Our veteran clinicians share their tips for success for oxygen therapy
Amy has been a Registered Respiratory Therapist for 8 years, helping patients with sleep apnea and respiratory issues in the Wilmington, Delaware area. In her spare time, Amy likes to spend time with her dog, cat, and horse. She also enjoys gardening and photography.
Q. How do you stop your ears from getting tender from your oxygen tubing lying on top of them all the time?
A. For sensitive areas like the ears, there are small foam cushions that can be wrapped around the cannula to prevent sores or tenderness. These cushions, called EZ Wraps, are available at your local branch at no cost and can be sent out with your oxygen tubing and cannulas, just give your local branch a call and request the wraps with your next delivery.
Another tip is to put the Y connection of the cannula behind your head (think like a sunglass strap) to take pressure off your ears.
Q. How do I get the cannula to stay in my nose while I sleep?
A. Ensuring that your cannula is in a good position and that the toggle is tightened up to your chin will help with a good night's sleep. Draping the cannula tubing over a nightstand or headboard also prevents it from getting snagged or laid on and pulled out of your nose.
Q. Why does my oxygen level drop at night when I’m lying in bed, even with my concentrator hooked up?
A. Many patients with COPD and other respiratory illnesses are unable to tolerate lying flat. The reason is because when they lay flat their diaphragm can become compressed and unable to expand fully, making it more difficult to breathe. Sleeping with a wedge or a second pillow can help make breathing easier.
Some patients also may notice a drop in their oxygen level due to mouth breathing or undiagnosed sleep apnea, if you think you may have sleep apnea speak to your healthcare provider to assess you.
Q. I use oxygen and have to get on a flight; does altitude impact oxygen intake? Should oxygen concentration be increased before a flight?
A. Due to high altitude and pressure differences on the plane, you may need to increase your oxygen concentration while flying. It is important to bring a pulse oximeter with you so you can see if these factors affect your oxygen level. Oxygen tanks are not allowed on planes, so it is important to secure a portable concentrator from your local Apria branch or the travel department. Check with your airline before you fly to see if any extra steps need to be taken.
For more information: Traveling while on oxygen therapy.
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