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\u201cForbedring af iltningen i kroppen er det prim\u00e6re m\u00e5l for alle respirationsfysioterapeuter. \u00c5nden\u00f8d er et af de mest invaliderende symptomer, som patienter med KOL oplever, som kan lindres med tr\u00e6ning i en rutine, der udg\u00f8r en v\u00e6sentlig del af lungerehabiliteringen. Under tr\u00e6ningen \u00f8ges m\u00e6ngden af ilt, der kr\u00e6ves af patienterne, s\u00e5 selvom de f\u00e5r den samme m\u00e6ngde ilt, som kr\u00e6ves i hvile, afm\u00e6ttes de, og deres fysiske aktivitet begr\u00e6nses af hypox\u00e6mi og dyspn\u00f8. Vi anbefaler derfor, at der anvendes supplerende ilt under tr\u00e6ning til patienter, der allerede er p\u00e5 LTOT i lungerehabilitering.\u201d<\/em><\/p>\n\n
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\u201c<\/em>Jeg kom f\u00f8rste gang i kontakt med O2matic [PRO 100] p\u00e5 l\u00e6geafdelingen \u2013 den var ny, og den blev testet. Jeg var fascineret, fordi det virkede innovativt at f\u00e5 ilt justeret kontinuerligt baseret p\u00e5 patientens m\u00e6tning i mods\u00e6tning til at holde et fast flow. I starten brugte vi det til patienter med KOL-eksacerbation. Vi tog den af v\u00e6ggen og placerede den i rollatoren og s\u00e5, at den kunne bruges p\u00e5 denne b\u00e6rbare m\u00e5de, hvilket satte gang i tanken om, at vi m\u00e5ske kunne g\u00f8re noget med patienter med KOL p\u00e5 rehabiliteringscentret, n\u00e5r de var i gang med fysisk aktivitet. \u201d<\/p>\n“Vi besluttede at unders\u00f8ge, om brug af automatiseret oxygentitrering kunne v\u00e6re klinisk relevant for patienter med KOL, is\u00e6r dem, der er begr\u00e6nset af deres dyspn\u00f8. Vi \u00f8nskede at forst\u00e5, hvordan automatiseret ilttitrering sammenlignet med s\u00e6dvanlig fastdosis iltbehandling hos patienter p\u00e5 LTOT, n\u00e5r det kom til deres udholdenhedsniveauer under tr\u00e6ning, s\u00e5 jeg baserede den f\u00f8rste del af min ph.d. p\u00e5 dette.”<\/p>\n
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\u201cVi tildelte 33 patienter med avanceret COPT p\u00e5 LTOT til at bruge enten automatiseret oxygentitrering eller den s\u00e6dvanlige faste dosis i en tilf\u00e6ldig r\u00e6kkef\u00f8lge i et dobbeltblindet randomiseret crossover-fors\u00f8g. Begge grupper blev bedt om at g\u00e5 med samme hastighed, s\u00e5 l\u00e6nge de kunne. Det, vi opdagede, er, at n\u00e5r vi brugte O2matic [PRO 100] til automatisk at justere deres ilt, var patienterne i stand til at g\u00e5 n\u00e6sten 100 % l\u00e6ngere sammenlignet med s\u00e6dvanlig fastdosis ilt, og vi var i stand til at reducere deres dyspn\u00f8 med 50 %.\u201c<\/em><\/p>\n“Det var sp\u00e6ndende at se den bem\u00e6rkelsesv\u00e6rdige forskel, som iltbehandling skr\u00e6ddersyet til en persons behov under g\u00e5ture havde p\u00e5 disse patienter. Det \u00e6ndrede hele den m\u00e5de, jeg t\u00e6nker p\u00e5 ilt. Det fik mig til at indse, hvor vigtigt det er at overv\u00e5ge og l\u00f8bende kontrollere m\u00e6tning under tr\u00e6ning, s\u00e5 patienterne altid har nok ilt. Jeg tror, at automatiseret oxygentitrering er en lovende m\u00e5de at levere det effektivt p\u00e5.”<\/p><\/blockquote>\n
“<\/em>For de fleste patienter, hvis man sp\u00f8rger dem, \u2019vil du gerne have to ekstra \u00e5r, eller vil du foretr\u00e6kke en forbedret livskvalitet?\u2019<\/em>, v\u00e6lger de ofte livskvalitet. At kunne g\u00f8re mere er absolut et vigtigt resultat for patienten. Jeg tror, at regulering af iltstr\u00f8mmen automatisk giver flere muligheder for at leve selvst\u00e6ndigt i fremtiden.\u201d<\/p>\n\u201dDa jeg startede p\u00e5 f\u00f8rste del af min ph.d., ville jeg vide, om det har betydning for patienterne, at de bliver mere iltede under tr\u00e6ning. Med brugen af automatiseret ilttitrering opdagede jeg, at det gjorde det markant i forhold til, hvad de kunne opn\u00e5. Jeg er nu nysgerrig efter at se, hvordan denne form for ilttilf\u00f8rsel kan forbedre livskvaliteten for patienter derhjemme. Det er her, jeg vil fokusere min forskningsindsats n\u00e6ste gang.”<\/p>\n
Du kan l\u00e6se den offentliggjorte unders\u00f8gelse p\u00e5\u00a0Journal of Clinical Medicine<\/a>. Linette vil snart begynde sit n\u00e6ste forskningsprojekt med O2matic HOT 100.<\/p>\n","protected":false},"excerpt":{"rendered":"Linette Marie Kofod er fysioterapeut i K\u00f8benhavn, Danmark, med speciale i respiratorisk fysioterapi og lungerehabilitering. Hun l\u00e6ser i \u00f8jeblikket til en ph.d.-grad ved \u00d6rebro Universitet i Sverige og arbejder fortsat i kliniske omgivelser en dag om ugen p\u00e5 Hvidovre Hospital i K\u00f8benhavn, hvor hun behandler lungerehabiliteringspatienter, hvoraf mange er i langvarig iltbehandling (LTOT). \u201cForbedring […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","content-type":"","_mi_skip_tracking":false},"categories":[47,50,43,44],"tags":[],"yoast_head":"\n
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