Your great-uncle Richard is going to be put on oxygen soon. He is worried that he will have to have a mask covering his face at all times. He wonders how he will be able to eat and have a normal life. He asks you to tell him about the options that people have for oxygen delivery. Explain the options that are available to different patients. How do various oxygen delivery devices (nasal cannulas, simple and re-breathing masks, oxyhoods, enclosures, etc.) differ from each other?

1 answer

It's understandable that your great-uncle Richard has concerns about starting oxygen therapy, especially regarding how it will impact his daily life. There are several options available for oxygen delivery, each suited to different needs and preferences. Here's an overview of some of the common methods:

1. Nasal Cannula

  • Description: This device consists of two small prongs that sit in the nostrils and are connected to a tube that delivers oxygen from a tank.
  • Oxygen Concentration: Typically provides 1-6 liters per minute of oxygen, delivering approximately 24% to 44% oxygen concentration.
  • Advantages: Comfortable for long-term use, allows for normal oral intake, and doesn't obstruct the face.
  • Considerations: Some patients may experience nasal irritation or dryness over long-term use.

2. Simple Face Mask

  • Description: A mask that covers the nose and mouth, secured with straps.
  • Oxygen Concentration: Usually delivers 6-10 liters per minute, providing approximately 40% to 60% oxygen concentration.
  • Advantages: Covers both the nose and mouth, making it effective for patients who need a higher concentration of oxygen than a nasal cannula can provide.
  • Considerations: It can be uncomfortable for extended use and may interfere with eating and drinking.

3. Re-Breathing Mask (Partial-Rebreather)

  • Description: Similar to a simple face mask but includes a reservoir bag for oxygen.
  • Oxygen Concentration: Delivers 8-15 liters per minute, providing about 60% to 80% oxygen concentration.
  • Advantages: Better for patients needing higher concentrations of oxygen, as it allows for some re-breathing of exhaled air mixed with more oxygen.
  • Considerations: Similar to the simple mask, it can obstruct eating and drinking.

4. Venturi Mask

  • Description: A mask that uses a color-coded system to deliver a specific concentration of oxygen.
  • Oxygen Concentration: Can provide exact concentrations (usually between 24% and 50%) depending on the adapter used.
  • Advantages: Useful for patients requiring precise oxygen levels; it can help prevent CO2 retention.
  • Considerations: Still covers the face, which can make it difficult for eating.

5. Oxyhood

  • Description: A clear plastic dome that fits over the head and delivers oxygen directly.
  • Oxygen Concentration: Can provide a high concentration of oxygen depending on the flow rate.
  • Advantages: Often used for infants or patients who cannot tolerate masks; allows for some mobility.
  • Considerations: Not commonly used for adult patients; may feel confining.

6. Enclosures and Oxygen Tents

  • Description: A tent or enclosure that provides oxygen over a larger area.
  • Use Cases: Typically used for children or patients who need constant, high levels of oxygen; allows for mobility within the space.
  • Advantages: Allows for movement and doesn't require the patient to wear a mask.
  • Considerations: May not be practical for all patients due to space considerations.

Summary

For your great-uncle, the nasal cannula would likely provide a comfortable and unobtrusive way to receive oxygen while still being able to eat and interact normally. If he needs a higher concentration of oxygen or has difficulties with the cannula, a simple mask or another type of device may be necessary. It's important for him to discuss his options with his healthcare provider to determine the best choice based on his specific condition and lifestyle. Many patients can adapt to their oxygen delivery systems and maintain a normal and active lifestyle with the appropriate equipment.