Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-26T17:28:23.125Z Has data issue: false hasContentIssue false

5.1.1 - Oxygen Administration in Intensive Care

from Section 5.1 - Practical Respiratory System

Published online by Cambridge University Press:  27 July 2023

By
Jo Hackney
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
Get access

Summary

Key Learning Points

  1. 1. The choice of method of oxygen administration is dependent largely on the desired fraction of inspired oxygen (FiO2).

  2. 2. To ensure delivery of a high FiO2 and avoid entrainment of room air, the delivery flow rate of oxygen must exceed the patient’s peak inspiratory flow rate.

  3. 3. Oxygen administration devices can be fixed or variable performance.

  4. 4. Variable performance devices can be adapted to allow for delivery of increased flows and/or higher FiO2.

  5. 5. Consideration of patient preference and comfort is an important deciding factor when selecting an oxygen administration device.

Keywords

oxygen administrationvariable performancefixed performance
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 521 - 522
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

References and Further Reading

Ashraf-Kashani, N, Kumar, R. High flow nasal oxygen therapy. BJA Education 2017;17:63–7.CrossRefGoogle Scholar
Ely, J, Clapham, M. Delivering oxygen to patients. Br J Anaesth CEPD Rev 2003;3:43–5.Google Scholar
O’Driscoll, BR, Howard, LS, Earis, J, et al. British Thoracic Society guidelines for oxygen use in adults in healthcare and emergency settings. Thorax 2017;72(Suppl 1):ii1–90.CrossRefGoogle ScholarPubMed
Wagstaff, TAJ, Soni, N. Performance of six types of oxygen delivery devices at varying respiratory rates. Anaesthesia 2007;62:492–503.CrossRefGoogle ScholarPubMed
Yentis, S, Hirsch, NP, Smith, GB. Oxygen therapy. In: Yentis, S, Hirsch, NP, Smith, GB (eds). Anaesthesia and Intensive Care A–Z: An Encyclopedia of Principles and Practice, 4th edn. London: Churchill Livingstone; 2009. p. 438.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×