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Oxygen Therapy

Rent an oxygen concentrator or cylinder
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Booking a Rental Supplemental Oxygen and other supplies

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Place order

  1. Fill the form
  2. Email: info@rxdx.in
  3. WhatsApp: +91 901 996 1402
  4. Call us:
    • +91 901 409 1111
    • +91 740 663 7003 (RxDx SAMANVAY)
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Home Delivery

  1. 10:00 am – 5:00 pm, subject to availability
  2. Delivery after online payment link sent via Email/SMS/WhatsApp
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Documents required for booking

  1. Patient’s COVID positive report
  2. Patient’s Aadhar card/ID proof or
    Patient’s representative’s Aadhar card/ID proof
  3. Doctor’s prescription mentioning the requirement of medical oxygen
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Download this Rental Contract

Attachment

Please fill in the details and add your signature.

  1. Scan and email it to us for online booking, or
  2. Your representative visiting our clinic can submit a hard copy
(Preferably Mobile No.)

Oxygen Concentrators

Features

  • Oxygen Flow Range: 0.5-5 L/min
  • Oxygen concentration: 95.5% – 87%
  • Oxygen Output Pressure: 40 – 70kPa
  • Power Input: 150-400 VA
  • Weight of the machine: 15.5kg (34.1lbs)
  • Operation noise level: ≤48dB (A)(average) Whole unit: 52dB(A)

Oxygen Cylinders

Features

  • Oxygen Flow Range: 1-10 L/min
  • Material: Aluminium
  • Structure: General cylinder
  • Power: Hydraulic
  • Pressure direction: Double acting cylinder

Medical Oxygen & other Rental Charges

Delivery Time: 10:00 am – 5:00 pm, Mon – Sat

PARTICULARS 7-DAY RENTAL COST 15-DAY RENTAL COST 30-DAY RENTAL COST SANITISATION COST REFUNDABLE SECURITY DEPOSIT
Oxygen Concentrator 5 litres ₹4,000/- ₹7,500/- ₹200/- ₹15,000/-
Oxygen Cylinder 10 litres ₹2,000/- ₹4,000/- ₹200/- ₹5,000/-
Refilling charges for Cylinder ₹ 700/- + transport
One Way Transport Charges ₹400 (within 5 km) + ₹25 per additional km
Medical bed with head and foot elevation, side railing ₹3,500/- ₹5,000/-
Mattress ₹850/- ₹2,000/-
Accessories like an Oxygen mask and Nasal cannula can be purchased from Pharmacy as per the MRP.

Medical Oxygen Supply

Medical Oxygen is as precious as life itself right now. They come in different presentations, varying in the delivery methods, capacity, and targeted facility setup.

Let’s look at the most common types of oxygen supplements used in a home-based care setup.

Oxygen Concentrators

Mechanism of action

Roughly 20% of natural air comprises oxygen, and the rest is a mixture of nitrogen and other gases. An oxygen concentrator can filter pure oxygen from air let into the device, releasing the rest of the gases out in the process. Patients with respiratory problems can breathe in this 90-95% pure oxygen through oxygen masks or nasal tubes, or nasal cannulas.

Concentrators have an in-built cooling mechanism to prevent overheating. The oxygen is stored within the device in a compressed state. While using the machine, the caregiver must regulate and monitor the flow.

Types of Concentrators

Concentrators may dispense the oxygen in either continuous flow or pulse dose.

Pulse dose takes a cue from the patient’s breathing pattern and releases the oxygen only during inhalation. The continuous flow concentrators keep going until turned off manually. The oxygen dispensed per minute varies in a pulse dose concentrator.

Benefits of keeping an Oxygen Concentrator at home

Doctors recommend mild to moderately ill COVID-19 patients with an oxygen saturation level between 90-94% to get supplemental oxygen therapy. Considering the hospital bed shortage, an oxygen concentrator can be used if the patient can be managed at home.

Ideally, patients who need less intensive oxygen support of average of 2-3 litres, which may extend to 5 litres per minute and not above, are the best candidates for an oxygen concentrator. Patients with moderate symptoms or having the risk of developing so can recover well at home quarantine under medical monitoring with oxygen therapy.

Elderly or particularly sick patients discharged from the hospital may also be advised to continue oxygen therapy at home and may require oxygen concentrators.

 

Limitations of oxygen concentrators

Experts warn patients with severe symptoms or an oxygen saturation dipping further down from 80-85% may need a higher oxygen flow. Such a patient needs to switch to a cylinder or liquid medical oxygen supply and possibly, eventually, seek hospital admission.

In patients with severe symptoms, the device can reduce the symptom severity and buy some time before a patient can get the needed critical medical care.

Pulse Oxymeter

Measure oxygen saturation at home

Available across all Pharmacies of RxDx

Features of an Oxygen Concentrator

  • 1-5 litres per minute supply of approximately 90% pure oxygen at a relatively low pressure
  • Oxygen therapy 24/7 increases chances of survival
  • Can run continuously but for best results, should be turned off for 30 minutes, every 6 hours
  • Smaller portable types need to be recharged after 2 hours, usually
  • Can boost exercise tolerance by helping patient breath
  • May improve stamina for day-to-day activities
  • It doesn’t need a refill tank

Don’t forget to sanitise the device regularly!

Best way to improve oxygen levels

For efficient oxygen delivery, the patient should be in a prone position. Prone position can improve the distribution and lung air volume. They also enable smoother expansion or collapse of alveoli or tiny air sacs in the lungs where the exchange of blood oxygen & carbon dioxide occurs.

Prone Position:

Proning is a medically accepted position to improves breathing comfort and oxygenation.

Prone Position

  • Improves breathing
  • Provides comfort and oxygenation
  • Improve the distribution and lung air volume
  • Enable smoother expansion or collapse of alveoli or tiny air sacs in the lungs where the exchange of blood oxygen & carbon dioxide occurs
  • Video by RxDx Physios: YouTube link will be shared

Placing the Pillows

  • 1 pillow below the neck
  • 1 or 2 pillows below the chest and upper thighs
  • 2 pillows below the shin area

Lie on your belly

30 minutes – 2 hours

Lie on your right side

30 minutes – 2 hours

Stay in the sitting position

30 minutes – 2 hours

Lie on your left side

30 minutes – 2 hours

Lie on your belly

30 minutes – 2 hours

Do’s & Don’ts of Proning

  • Avoid proning for an hour after meals
  • Maintain proning only as far as you can tolerate easily
  • You can practice proning for up to 16 hours a day, in multiple cycles
  • Pillows may be adjusted slightly to alter pressure areas and for comfort
  • Keep a track of any pressure sores or injuries, especially around bony prominences
  • Avoid Proning if:
    1. Pregnant
    2. have been diagnosed or treated for Deep venous thrombosis in less than 48 hours
    3. Major cardiac conditions
    4. Unstable spine, femur, or pelvic fractures

Oxygen Cylinders

Oxygen Cylinders provide a continuous supply of oxygen in large quantities and may be available in a compressed gaseous or liquid state. The oxygen is stored in a high-pressure, non-reactive, seamless tempered steel container.

Who needs Oxygen Cylinders?

Anybody with a respiratory issue can benefit from cylinders.

However, supplemental oxygen in cylinders is a must for moderate to severe breathing difficulty to maintain aerobic metabolism. It is a better choice over concentrators due to its capability to dispense oxygen at a large volume per minute.

Patients with severe symptoms or an oxygen saturation dipping further down from 80-85% may need a higher oxygen flow are recommended hospitalisation or, if not possible, switch to Oxygen Cylinders.

You may also need other equipment like Humidifiers, Cannulas and Flowmeters to assist in oxygen therapy or enhance the respiratory aid.

FAQ

Why is medical oxygen supply in high demand right now?
COVID 2nd wave has been spreading at a much faster rate than the first. The percentage of people experiencing symptoms severe enough to require supplemental oxygen has increased with the country’s total cases. Hence, the existing supply of oxygen in our country is not in proportion with the demand.
Why is the 2nd wave more devastating in India than the 1st?
The Sars-Cov-2 variant B.1.617, currently predominant in India, has been designated as the “Variant of Concern” by the WHO. Among the multiple mutations the virus has undergone, two are the key. These mutations have occurred in the spikes of the coronavirus, which attaches to human cells. Experts are now attributing the transmissibility, disease severity, and reinfection risks of the catastrophic 2nd wave in India to these mutations. The rampant and highly infectious disease’s clinical manifestation has also altered over time.
How are symptoms of the 2nd wave different from the 1st wave?
25% of the younger age group cases have reported lung involvement in the disease manifestation. This has significantly increased the hospitalisation and oxygen requirement.

During the 2nd wave, diseased lung progression has been observed from day 2 or 3 of symptom onset. Some noticeable respiratory conditions are COVID pneumonia, Acute Respiratory Distress Syndrome (ARDS), pulmonary complications, and patients who have sought medical attention for severe breathlessness, chest pain, and persistent cough.

How is oxygen related to breathing issues associated with COVID?
COVID-19 patients can experience a sudden dip in the level of oxygen bound to their haemoglobin. Once the SpO2 level goes below 95%, one needs to be cautious as a further fall down to 92 % requires emergency care.

The dip in oxygen saturation can happen anytime from the first week of recovery. What starts as shortness of breath may escalate to severe breathing difficulty and continue towards lung damage, or even end up resulting in multiple organ failure.

The SARS-CoV-2 infects the respiratory epithelial cells, protecting the airway tract from pathogens and infections and facilitating oxygen-carbon monoxide exchange. In that case, our immune system triggers an inflammatory response, which hinders the regular oxygen transfer in the lungs, and leads to a fluid build-up. All these may contribute to breathing difficulty.

What is silent Hypoxia?
When a patient has an oxygen saturation extremely low compared to other vital signs but doesn’t feel the breathlessness, they are suffering from silent Hypoxia. In general, it’s not an early symptom. Patients are usually diagnosed with this condition when they seek medical attention for other complaints like fever, cough, muscle aches, or fatigue. Usually, it’s a sign of the patient being in a critical state. This is the reason a patient’s pulse oxygen must be monitored at short intervals and regularly.
What is SpO2? How is it measured?
Saturation of Peripheral Oxygen (SpO2) is a percentage measurement of oxygen saturation in the haemoglobin.

The most common method of measuring your oxygen saturation at home is the Pulse Oximetry Test. It’s a small device with a clip to fit your finger. The readings appear in percentage, and 95% or higher means you have a normal oxygen saturation. If you are COVID positive and your reading falls to 94 or below, you need to be careful. 90% signifies low blood oxygen, and the condition is called hypoxemia. That’s when you need emergency medical help.

Where does the supplemental oxygen come in?
For COVID patients, the best practice is to introduce external oxygen supply level up the blood oxygen saturation. Doctors are recommending oxygenation when the SpO2 readings drop below 94%. They may also ask you to take the walk test to check the intensity. If walking for 6 minutes makes the patient breathless, they may be advised hospitalisation.

A home setup of supplemental medical oxygen can be a more feasible alternative, especially when oxygen beds are in high demand. COVID Patients must remember that oxygen therapy cannot boost oxygen levels instantly. The goal is to get the saturation up to 92%.

What kind of devices can supply medical oxygen at home?
Oxygen cylinders are a finite source of oxygen, while oxygen concentrators can provide continuous supply but need a constant power source.
Who is eligible for supplemental oxygen or an oxygen concentrator set up at home?
Doctors recommend mild to moderately ill COVID-19 patients with an oxygen saturation level between 90-94% to get supplemental oxygen therapy. Considering the hospital bed shortage, an oxygen concentrator can be used if the patient can be managed at home.

However, experts warn that patients with severe symptoms or an oxygen saturation dipping further down from 80-85% may need a higher oxygen flow. Such a patient needs to switch to a cylinder or liquid medical oxygen supply and possibly, eventually, seek hospital admission.