Há Benefício no uso de O2 domiciliar em pacientes sem hipoxia de repouso severa (comparado ao não uso) ?
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Há Benefício no uso de O2 domiciliar em pacientes sem hipoxia de repouso severa (comparado ao não uso) ?
A dúvida foi levantada quando eu e minha dupla Júlio César realizamos consulta domiciliar e a paciente apresentava hipóxia de repouso não severa (SiO2 > 88 ) . Para isso foi realizada busca na fonte secundária Dynamed que não resultou em informação conclusiva para a decisão terapêutica. Assim sendo prossegui para a busca em fonte primária usando o PUBMED. Segundo o seguinte artigo :
"
A randomised trial of domiciliary, ambulatory oxygen
in patients with COPD and dyspnoea but without
resting hypoxaemia
Rosemary P Moore,1,2,3,4,5 David J Berlowitz,1,2,3,4,5 Linda Denehy,4 Jeffrey J Pretto,1,6
Danny J Brazzale,1,2 Ken Sharpe,7 Bruce Jackson,8 Christine F McDonald1,2,5
"
Não há benefício no uso de O2 domiciliar em pacientes sem hipoxia de repouso severa. Segue o link do artigo :
CONCLUSION
This randomised controlled trial found that domiciliary ambulatory
oxygen provided no additional benefit over air in terms of
dyspnoea, quality of life or function in patients with COPD
experiencing exertional dyspnoea without severe resting hypoxaemia.
Of six factors examined (gender, exertional desaturation,
severity of airflow obstruction, severity of dyspnoea, volume or
exercise response to hyperoxia), none was predictive of therapeutic
benefit. Our findings do not support the use of domiciliary
ambulatory oxygen as a treatment for dyspnoea in this
group of patients and challenge the use of exertional desaturation
as a primary criterion for its prescription. Our results were
suggestive but not conclusive of placebo benefits from having
domiciliary gas cylinders. "
"
A randomised trial of domiciliary, ambulatory oxygen
in patients with COPD and dyspnoea but without
resting hypoxaemia
Rosemary P Moore,1,2,3,4,5 David J Berlowitz,1,2,3,4,5 Linda Denehy,4 Jeffrey J Pretto,1,6
Danny J Brazzale,1,2 Ken Sharpe,7 Bruce Jackson,8 Christine F McDonald1,2,5
"
Não há benefício no uso de O2 domiciliar em pacientes sem hipoxia de repouso severa. Segue o link do artigo :
CONCLUSION
This randomised controlled trial found that domiciliary ambulatory
oxygen provided no additional benefit over air in terms of
dyspnoea, quality of life or function in patients with COPD
experiencing exertional dyspnoea without severe resting hypoxaemia.
Of six factors examined (gender, exertional desaturation,
severity of airflow obstruction, severity of dyspnoea, volume or
exercise response to hyperoxia), none was predictive of therapeutic
benefit. Our findings do not support the use of domiciliary
ambulatory oxygen as a treatment for dyspnoea in this
group of patients and challenge the use of exertional desaturation
as a primary criterion for its prescription. Our results were
suggestive but not conclusive of placebo benefits from having
domiciliary gas cylinders. "
Marcos Santana Firme- Mensagens : 12
Data de inscrição : 06/10/2014
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