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The venturi mask, also known as an air-entrainment mask, is a
medical device A medical device is any device intended to be used for medical purposes. Significant potential for hazards are inherent when using a device for medical purposes and thus medical devices must be proved safe and effective with reasonable assur ...
to deliver a known
oxygen Oxygen is the chemical element with the symbol O and atomic number 8. It is a member of the chalcogen group in the periodic table, a highly reactive nonmetal, and an oxidizing agent that readily forms oxides with most elements as we ...
concentration to patients on controlled
oxygen therapy Oxygen therapy, also known as supplemental oxygen, is the use of oxygen as medical treatment. Acute indications for therapy include hypoxemia (low blood oxygen levels), carbon monoxide toxicity and cluster headache. It may also be prophylactic ...
. The mask was invented by
Moran Campbell Edward James Moran Campbell, (August 31, 1925 – April 12, 2004) was a Canadian physician and academic. He was the founding Chair of the Department of Medicine at McMaster Faculty of Health Sciences from 1968 to 1975. He was also the inventor of ...
at
McMaster University Medical School The Michael G. DeGroote School of Medicine, known as the McMaster University School of Medicine prior to 2004, is the medical school of McMaster University in Hamilton, Ontario, Hamilton, Ontario, Canada. It is operated by the McMaster Faculty of ...
as a replacement for intermittent oxygen treatment. Dr. Campbell was fond of quoting
John Scott Haldane John Scott Haldane (; 2 May 1860 – 14/15 March 1936) was a British physician and physiologist famous for intrepid self-experimentation which led to many important discoveries about the human body and the nature of gases. He also experimen ...
's description of intermittent oxygen treatment; "bringing a drowning man to the surface – occasionally". By contrast the venturi mask offered a constant supply of oxygen at a much more precise range of concentrations.


Use

Venturi masks are used to deliver a specified fraction of inspired oxygen (''FI''O2). Many masks are color-coded and have a recommended oxygen flow specified on them. When used with this oxygen flow, the mask should provide the specified ''FI''O2. Other brands of mask have a rotating attachment that controls the air entrainment window, affecting the concentration of oxygen. This system is often used with air-entrainment nebulizers to provide humidification and oxygen therapy. The total flow of gas (oxygen plus the entrained air) will be greater than the patient's peak inspiratory flow so the delivered ''FI''O2 is independent of their respiratory pattern. A controlled ''FI''O2 is particularly important for patients whose ventilation is dependent on hypoxic drive, as may be seen in patients with
Chronic obstructive pulmonary disease Chronic obstructive pulmonary disease (COPD) is a type of progressive lung disease characterized by long-term respiratory symptoms and airflow limitation. The main symptoms include shortness of breath and a cough, which may or may not produce ...
. Administration of too much oxygen may lead to a reduction in their
respiratory rate The respiratory rate is the rate at which breathing occurs; it is set and controlled by the respiratory center of the brain. A person's respiratory rate is usually measured in breaths per minute. Measurement The respiratory rate in humans is m ...
and retention of carbon dioxide, and ultimately to reduced consciousness or even death.


Mechanism

The mechanism of action is variously described with reference to the
venturi effect The Venturi effect is the reduction in fluid pressure that results when a fluid flows through a constricted section (or choke) of a pipe. The Venturi effect is named after its discoverer, the 18th century Italian physicist, Giovanni Battista ...
or
Bernoulli's principle In fluid dynamics, Bernoulli's principle states that an increase in the speed of a fluid occurs simultaneously with a decrease in static pressure or a decrease in the fluid's potential energy. The principle is named after the Swiss mathematic ...
. However, a fixed performance oxygen delivery system works on the principle of jet mixing. Where the flow of moving oxygen meets the static air, viscous shearing causes a predictable amount of the air to be dragged into the flow.


See also

* Oxygen mask for masks used in various settings


References

{{DEFAULTSORT:Venturi Mask Respiratory therapy Pulmonology Medical masks