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HIGH AND LOW FLOW OXYGEN DEVICES

  1. 1. NON INVASIVE VENTILATION LOW AND HIGH FLOW OXYGEN DEVICES Unnikrishnan.sv90@gmail.com 9995274650
  2. 2. NON INVASSIVE VENTILATION WHAT IS NON INVASSIVE VENTILATION ?
  3. 3. ADVANTAGES • Avoids intubation • Reduces patients work load • Provides adequate oxygen • Improves quality of sleep • Allows patient to communicate • Allows patient to drink and eat • Reduces the chance of infection • Inexpensive
  4. 4. uses • Weaning trial • A/C Respiratory failure • Neuro muscular diseases • Copd • Pulomonary edema • Bronchiectasis • Poliomyelitis • Muscular dystrophy etc ..
  5. 5. Contraindications • Respiratory arrest • Uncoperative patients • Inability to protect airways • Trauma or burns in face • Facial or GI Surgery • Apnoea • Extreme anxiety • Obesity
  6. 6. Types of non invasive ventilators • Generally classified into 2 1. Volume pre set ventilators 2. Pressure preset ventilators Pressure pre set ventilators 2 modes • CPAP • BiPAP
  7. 7. NURSING RESPONSIBILITY • Check patients breath rate and ausculate • Maintain spo2 100% • Inform the physician regarding any abnormality in ABG Values • Always check for air leake • Give more importance to patients needs like suctioning ,or giving sputum cups if secretions are present • Maintain a ABG CHART
  8. 8. Complications of CPAP and BiPAP • Insufficient ventillatory support • Mask leake • Skin trauma • Sputum retention • Nutritional deficiencies • Abdominal discomfort
  9. 9. OXYGEN DELIVERY METHODS /SYSTEMS • 2 SYSTEMS • LOW FLOW DELIVERY SYSTEMS • HIGH FLOW DELIVERY SYSTEMS
  10. 10. LOW FLOW OXYGEN DEVICES • NASAL CANNULA • SIMPLE FACE MASK • PARTIAL REBREATHER MASK
  11. 11. HIGH FLOW DEVICES /SYSTEMS • TRANS TRACHEAL CATHETRES • VENTURI MASK • AEROSOL MASK • TRACHEOSTOMY COLLARS • T –PIECE • NON REBREATHING MASK WITH RESERVOIR AND ONE WAY VALVE • HIGH HUMIDITY FACE TENTS
  12. 12. Formula for calculating percentage of Fio2% • Fio2= 20% + (4 X oxygen liter flow) • 1 liters = 24 % • 2 liters =28 % etc
  13. 13. • Suppose if we deliver 6 litres of oxygen per min ,what is the Fio2 • ANS- Fio2 = 44% with 6 litres of O2 P/M
  14. 14. NASAL CANNULA • Flow rate - 2-6 litres per min • 24-45 percentage • Advantage – light weight ,comfortable,inexpensive and continuous use with meals and activity. • Disadvantage – nasal mucosa drying
  15. 15. Nasal cannula
  16. 16. Oropharyngeal catheter • Flow rate – 1-6 Litres • Deliver 22-44 % • Adv – inexpensive and no need for tracheostomy • Dis adv – mucosal drying ,catheter should be changed frequently to both nostrils
  17. 17. Oropharyngeal catheter /air way.
  18. 18. Simple face mask • Flow rate – 6-8 Litres • Deliver 40-60% • Adv – inexpensive and simple to use • Dis adv – mucosal drying ,poor fitting
  19. 19. Simple Face mask
  20. 20. Partial rebreather mask • Flow rate – 8-11 Litres • Deliver 50-75 % • Adv – moderate oxygen concentration • Dis adv – mucosal drying ,poorly fitting , must remove to eat.
  21. 21. Partial rebreather mask
  22. 22. Non rebreather mask • Flow rate – 10-12 Litres • Deliver 80- 100 % • Adv – High oxygen concentration • Dis adv – poorly fitting ,must remove to eat
  23. 23. Non rebreather mask
  24. 24. HIGH FLOW DEVICES
  25. 25. Trans tracheal catheter • Flow rate – 4 Litres/min • Deliver 60=100 % • Adv – more comfortable , concealed by clothings ,less o2 is needed to achieve 100% saturation • Dis adv – requires frequent and regular cleaning and needs surgical intervention
  26. 26. Trans tracheal catheters
  27. 27. Venturi mask • Flow rate – 4-6 l/min • Deliver 24-40 % • Adv – precise fio2 and additional humidity available • Dis adv – must be removed to eat Colour Fi O2 O2 flow Blue 24% 2 l/min White 28% 4 l/min Orange 31% 6 l/min Yellow 35% 8 l/min Red 40% 10 l/min Green 60% 15 l/min
  28. 28. Trans tracheal catheter • Flow rate – 4 Litres/min • Deliver 60=100 % • Adv – more comfortable , concealed by clothings ,less o2 is needed to achieve 100% saturation • Dis adv – requires frequent and regular cleaning and needs surgical intervention
  29. 29. Aerosol mask • Flow rate – 8-10 Litres/min • Deliver 21- 100% fio2 based on nebulizer setting • Adv – good humidity and accurate Fio2 • Dis adv – uncomfortable for some
  30. 30. Aerosol mask
  31. 31. Tracheostomy collar • Flow rate – 8-10 Litres/min • Deliver 30- 100 % • Adv – good humidity , comfortable ,fairly accurate Fio2 • Dis adv – requires surgical intervention
  32. 32. Tracheostomy collar
  33. 33. T-piece • Flow rate – 8-10 Litres/min • Deliver 60=100 % • Adv –good humidity , comfortable ,fairly accurate Fio2 • Dis adv – heavy with tubings
  34. 34. T-piece
  35. 35. Face tent • Flow rate – 8-10 Litres/min • Deliver 30- 100 % • Adv –good humidity , comfortable ,fairly accurate Fio2 • Dis adv – bulky and cumbersome
  36. 36. Face tent
  37. 37. Complications Of Oxygen therapy • Infection • Combustion • Oxygen toxicity • Atlectasis • Retrolental fibroplasis • Retinal damage • Asphyxia
  38. 38. • Thank you • Count down starts now ………. • Study well ,future of India is in our hands ……..
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Summary | 3 Annotations
Flow rate - 2-6 litres per min • 24-45 percentage • Advantage – light weight ,comfortable,inexpensive and continuous use with meals and activity. • Disadvantage – nasal mucosa drying
2018/12/23 05:17
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2018/12/23 05:17
Flow rate - 2-6 litres per min • 24-45 percentage • Advantage – light weight ,comfortable,inexpensive and continuous use with meals and activity. • Disadvantage – nasal mucosa drying
2018/12/23 05:17