COVID-19 case management in Home Settings

How to spot a good oxygen concentrator ?

Oxygen concentrators with a flow capacity of less than five litres per minute are “not suitable” for COVID-19 patients on home care and should not be used, India’s drug regulator , CDSCO said . Sellers should not push such devices using “misleading label” amid the coronavirus second wave.

The advisory by CDSCO aims at educating the people about minimum standards of oxygen concentrators for COVID-19 case management, especially for use in home settings.

At present , market has various models of oxygen concentrators, with different capacities of continuous flow (1 to 10 litres/minute) and widely varying concentration of oxygen, are being marketed . The health ministry has from time to time advised that oxygen concentrators with flow capacity of five litre per minute or more and delivering oxygen with concentration of 90 per cent or more are suitable for management of COVID-19 patients at COVID Care Centres, Dedicated COVID Health Centres and in home settings. The World Health Organisation has also prescribed these norms for oxygen concentrators.

Many people are not aware about these minimum parameters of oxygen concentrators and therefore may be using the concentrators that are not suitable for COVID-19 case management. This advisory is issued to inform people about minimum standards of oxygen concentrators for COVID-19 case management, for use especially in home settings.

CDSCO has further advised that oxygen concentrators must be purchased with consumables required to operate, user care instructions and protocols including guidance for replacement of accessories and consumable and safe decontamination of reusable parts, indicating if they are generic or brand related, the advisory said.

CDSCO has strongly advised that all sellers must prominently display the following information for each model of oxygen concentrator for sale

  • continuous flow capacity in litres per minute
  • the percentage of oxygen that a concentrator generates and
  • the maximum retail price.

Download the full advisory here for more information

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