Why are venturi masks used?
The most
essential component in the treatment of patients suffering from acute hypoxemia
is to deliver enough supplemental oxygen. While a lot of options are available
to deliver the required proportion of oxygen, the easiest and the least
invasive is the simple use of a face mask or Venturi mask.
For as long
as fifty years, there has been a trend of using these kinds of masks for
patients all over the world. Tracing back to its origin, it was initially
developed to be used as a simple oxygen delivering system. However with time
these face masks have evolved in its complexity and efficacy in an attempt to
provide maximal patient benefit.
To deliver controlled percentages of oxygen
Typically
used in the hospital setting to deliver controlled percentages of oxygen,
background Venturi masks are
important for those who are at a risk of hypercapnic respiratory failure and to
properly assess ventilation as well as gas exchange. In addition to this,
hospital oxygen supplies deliver high velocity and pressure, both of which are
needed for Venturi masks to operate as designed. In fact, home oxygen is
commonly delivered through concentrators, which actually work at lower
pressures and this may in fact, impact the performance of Venturi masks in case
they are requested for home use.
High fresh gas flow rate
Giovanni
Venturi's principle of increased gas velocity was incorporated by Campbell to
develop oxygen delivering facemask, which clearly represents the standard of
supplemental oxygen face masks of today. These masks are low-flow masks that
use the Bernoulli principle to entrain room air when pure oxygen is delivered
through a small orifice.
These masks
not only allow high fresh gas flow rate, but are also designed to rapidly flush
the exhaled gases out through its holes. This is beneficial for the patient
as there is no rebreathing and no
increase in dead space.
To deliver a fixed oxygen concentration
Venturi masks
are hence highly recommended during times when a fixed oxygen concentration is
desired in patients whose ventilation is dependent on the hypoxic drive. In
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Designed both
for adults as well as paediatric use, these masks are coupled with a reservoir
tubing which is then attached to a supraglottic airway device as part of a
T-piece breathing system. To sum it up, Venturi masks are an ideal option for
patients who have a low to moderate oxygen requirement but are at risk of
hypercarbia.
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