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High Flow O2 in Rehab Setting

By Angela Howard posted 12-05-2016 11:11

  

Please explain how you use HF O2 in Rehab setting.  50' hose? humidity? portable tank?   Thank-you

Angie. 

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01-09-2018 10:51

​Hello, Do any of you have suggestions re :shared 50 foot tubing between patients in Pulm Rehab setting? We have 60+ patients enrolled and would previously clean the 50 foot hoses (X8)  from wall O2 between classes- each patient had their own cannula. JCAHO recommended EACH patient have their own 50 foot hose as there are no cleaning instructions- this is leading to problems of storage , kinking, and time in terms of coiling and uncoiling for 40 + patients per day. ANy tips would be appreciated.

06-27-2017 22:11

Thank-you for the comments, I appreciate your sharing with me. It is for in hospital rehab setting with others in the gym on O2 utilizing portable tanks and also wall O2 outlets with flow meters. 
I was using the bubble humidifier with a short cannula  and moving the device from wall outlet to wall outlet as the patient changed exercise equipment. just wondering is a 50 foot hose would work or if  there is something better out there. 
Angie Howard, RRT

06-23-2017 21:29

At home or facility, non-vented mask, whisper swivel, O2 Bleed Valves, into CPAP circuit with a minimal PAP of 4cm so just a bit of FRC recruitment, with a great inspiratory flow rate to patient demand - put the O2 to it and you have a high flow - high FIO2 system with humidification again of your choice in the PAP you decide to use - or NIV if you like.

01-03-2017 16:06

airvo2 from FP requires only power, and O2 is bleed-in, has O2 sensor built in to measure FiO2, and Max flow is 60 LPM

https://www.ncbi.nlm.nih.gov/pubmed/15486371?dopt=Citation

Vapotherm 50 psi hoses can be extended easily by just placing the length you need to allow enough distance for the patient to move freely. They also make a transport unit that would work for this purpose as long as you keep a good supply of air/oxygen tanks.