High Flow Nasal Oxygen Versus Usual Care in COPD Pulmonary Rehabiliation
High Flow Nasal Oxygen Versus Usual Care in COPD Pulmonary Rehabiliation
To compare the effects of high flow nasal oxygen with usual care during an outpatient 6-week
 pulmonary rehabilitation program after hospitalization for COPD exacerbation.
This is a pilot randomized controlled trial to compare the effects of high flow nasal oxygen
 with usual care during an outpatient 6-week pulmonary rehabilitation program after
 hospitalization for COPD exacerbation.
Inclusion Criteria:

 1. Age 21 years and above

 2. Known diagnosis of COPD based on history AND spirometry demonstrating post
 bronchodilator FEV1/FVC ratio <0.7

 3. Currently admitted inpatient for an acute COPD exacerbation as the primary diagnosis

 4. Fit to participate in exercise therapy as determined by both physician and
 physiotherapist

 5. Has the mental capacity to follow instructions

 6. Experience shortness of breath on exertion

 7. Have decreased ability to carry out activities due to shortness of breath

 8. Willing to participate in the exercise program

 Exclusion Criteria:

 1. Uncontrolled/ unstable medical conditions such as severe chronic heart failure that
 make exercise unsafe

 2. Pulmonary disorder other than COPD

 3. Physical conditions that preclude the ability to participate in exercise or may impair
 exercise performance.