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Published: Sun, January 15, 2017
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When a Baby Needs Oxygen at Home - HealthyChildren.org

When a Baby Needs Oxygen at Home - HealthyChildren.org

Babies who are medically stable with supplemental oxygen can go home with oxygen, provided that parents learn the necessary care before discharge. Bronchopulmonary dysplasia (BPD) is the most common condition in babies given up to go home with oxygen. With DBP, the lungs are damaged and healed for long periods in the ventilator and with oxygen. Smaller babies or those born before 32 weeks of gestation are at a greater risk of developing this complication. The heart and lungs of a baby with BPD should work particularly harder. Fortunately, as the baby grows, so does new lung tissue and the damaged lung will become less than total lung tissue.

Other reasons to send a baby home with supplemental oxygen include Evidence of oxygen desaturation by breathing room air while awake, at rest, with activity or with food.

Difficulty breastfeeding caused by " Lack of air "(the baby seems to have difficulty catching the breath) Apnea or bradycardia responding to supplemental oxygen Little weight gain Problems Respiratory tract, tracheostomy, or ventilator Usually supplemental oxygen is usually given through a nasal cannula, a small tube that is placed down the nose of your baby, and Around the head. Three types of oxygen delivery systems are used at home

2. Oxygen concentrator. An oxygen concentrator is a device that separates oxygen from the air and gives it to your baby. Because the concentrator runs on electricity, a portable backup oxygen tank is necessary when the baby is not near an electrical outlet in the event of a power failure.

3. Oxygen liquid. Oxygen that has cooled to a liquid state is called liquid oxygen. This changes to gas as your baby breathes it. A liquid oxygen tank occupies considerably less space than a large compressed oxygen tank, which contains oxygen in the gaseous form and is used as a backup oxygen tank. As with the compressed oxygen system, a small portable tank is sent to the hospital and a larger tank, no laptop is sent directly to your home. A drawback of liquid oxygen is that it evaporates when not in use. In addition, it is expensive and may not be covered under insurance provisions. A portable liquid oxygen tank, programmed for 1/2 liter of oxygen through a nasal cannula, lasts about 8 hours. The largest reserve tank, with the same configuration lasts about 500 hours.

Sharing the room with your baby and oxygen equipment is a great way to achieve these goals. Babies who depend on oxygen are often discharged to go home with an apnea monitor that alerts parents of potential signs and symptoms of respiratory distress or arrest. Rarely, the baby dependent on oxygen will be discharged to go home with a pulse oximeter (a machine that measures oxygenation of the blood). Pulse oximeters are known to give frequent false alarms, especially when the baby is active, which limits its usefulness and reliability in the home. Therefore, most oxygen dependent babies will be measured by a respiratory care professional (with the use of a pulse oximeter) at home or at a follow-up clinic with their health care provider The lung specialist. They may also need periodic aerosol respiration (medicine that is inhaled directly into the lungs to open the airway) and systemic oral medications at home. Staying in the same room also gives you the opportunity to know these aspects of your baby's care.

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Finally, joint accommodation is also a good time to do a planned "road trip" or walk through The hospital, with her baby on a walker and oxygen connected equipment. Eventually you will have to travel alone with your baby, even if it is just to go to the doctor, and this will give you the opportunity to practice handling all the equipment connected to the walker or taken along with your baby. At first it may seem overwhelming, but soon you will become an expert!

After discharge, babies with oxygen can receive home or private nursing visits if medically necessary. The amount and type of nursing follow-up in the home is determined by the baby's physician, individual needs, and health care coverage. The decision to start removing oxygen from a baby depends on many factors. Some doctors begin to remove oxygen when the baby's respiratory effort slows and oxygen saturation stabilizes. Other doctors keep the baby with oxygen to ensure continued weight gain and achievement of developmental goals. Studies report fewer respiratory infections in babies who are on oxygen than in those with limit oxygen saturation levels. Your doctor will consider these and other factors unique to your baby. Removing oxygen is usually gradual and is accompanied by physical exams, x-rays, and periodic oxygenation measures (which can be done at home by a respiratory care professional).

If at any time Your baby does not progress in the oxygen removal program, it will be evaluated to determine the cause. Your baby will be evaluated throughout the oxygen removal process to determine your tolerance for lower and lower levels of oxygen, until the use is finally discontinued.

The information contained in this website should not be used as a substitute for the advice and medical care of your pediatrician. There may be many variations in treatment that your pediatrician could recommend based on individual facts and circumstances.

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