Oxygen delivery devices

Nasal Prongs

  • Low flow delivery system.
  • Flow rate: 1–6 L/min.
  • FiO₂ starts at 0.24 for 1 L/min and increases by ~4% per L/min up to ~0.44 at 6 L/min.
  • Well tolerated.
  • Must be low flow rate: > 6 L/min causes nasal mucosal drying.
  • Use: minimal or no respiratory distress or oxygenation problem.

    Simple (Hudson) Face Mask (Rebreather)

    • Low flow delivery system.
    • Flow rate: 2–15 L/min.
    • FiO₂ ranges from 0.24 to 0.6 (these concentrations are optimistic).
    • Mask doesn’t need a tight seal.
    • Use: similar to nasal prongs but requires higher concentrations.

    Venturi Mask

    • High flow delivery system.
    • Flow rate: 4–12 L/min.
    • FiO₂ can be set specifically with different flow rate and air ports; available settings: 0.24, 0.28, 0.35, and 0.4.
    • Use: for COPD patients needing specific oxygen concentrations to avoid blunting their hypoxic drive; aim to keep SpO₂ around 88%.

    Non-Rebreather with Reservoir Bag

    • High flow delivery system.
    • Proper use at 15 L/min supplies FiO₂ of ~0.7.
    • Requires tight-fitting mask.
    • Use: any spontaneously breathing patient needing short-term high O₂.
    • Possible concern: consider in cases like carbon monoxide poisoning or trauma.

    High Flow Nasal Oxygen (HFNO)

    • High flow delivery system.
    • Provides humidified, saturated gas at up to 70 L/min.
    • Delivered FiO₂ up to 0.9.
    • Also provides a small level of PEEP.
    • Well tolerated.

      Face Mask Single/Double Jet

      • High flow delivery system.
      • Flow rate > 10 L/min.
      • FiO₂: single setup 0.35–0.5; double setup 0.5–0.7.
      • Provides high levels of humidified oxygen.
      • Flow rates up to 30 L/min possible with double setup.
      • Use: when > 50% oxygen is required for prolonged periods.

      Bag Valve Mask

      • FiO₂ depends on the type of bag.
      • With a good seal and proper bag positioning (including exhalation port), FiO₂ up to 0.9 is achievable.