RT Journal Article
SR Electronic
T1 Severe Exercise-Induced Hypoxemia
JF Respiratory Care
FD American Association for Respiratory Care
SP 1154
OP 1160
DO 10.4187/respcare.01469
VO 57
IS 7
A1 Garvey, Chris
A1 Tiep, Brian
A1 Carter, Rick
A1 Barnett, Mary
A1 Hart, Mary
A1 Casaburi, Richard
YR 2012
UL http://rc.rcjournal.com/content/57/7/1154.abstract
AB Exercise training is an essential component of pulmonary rehabilitation and is associated with improved function and other important outcomes in persons with chronic lung disease. A subset of pulmonary rehabilitation patients experience hypoxemia that may occur or worsen with exercise. For the purpose of this review, severe exercise-induced hypoxemia is defined as an SpO2 of < 89% during exercise, despite use of supplemental oxygen delivered at up to 6 L/min. There is a paucity of evidence and clinical guidelines that address assessment and management of this important manifestation of chronic lung disease. This review presents background of this topic and suggests strategies for assessment, management, and safety measures for patients with severe exercise-induced hypoxemia.