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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
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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

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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

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