Oxygen mask

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A woman wearing an oxygen mask Simple face mask.jpg
A woman wearing an oxygen mask

An oxygen mask is a mask that provides a method to transfer breathing oxygen gas from a storage tank to the lungs. Oxygen masks may cover only the nose and mouth (oral nasal mask) or the entire face (full-face mask). They may be made of plastic, silicone, or rubber. In certain circumstances, oxygen may be delivered via a nasal cannula instead of a mask.

Contents

Medical plastic oxygen masks

Medical plastic oxygen masks are used primarily by medical care providers for oxygen therapy because they are disposable and so reduce cleaning costs and infection risks. Mask design can determine accuracy of oxygen delivered with many various medical situations requiring treatment with oxygen. Oxygen is naturally occurring in room air at 21% and higher percentages are often essential in medical treatment. Oxygen in these higher percentages is classified as a drug with too much oxygen being potentially harmful to a patient's health, resulting in oxygen dependence over time, and in extreme circumstances patient blindness. For these reasons oxygen therapy is closely monitored. Masks are light in weight and attached using an elasticated headband or ear loops. They are transparent for allowing the face to be visible for patient assessment by healthcare providers, and reducing a sensation of claustrophobia experienced by some patients when wearing an oxygen mask. The vast majority of patients having an operation will at some stage wear an oxygen mask; they may alternatively wear a nasal cannula but oxygen delivered in this way is less accurate and restricted in concentration.

The global disposable oxygen masks market, according to Altus Market Research, has the potential to grow by US$1.1 billion between 2019 and 2023. The market's growth pace will also pick up speed throughout this time. [1]

Silicone and rubber masks

Silicone and rubber oxygen masks are heavier than plastic masks. They are designed to provide a good seal for long-duration use by aviators, medical research subjects, and hyperbaric chamber and other patients who require administration of pure oxygen, such as carbon monoxide poisoning and decompression sickness victims. Dr. Arthur H. Bulbulian pioneered the first modern viable oxygen mask, worn by World War II pilots and used by hospitals. [2] Valves inside these tight-fitting masks control the flow of gases into and out of the masks, so that rebreathing of exhaled gas is minimised.

Hoses and tubing and oxygen regulators

Hoses or tubing connect an oxygen mask to the oxygen supply. Hoses are larger in diameter than tubing and can allow greater oxygen flow. When a hose is used it may have a ribbed or corrugated design to allow bending of the hose while preventing twisting and cutting off the oxygen flow. The quantity of oxygen delivered from the storage tank to the oxygen mask is controlled by a valve called a regulator. Some types of oxygen masks have a breathing bag made of plastic or rubber attached to the mask or oxygen supply hose to store a supply of oxygen to allow deep breathing without waste of oxygen with use of simple fixed flow regulators.

Oxygen masks for aviators

A T-37 pilot wearing a mask designed for both diluter- and pressure-demand breathing T-37 solo student pilot.jpg
A T-37 pilot wearing a mask designed for both diluter- and pressure-demand breathing
Inner view of a military aviators mask showing face seal, facepiece and inhalation valves Tightlysealedmask.jpg
Inner view of a military aviators mask showing face seal, facepiece and inhalation valves

History

An early 1919 high-altitude oxygen system used a vacuum flask of liquid oxygen to supply two people for one hour at 15,000 ft (4,600 m). The liquid passed through several warming stages before use, as expansion when it evaporated, and absorbed latent heat of vaporization, would make the gasified oxygen so cold that it could cause instant frostbite of the lungs. [3]

The first successful creation for the oxygen mask was by Armenian born Dr. Arthur Bulbulian, in the field of facial prosthetics, in 1941.[ citation needed ]

Many designs of aviator's oxygen masks contain a microphone to transmit speech to other crew members and to the aircraft's radio. Military aviators' oxygen masks have face pieces that partially cover the sides of the face and protect the face against flash burns, flying particles, and effects of a high speed air stream hitting the face during emergency evacuation from the aircraft by ejection seat or parachute. They are often part of a pressure suit or intended for use with a flight helmet.

Regulations

Three main kinds of oxygen masks are used by pilots and crews who fly at high altitudes: continuous flow, diluter demand, and pressure demand. [4]

In a continuous-flow system, oxygen is provided to the user continuously. It does not matter if the user is exhaling or inhaling as oxygen is flowing from the time the system is activated. Below the oxygen mask is a rebreather bag that collects oxygen during exhalation and as a result allows a higher flow rate during the inhalation cycle. [5]

Diluter-demand and pressure-demand masks supply oxygen only when the user inhales. [6] They each require a good seal between the mask and the user's face.

In a diluter-demand system, as the altitude increases (ambient pressure, and therefore the partial pressure of ambient oxygen, decreases), the oxygen flow increases such that the partial pressure of oxygen is roughly constant. Diluter-demand oxygen systems can be used up to 40,000 ft (12,000 m). [5]

In a pressure-demand system, oxygen in the mask is above ambient pressure, permitting breathing above 40,000 feet (12,000 m). [5] Because the pressure inside the mask is greater than the pressure around the user's torso, inhalation is easy, but exhalation requires more effort. Aviators are trained in pressure-demand breathing in altitude chambers. Because they seal tightly, pressure-demand-type oxygen masks are also used in hyperbaric oxygen chambers and for oxygen breathing research projects with standard oxygen regulators. [2]

Supplemental oxygen is needed for flying more than 30 minutes at cabin pressure altitudes of 12,500 feet (3,800 m) or higher, pilots must use oxygen at all times above 14,000 feet (4,300 m) and each occupant must be provided supplemental oxygen above 15,000 feet (4,600 m). [7]

Aviation passenger masks and emergency oxygen systems

Emergency oxygen masks deployed Passenger oxygen mask dsc06035.jpg
Emergency oxygen masks deployed

Most commercial aircraft are fitted with oxygen masks for use when cabin pressurization fails. [8] [9] In general, commercial aircraft are pressurized so that the cabin air is at a pressure equivalent to no more than 8,000 feet (2,400 m) altitude (usually somewhat lower altitude), where one can breathe normally without an oxygen mask. If the oxygen pressure in the cabin drops below a safe level, risking hypoxia, compartments containing the oxygen masks will open automatically, either above or in front of the passenger and crew seats, and in the lavatories.

In the early years of commercial flight, before pressurized cabins were invented, airliner passengers sometimes had to wear oxygen masks during routine flights.

Self-contained breathing apparatus (SCBA)

Firefighters and emergency service workers use full face masks that provide breathing air as well as eye and face protection. [10] These masks are typically attached to a tank carried upon the back of the wearer and are called self-contained breathing apparatuses (SCBA). [11] Open circuit SCBAs do not normally supply oxygen, as it is not necessary and constitutes an easily avoidable fire hazard. Rebreather SCBAs usually supply oxygen as this is the lightest and most compact option, and uses a simpler mechanism than other types of rebreather.

Specialized masks for astronauts

Specialized full-face masks that supply oxygen or other breathing gases are used by astronauts to remove nitrogen from their blood before space walks (EVA).[ citation needed ]

Specialized masks for pets

Specialized snout masks which supply oxygen to revive family pets have been donated to fire departments. [12] [13] [14]

Oxygen delivery to divers

Divers only use pure oxygen for accelerated decompression, or from oxygen rebreathers at shallow depths where the risk of acute oxygen toxicity is acceptable. Oxygen supply during in-water decompression is via rebreather, open circuit diving regulator, full-face mask or diving helmet which has been prepared for oxygen service . [15]

Built-in breathing system

US Navy Divers test built-in breathing masks inside a recompression chamber US Navy 070208-N-8268B-001 Navy Diver 1st class Mike Barnett and Navy Diver 1st Class Chad Christensen test built-in breathing masks inside a recompression chamber.jpg
US Navy Divers test built-in breathing masks inside a recompression chamber

Oxygen supply to divers in decompression chambers is preferably through a built-in breathing system, which uses an oxygen mask plumbed into supply and exhaust hoses which supply oxygen from outside the chamber, and discharge the exhaled oxygen-rich gas outside the chamber, using a system equivalent to two demand valves, one upstream of the diver, to supply oxygen on demand, and the other downstream, to exhaust exhaled gas on demand, so that the oxygen partial pressure in the chamber is limited to relatively safe levels. If oxygen masks are used that discharge into the chamber, the chamber air must be replaced frequently to keep the oxygen level within safe operating limits. [16]

Anesthesia oxygen masks

Anesthesia masks are face masks that are designed to administer anesthetic gases to a patient through inhalation. Anesthesia masks are either made of anti-static silicone or rubber, as a static electricity spark may ignite some anesthetic gases. They are either black rubber or clear silicone. Anesthesia masks fit over the mouth and nose and have a double hose system. One hose carries inhaled anesthetic gas to the mask and the other brings exhaled anesthetic gas back to the machine. Anesthesia masks have 4 point head strap harnesses to securely fit on the head to hold the mask in place as the anaesthetist controls the gases and oxygen inhaled.

Masks for high-altitude climbers

Oxygen masks are used by climbers of high peaks such as Mount Everest. [17] Because of the severe cold and harsh conditions oxygen masks for use at extreme altitude must be robust and effective. The oxygen storage tanks used with the masks (called oxygen bottles) are made of lightweight, high-strength metals and are covered in high-strength fiber such as kevlar. These special oxygen bottles are filled with oxygen at a very high pressure which provides a longer time duration of oxygen for breathing than standard pressure oxygen bottles. These systems are generally only used above 7,000 metres (23,000 ft).

In recent years oxygen mask systems for high-altitude climbing which pump oxygen constantly have been increasingly replaced by systems supplying oxygen on demand via nasal cannulas.[ citation needed ]

Oxygen helmets

Oxygen helmets are used in hyperbaric oxygen chambers for oxygen administration. [2] They are transparent, lightweight plastic helmets with a seal that goes around the wearer's neck that looks like a space suit helmet. They offer a good visual field. Light weight plastic hoses provide oxygen to the helmet and remove exhaled gas to the outside of the chamber. Oxygen helmets are often preferred for oxygen administration in hyperbaric oxygen chambers for children and patients that are uncomfortable wearing an oxygen mask.[ citation needed ]

Mask retention systems

Medical oxygen masks are held in place by medical personnel or the user by hand, or they may be fitted with a lightweight elastic headband so the mask can be removed quickly. Full-face masks are secured by several straps. Tightly fitting oxygen masks are secured at four points by two head straps. Aviators' masks are often equipped with "quick don" harnesses that allow those in pressurized aircraft to rapidly don the masks in emergencies. Military aviators' oxygen masks are secured to flight helmets with quick-release systems.

See also

Related Research Articles

<span class="mw-page-title-main">Scuba set</span> Self-contained underwater breathing apparatus

A scuba set, originally just scuba, is any breathing apparatus that is entirely carried by an underwater diver and provides the diver with breathing gas at the ambient pressure. Scuba is an anacronym for self-contained underwater breathing apparatus. Although strictly speaking the scuba set is only the diving equipment that is required for providing breathing gas to the diver, general usage includes the harness or rigging by which it is carried, and those accessories which are integral parts of the harness and breathing apparatus assembly, such as a jacket or wing style buoyancy compensator and instruments mounted in a combined housing with the pressure gauge, and in the looser sense, it has been used to refer to all the diving equipment used by the scuba diver, though this would more commonly and accurately be termed scuba equipment or scuba gear. Scuba is overwhelmingly the most common underwater breathing system used by recreational divers and is also used in professional diving when it provides advantages, usually of mobility and range, over surface-supplied diving systems, and is allowed by the relevant legislation and code of practice.

<span class="mw-page-title-main">Rebreather</span> Portable apparatus to recycle breathing gas

A rebreather is a breathing apparatus that absorbs the carbon dioxide of a user's exhaled breath to permit the rebreathing (recycling) of the substantially unused oxygen content, and unused inert content when present, of each breath. Oxygen is added to replenish the amount metabolised by the user. This differs from open-circuit breathing apparatus, where the exhaled gas is discharged directly into the environment. The purpose is to extend the breathing endurance of a limited gas supply, and, for covert military use by frogmen or observation of underwater life, eliminating the bubbles produced by an open circuit system and in turn not scaring wildlife being filmed. A rebreather is generally understood to be a portable unit carried by the user. The same technology on a vehicle or non-mobile installation is more likely to be referred to as a life-support system.

<span class="mw-page-title-main">Diving regulator</span> Mechanism that controls the pressure of a breathing gas supply for diving

A diving regulator is a pressure regulator that controls the pressure of breathing gas for diving. The most commonly recognised application is to reduce pressurized breathing gas to ambient pressure and deliver it to the diver, but there are also other types of gas pressure regulator used for diving applications. The gas may be air or one of a variety of specially blended breathing gases. The gas may be supplied from a scuba cylinder carried by the diver, in which case it is called a scuba regulator, or via a hose from a compressor or high-pressure storage cylinders at the surface in surface-supplied diving. A gas pressure regulator has one or more valves in series which reduce pressure from the source, and use the downstream pressure as feedback to control the delivered pressure, or the upstream pressure as feedback to prevent excessive flow rates, lowering the pressure at each stage.

<span class="mw-page-title-main">Full-face diving mask</span> Diving mask that covers the mouth as well as the eyes and nose

A full-face diving mask is a type of diving mask that seals the whole of the diver's face from the water and contains a mouthpiece, demand valve or constant flow gas supply that provides the diver with breathing gas. The full face mask has several functions: it lets the diver see clearly underwater, it provides the diver's face with some protection from cold and polluted water and from stings, such as from jellyfish or coral. It increases breathing security and provides a space for equipment that lets the diver communicate with the surface support team.

<span class="mw-page-title-main">Oxygen therapy</span> Use of oxygen as a medical treatment

Oxygen therapy, also referred to as supplemental oxygen, is the use of oxygen as medical treatment. Supplemental oxygen can also refer to the use of oxygen enriched air at altitude. Acute indications for therapy include hypoxemia, carbon monoxide toxicity and cluster headache. It may also be prophylactically given to maintain blood oxygen levels during the induction of anesthesia. Oxygen therapy is often useful in chronic hypoxemia caused by conditions such as severe COPD or cystic fibrosis. Oxygen can be delivered via nasal cannula, face mask, or endotracheal intubation at normal atmospheric pressure, or in a hyperbaric chamber. It can also be given through bypassing the airway, such as in ECMO therapy.

<span class="mw-page-title-main">Breathing apparatus</span> Equipment allowing or assisting the user to breath in a hostile environment

A breathing apparatus or breathing set is equipment which allows a person to breathe in a hostile environment where breathing would otherwise be impossible, difficult, harmful, or hazardous, or assists a person to breathe. A respirator, medical ventilator, or resuscitator may also be considered to be breathing apparatus. Equipment that supplies or recycles breathing gas other than ambient air in a space used by several people is usually referred to as being part of a life-support system, and a life-support system for one person may include breathing apparatus, when the breathing gas is specifically supplied to the user rather than to the enclosure in which the user is the occupant.

A breathing mask is a mask that covers the mouth, nose, and optionally other parts of the face or head, designed to constrain and direct the wearer's breath to and/or from a particular breathing apparatus. It may mean, or be part of, one of these types:

<span class="mw-page-title-main">Nasal cannula</span> Medical device to deliver supplemental oxygen

The nasal cannula (NC) is a device used to deliver supplemental oxygen or increased airflow to a patient or person in need of respiratory help. This device consists of a lightweight tube which on one end splits into two prongs which are placed in the nostrils curving toward the sinuses behind the nose, and from which a mixture of air and oxygen flows. The other end of the tube is connected to an oxygen supply such as a portable oxygen generator, or a wall connection in a hospital via a flowmeter. The cannula is generally attached to the patient by way of the tube hooking around the patient's ears or by an elastic headband, and the prongs curve toward the paranasal sinuses. The earliest, and most widely used form of adult nasal cannula carries 1–3 litres of oxygen per minute.

An oxygen tank is an oxygen storage vessel, which is either held under pressure in gas cylinders, or as liquid oxygen in a cryogenic storage tank.

<span class="mw-page-title-main">Breathing performance of regulators</span> Measurement and requirements of function of breathing regulators

The breathing performance of regulators is a measure of the ability of a breathing gas regulator to meet the demands placed on it at varying ambient pressures and temperatures, and under varying breathing loads, for the range of breathing gases it may be expected to deliver. Performance is an important factor in design and selection of breathing regulators for any application, but particularly for underwater diving, as the range of ambient operating pressures and temperatures, and variety of breathing gases is broader in this application. A diving regulator is a device that reduces the high pressure in a diving cylinder or surface supply hose to the same pressure as the diver's surroundings. It is desirable that breathing from a regulator requires low effort even when supplying large amounts of breathing gas as this is commonly the limiting factor for underwater exertion, and can be critical during diving emergencies. It is also preferable that the gas is delivered smoothly without any sudden changes in resistance while inhaling or exhaling, and that the regulator does not lock up and either fail to supply gas or free-flow. Although these factors may be judged subjectively, it is convenient to have standards by which the many different types and manufactures of regulators may be objectively compared.

<span class="mw-page-title-main">Non-rebreather mask</span> Device used for emergency oxygen therapy

A non-rebreather mask is a device used in medicine to assist in the delivery of oxygen therapy. A NRB requires that the patient can breathe unassisted, but unlike a low-flow nasal cannula, the NRB allows for the delivery of higher concentrations of oxygen. An ideal non-rebreather mask does not permit air from the surrounding environment to be inhaled, hence an event of a source gas failure is life-threatening.

<span class="mw-page-title-main">Orinasal mask</span> Breathing mask that covers the mouth and the nose only.

An orinasal mask, oro-nasal mask or oral-nasal mask is a breathing mask that covers the mouth and the nose only. It may be a complete independent item, as an oxygen mask, or on some anaesthetic apparatuses, or it may be fitted as a component inside a fullface mask on underwater breathing apparatus, a gas mask or an industrial respirator to reduce the amount of dead space. It may be designed for its lower edge to seal on the front of the lower jaw or to go under the chin.

<span class="mw-page-title-main">Underwater breathing apparatus</span> Equipment which provides breathing gas to an underwater diver

Underwater breathing apparatus is equipment which allows the user to breathe underwater. The three major categories of ambient pressure underwater breathing apparatus are:

<span class="mw-page-title-main">Built-in breathing system</span> System for supply of breathing gas on demand within a confined space

A built-in breathing system is a source of breathing gas installed in a confined space where an alternative to the ambient gas may be required for medical treatment, emergency use, or to minimise a hazard. They are found in diving chambers, hyperbaric treatment chambers, and submarines.

Demand Valve Oxygen Therapy (DVOT) is a way of delivering high flow oxygen therapy using a device that only delivers oxygen when the patient breathes in and shuts off when they breathe out. DVOT is commonly used to treat conditions such as cluster headache, which affects up to four in 1000 people (0.4%), and is a recommended first aid procedure for several diving disorders. It is also a recommended prophylactic for decompression sickness in the event of minor omitted decompression without symptoms.

<span class="mw-page-title-main">Diving rebreather</span> Closed or semi-closed circuit scuba

A Diving rebreather is an underwater breathing apparatus that absorbs the carbon dioxide of a diver's exhaled breath to permit the rebreathing (recycling) of the substantially unused oxygen content, and unused inert content when present, of each breath. Oxygen is added to replenish the amount metabolised by the diver. This differs from open-circuit breathing apparatus, where the exhaled gas is discharged directly into the environment. The purpose is to extend the breathing endurance of a limited gas supply, and, for covert military use by frogmen or observation of underwater life, to eliminate the bubbles produced by an open circuit system. A diving rebreather is generally understood to be a portable unit carried by the user, and is therefore a type of self-contained underwater breathing apparatus (scuba). A semi-closed rebreather carried by the diver may also be known as a gas extender. The same technology on a submersible or surface installation is more likely to be referred to as a life-support system.

<span class="mw-page-title-main">Mechanism of diving regulators</span>

The mechanism of diving regulators is the arrangement of components and function of gas pressure regulators used in the systems which supply breathing gases for underwater diving. Both free-flow and demand regulators use mechanical feedback of the downstream pressure to control the opening of a valve which controls gas flow from the upstream, high-pressure side, to the downstream, low-pressure side of each stage. Flow capacity must be sufficient to allow the downstream pressure to be maintained at maximum demand, and sensitivity must be appropriate to deliver maximum required flow rate with a small variation in downstream pressure, and for a large variation in supply pressure, without instability of flow. Open circuit scuba regulators must also deliver against a variable ambient pressure. They must be robust and reliable, as they are life-support equipment which must function in the relatively hostile seawater environment, and the human interface must be comfortable over periods of several hours.

<span class="mw-page-title-main">High altitude breathing apparatus</span> Equipment which allows the user to breathe at hypoxic altitudes

High altitude breathing apparatus is breathing apparatus which allows a person to breathe more effectively at an altitude where the partial pressure of oxygen in the ambient atmospheric air is insufficient for the task or to sustain consciousness or human life over the long or short term.

<span class="mw-page-title-main">Glossary of breathing apparatus terminology</span> Definitions of technical terms used in connection with breathing apparatus

A breathing apparatus or breathing set is equipment which allows a person to breathe in a hostile environment where breathing would otherwise be impossible, difficult, harmful, or hazardous, or assists a person to breathe. A respirator, medical ventilator, or resuscitator may also be considered to be breathing apparatus. Equipment that supplies or recycles breathing gas other than ambient air in a space used by several people is usually referred to as being part of a life-support system, and a life-support system for one person may include breathing apparatus, when the breathing gas is specifically supplied to the user rather than to the enclosure in which the user is the occupant.

References

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