Chronic Obstructive Pulmonary Disease
Conditions
Keywords
Oxygen, Hypoxemia, Air travel
Brief summary
The purpose of this study is to evaluate if supplemental oxygen during air travel can be reliably titrated using a Hypoxia-altitude simulation test (HAST). Also, the effect of oxygen supplementation given with the various oxygen equipment allowed for air travel is studied.
Detailed description
International guidelines recommend supplemental oxygen if PaO2 \< 6.7 kPa (50 mmHg) during air travel. Hypobaric chamber exposure is the ideal test but is not widely available. In clinical practice, the HAST has been recommended as the preferable test for pre-flight evaluation, and is used with increasing frequency. The oxygen dose during air travel has been recommended titrated during HAST. In the study, supplemental oxygen titration during hypobaric chamber exposure is compared to oxygen titration during HAST, to evaluate if HAST can be used with confidence to titrate the amount of supplemental oxygen needed during air travel.
Interventions
The Hypoxia-altitude simulation test, which is established in clinical practice, is compared to the gold standard of hypobaric chamber while giving supplemental gaseous oxygen without and with oxygen conserving device, and with oxygen concentrator.
Sponsors
Study design
Eligibility
Inclusion criteria
* COPD patients who have performed a Hypoxia-altitude simulation test with a PaO2 \< 6.7 kPa
Exclusion criteria
* exacerbation or pneumothorax within the previous six weeks * LTOT * anemia * pulmonary disease other than COPD * cerebrovascular or symptomatic cardiovascular disease * claustrophobia * inability to equalize pressure in the middle ear
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PaO2 obtained from oxygen titration during HAST vs hypobaric chamber | 1 day |
Countries
Norway