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Long-term clinical experience with transtracheal oxygen catheters
L J Orvidas1, J L Kasperbauer, B A Staats
1Department of Otorhinolaryngology, Mayo Clinic Rochester, Minnesota 55905, USA.
Mayo Clinic Proceedings
|August 14, 1998
Summary
Transtracheal oxygen catheters are used for chronic hypoxemia. Mucous plugging is common, but severe complications are rare. Ideal candidates are motivated and capable of daily device care.
Area of Science:
- Pulmonary Medicine
- Medical Devices
Background:
- Chronic hypoxemia requires long-term oxygen therapy.
- Transtracheal oxygen catheters offer an alternative delivery method.
Purpose of the Study:
- Evaluate transtracheal oxygen catheter use for chronic hypoxemia.
- Discuss associated complications and patient selection.
Main Methods:
- Retrospective study of 56 patients receiving transtracheal oxygen catheters.
- Reviewed medical records and pertinent literature.
Main Results:
- 52% of patients had chronic obstructive pulmonary disease.
- Mucous plugging occurred in 38% of patients; pneumothorax in 4%.
- 42 patients died with the catheter in place; no deaths were catheter-related.
Conclusions:
- Mucous plugging is a frequent issue with transtracheal oxygen catheters.
- Severe complications are uncommon.
- Highly motivated patients capable of daily care are best suited for this therapy.