From the Research
For patients with pulmonary fibrosis, the recommended oxygen saturation goal (O2) is typically to maintain levels at or above 90% at rest, during sleep, and with activity, as evidenced by the most recent study 1. This goal is crucial in preventing complications such as pulmonary hypertension, reducing strain on the heart, improving exercise capacity, and potentially reducing breathlessness. The exact flow rate needed varies by individual and should be titrated to maintain the target saturation level, with patients potentially requiring different flow rates for rest (typically 1-3 liters per minute) versus activity (which may require 4-6 liters per minute or higher) 2. Some key points to consider include:
- Supplemental oxygen therapy should be prescribed when oxygen saturation falls below 90% at rest or with exertion.
- Continuous oxygen therapy is recommended for patients with resting hypoxemia, while ambulatory oxygen is important for those who desaturate with activity.
- Patients should work closely with their healthcare providers to determine their specific oxygen requirements through formal assessment, which may include a 6-minute walk test to evaluate exertional oxygen needs 1. It's essential to prioritize the patient's specific needs and adjust the oxygen therapy accordingly, taking into account their individual condition, activity level, and response to treatment 3, 4, 5.