Your patient is on High Flow oxygen via a gas blender (ie Airvo2).
What wall-oxygen rate will deliver the same amount of oxygen to the patient?
Oxygen Therapy Equivalence Calculator
Blended high-flow nasal oxygen
Estimate the oxygen and air inlet flows required to make the selected total flow and set oxygen fraction (FiO₂). This is an ideal gas-mixture calculation, not a device conversion or a prediction of the FiO₂ actually reaching the alveoli.
Interpretation
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Do not set treatment from this estimate. Confirm the prescribed FiO₂ on the blender and use the device manufacturer's operating limits. Leaks, cannula fit, mouth opening, patient inspiratory demand and room-air entrainment affect delivered FiO₂ and airway pressure.
The legacy page also displayed “maximum PEEP” as flow ÷ 10. That rule has not been retained: positive end-expiratory pressure (PEEP) from high-flow nasal oxygen is variable and cannot be calculated safely from flow alone.
Equations
QO₂ = Qtotal × (FiO₂ − 0.21) ÷ (1 − 0.21)Qair = Qtotal − QO₂Qoxygen-content = Qtotal × FiO₂References
- Parke RL, McGuinness SP. Pressures delivered by nasal high flow oxygen during all phases of the respiratory cycle. Respir Care. 2013;58(10):1621-1624. PMID: 23513246 DOI: 10.4187/respcare.02358
- Parke R, McGuinness S, Eccleston M. Nasal high-flow therapy delivers low level positive airway pressure. Br J Anaesth. 2009;103(6):886-890. PMID: 19846404 DOI: 10.1093/bja/aep280
- Ritchie JE, Williams AB, Gerard C, Hockey H. Evaluation of a humidified nasal high-flow oxygen system, using oxygraphy, capnography and measurement of upper airway pressures. Anaesth Intensive Care. 2011;39(6):1103-1110. PMID: 22165361