Improvement with the use of oxygen should also be documented. When oximetry results are questionable or inconsistent, an arterial blood sample is considered more accurate. If you suspect carbon dioxide retention as a result of oxygen therapy, blood gas analysis is also recommended. Perform the test anyway and record why the oxygen cannot be removed. We suggest the litre flow be decreased slowly during the test whenever possible.
Results showing desaturation with decreased litre flow is acceptable evidence of low oxygen.
Infants with BPD are eligible for funding for oxygen with an oximetry test only. The oximetry test also should document the oxygen flow rate. You must complete Section 2, Medical Information, of the Home Oxygen Program Application form. The form describes the medical criteria as well as the application process. It still sounds like a lot of trouble.