What a Patient and His Family Should Do When Unable to Continue Home Oxygen Therapy and Home Mechanical Ventilation During a Blackout: When Unable to Continue Home Oxygen Therapy and Noninvasive Positive-Pressure Ventilation due to a Power Outage, What Should the Patient and Family Member(s) Do?

  • Fumi NishizakiEmail author
  • Kazuo Kitou
  • Satoshi Kuboike
Part of the Respiratory Disease Series: Diagnostic Tools and Disease Managements book series (RDSDTDM)


A power outage triggered by a large-scale disaster deactivates medical devices used for in-home therapies, such as home oxygen therapy (HOT) and noninvasive positive-pressure ventilation (NPPV), rendering patients suddenly unable to continue their therapies. In this article, we mainly report the measures taken by home medical care service providers during past large-scale disasters to consider preparations for and actions to be taken during a disaster, such that patients and family members can continue in-home therapies. We also discuss the behaviors of patients and family members noted through their experiences, along with lessons learned, problems, and points to reflect upon. In Japan, there is a saying that goes, “Be prepared, and have no worries.” We hope this article prompts patients and family members to consider or imagine a situation like “what would I do if a large-scale disaster strikes now and a power outage cuts off the oxygen supply?” and make the necessary preparations to protect themselves.


Great East Japan Earthquake Preparations for disasters D-MAP 


  1. 1.
    Gas Medicina. 2016,34. K.K. Gas Review.Google Scholar
  2. 2.
    Tohyama K, Kishida R, editors. NPO Japan Respiratory Disorder Patient Information Center Questionnaire survey report about chronic respiratory disease patients. Tokyo: NPO Japan Respiratory Disorder Patient Information Center; 2015. p. 84.Google Scholar
  3. 3.
    Japan Industrial and Medical Gases Association. Guidelines for streamlining the emergency/disaster response systems for the maintenance service providers for home oxygen delivery devices. Tokyo: Japan Industrial and Medical Gases Association; 2017.Google Scholar
  4. 4.
    Kida K, Motegi T, editors. Countermeasures against major disasters for patients with chronic respiratory disease: information for team approach. Tokyo: Medical Review; 2016. p. 212.Google Scholar
  5. 5.
    The Ministry of Health, Labour and Welfare. Project for furthering the approvals of medical devices to promote in-home medical care: an investigative report on the needs for medical devices in in-home medical care.2013.Google Scholar
  6. 6.
    The Japanese Respiratory Society. Guidelines for the diagnosis and treatment of COPD (chronic obstructive pulmonary disease). 4th ed; 2013. p. 103–4.Google Scholar
  7. 7.
    The Japanese Respiratory Society. Guideline for noninvasive positive pressure (NPPV). 2nd ed; 2015. p. 41–7.Google Scholar
  8. 8.
    Company A. (2017). Preparations for disasters.Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Home Healthcare Sales Planning DepartmentTeijin Pharma LimitedTokyoJapan
  2. 2.Osaka Branch, Teijin Home Healthcare LimitedKobeJapan

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