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6/25/2017 OxygendeliverydevicesOxfordMedicalEducation

Oxygen:deliverydevices

OxygendeliverydevicesformedicalstudentfinalsandOSCES

Oxygentherapy
Oxygenisdeliveredfromtapsabovewardbedsat100%concentration
Itisthenputthroughdifferentdevicesatdifferentratestoadjusttheoxygenconcentrationthatthepatientinspires
Thepercentageofoxygeninspireddependsontheflowrateandthedeliverydevice
Theflowratecanbesetonthewalltap:itvariesfrom015Lperminute
Deliverydevicesworkwithdifferentflowrates.Theyinclude

Nasalcannulae
Deliver2430%oxygen
Flowrate14L/min(4Lwilldrythenose,2Lismorecomfortable)
Usedinnonacutesituationsorifonlymildlyhypoxic(e.g.saturationsstableat92%inapatientwithoutlung
disease)

Hudsonmask(rarelyused)
Delivers3040%oxygen
Flowrate510L/min

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6/25/2017 OxygendeliverydevicesOxfordMedicalEducation

Venturimask
Delivers2460%oxygen
Differentcoloursdeliverdifferentrates
Flowrate:Varieswithcolour.Thecorrectflowratetousewitheachcolouritisshownonmask,alongwiththe
percentageofoxygendelivered.
Types:
BLUE=24L/min=24%O2
WHITE=46L/min=28%O2
YELLOW=810L/min=35%O2
RED=1012L/min=40%O2
GREEN=1215L/min=60%O2
VenturimasksareoftenusedinCOPD,whereitisimportantnottooveroxygenatethepatient.

Nonrebreathermask
Delivers8590%oxygen
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15Lflowrate
6/25/2017 OxygendeliverydevicesOxfordMedicalEducation

Bagonmaskwithvalvesstoppingalmostallrebreathingofexpiredair
Usedforacutelyunwellpatients
Notethatsaturationsshouldbemaintainedat9498%,not100%.
Donotkeeppatientson15Lforlongerthannecessaryasoveroxygenatingforprolongedperiodscanbe
harmful.

Noninvasiveventilation(CPAP/BiPAP):clickhereforhowtostartpatientsonNIV
CPAP(continuouspositiveairwayspressure)
Highpressureair/oxygenwithatightfittingmask
Positivepressureallthetimetohelpkeepairwaysopen(splitthem)
Usedinacutepulmonaryoedemaandsleepapnoea

BiPAP(bilevelpositiveairwayspressure)
Highpositivepressureoninspirationandlowerpositivepressureonexpiration
UsedinexacerbationsofCOPDandARDS

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