight, ranging from 7 to 15 kg. A tipping aid is useful for overcoming obstacles such as curbs. It is advisable to have someone demonstrate the correct use of the rollator.<\/p>\n<h2><span style=\"color: #004267;\">Travel<\/span><\/h2>\n<p><a href=\"https:\/\/alpha1-deutschland.org\/en\/mobil-mit-alpha1\/\">Travel\u00a0<\/a>Made easy, without much organizational effort: Some rehabilitation clinics offer special package deals for oxygen patients. These combine vacation time, a health week, wellness, relaxation, and oxygen therapy. The clinics guarantee a reliable oxygen supply, and a doctor is on-site in case of emergency.<\/p>\n<p>Thus appeared in\u00a0<a href=\"https:\/\/alpha1-deutschland.org\/en\/alpha1-journal\/\">Alpha1 Journal 2\/2015.<\/a><\/p>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>","protected":false},"excerpt":{"rendered":"Sauerstoff im Alltag \u2013 aber wie? AutorIn So erschienen im\u00a0Alpha1-Journal 2\/2015 Aus dem Schulungsprogramm der Deutschen Sauerstoff-Liga LOT e.V. Informationen rund um die Sauerstofflangzeittherapie Um die Lebensqualit\u00e4t und -dauer bei...","protected":false},"author":1,"featured_media":3886,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,24,37],"tags":[],"class_list":["post-1915","post","type-post","status-publish","format-standard","has-post-thumbnail","category-allgemein","category-alpha1-journal","category-sauerstoff"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Sauerstoff-Therapie: Die Deutsche Sauerstoff-Liga informiert<\/title>\n<meta name=\"description\" content=\"Patienten mit einem chronischen und schweren Sauerstoffmangel, werden auf die M\u00f6glichkeit einer Sauerstoff-Langzeit-Therapie getestet. 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