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Low ambient O2
Hypoxemia
Suspected hypoxemia
Increased work-of-breathing
Flaring
Tachypnea
Increased myocardial work
Acute head injury
O2 delivery systems
High-flow
Venti-masks (air entrainment masks)
Mechanical aerosol systems
High-flow humidifier systems
Low-flow
Nasal cannula
Simple masks
Partial rebreathing masks
Non-rebreathing masks
Entrainment ratios
a: On room air?
b: On 0.50 FiO2?
c: On 0.80 FiO2?
The answers:
100
80
60
% Sat
40
20
0
0 20 40 60 80 100 120 140 160
PO2 mmHg
Resorption atelectasis
100% O2
nitrogen
oxygen
A B A B
Gas source
Expiratory
gas
Reservoir
To patient
One way valves
Air entrainment devices
exhaled gas
oxygen
room air
O2Hgb dissociation curve shift
100
80
pH
60
% Sat
CO2
temp
40
20
0
0 20 40 60 80 100 120 140 160
PO2 mmHg
What happens to your pO2 and
sats when your pH changes?
ph = 7.4, pO2 = 100, sat 96%
ph = 7.0, pO2 = ?, sat = ?
Oxygen delivery = # trucks X
how full they are loaded X
how fast they go
Flow Total
Entrainment rate flow
System FiO2 ratio (O2/air) (L/min) (L/min)
Ventimasks 0.24 1-25 4 104
0.28 1-10 4 44
0.31 1-7 6 48
0.35 1-5 8 48
0.4 1-3 8 32
0.5 1-1.7 12 32
0.6 1-1 12 24
Aerosol 0.7 1-0.6 12 19
Estimating FiO2
O2 inlet
Partial rebreather mask
One-way valves
Valve prevents
exhaled gas flow
into reservoir bag
Valve over
exhalation ports
prevents air
O2 entrainment
Delivers ~100% O2,
if bag does not
completely collapse
during inhalation
Reservoir