A nasal cannula is a common medical device that delivers supplemental oxygen. This lightweight, flexible tube features two small prongs that rest just inside the nostrils, providing a continuous flow of oxygen. While beneficial for various respiratory conditions, prolonged use can lead to discomfort. This guide offers practical strategies to enhance comfort while using a nasal cannula.
Addressing Skin Irritation
Skin irritation around the nostrils, cheeks, and behind the ears is common for nasal cannula users. Constant contact and friction from the tubing can cause redness, dryness, or even open sores. Applying water-based moisturizers, specialized gels, or barrier creams directly to irritated areas can provide relief and protect the skin. Look for products designed for this purpose.
For discomfort on the cheeks and face where the tubing rests, use soft padding like specialized cannula pads or a small piece of gauze to create a cushion. Behind the ears, where tubing often causes pressure and chafing, ear protectors made of soft foam or satin are effective. These protectors wrap around the tubing, reducing friction and preventing pressure sores. Regularly check the cannula’s fit and reposition the tubing slightly throughout the day to minimize sustained pressure.
Relieving Nasal Dryness and Congestion
The continuous flow of oxygen can dry out the delicate mucous membranes inside the nose, leading to dryness, crusting, and congestion. Humidification is a practical solution to combat this discomfort. Using a humidifier bottle connected to the oxygen concentrator helps add moisture to the delivered oxygen, preventing the drying effect. This is beneficial for those receiving higher flow rates of oxygen, such as above 4 liters per minute.
Over-the-counter saline nasal sprays or gels can also help keep nasal passages moist and alleviate dryness. These solutions cleanse and soothe irritated tissues. Consistent hydration by drinking plenty of water throughout the day further supports overall body moisture, which helps maintain moist mucous membranes. Gentle breathing techniques, avoiding harsh sniffing or blowing, can also reduce internal friction and irritation within the nasal passages.
Optimizing Tubing Placement and Stability
Managing the physical tubing of a nasal cannula can prevent discomfort and entanglement, which often leads to accidental dislodgement. Using clothing clips or specialized tubing clips can secure the oxygen tubing to your clothing or bedding, preventing it from tugging on the cannula and pulling on your face or ears. These clips help relieve the pull and maintain the cannula’s position.
For longer tubing, coiling any excess neatly can prevent tripping hazards and reduce the chance of the cannula getting caught. Some nasal cannulas are designed with softer, more flexible materials, which can reduce pressure and discomfort on the skin. Regular cleaning of the tubing can also prevent it from becoming stiff over time, maintaining its flexibility. Always ensure the tubing is free of kinks, as kinks can restrict oxygen flow and lead to inefficient delivery and increased discomfort.
When to Consult a Healthcare Provider
While many discomforts can be managed with at-home strategies, certain symptoms warrant immediate consultation with a healthcare provider. Persistent pain, significant skin breakdown, or the development of open sores around the cannula contact points should be evaluated. These could indicate more serious skin damage or potential infection.
Any difficulty breathing, changes in your oxygen saturation levels, or new or worsening symptoms despite implementing comfort measures also require prompt medical attention. Signs of infection, such as increased redness, swelling, warmth, or the presence of pus at the irritation sites, should be reported. Consulting a healthcare provider ensures proper assessment, adjustments to your oxygen therapy, and appropriate treatment for any complications that may arise.