Everything about Fio2 totally explained
FiO2, in the field of
medicine, is the
fraction of inspired oxygen in a gas mixture.
The FiO
2 is expressed as a number from 0 (0%) to 1 (100%).
The FiO
2 of normal room air is 0.21 (21%).
A patient's FiO
2 may be varied through the use of different
Venturi masks, in combination with varying oxygen flow rates. In addition, most
mechanical ventilators have controls for adjusting FiO
2. An increased FiO
2 is necessary in managing adequate oxygenation in patients who are critically ill due to causes such as major
surgery,
acute lung injury,
sepsis,
pneumonia,
congestive heart failure, or other cardiopulmonary disease. The oxygenation to a patient on a ventilator can be manipulated by changing not only Fio2, but also the tidal volume,the respiratory rate and having a
Positive end-expiratory pressure (PEEP). Generally the FiO2 is maintained at less than 40%. Higher settings can lead to
oxygen toxicity.
Another common misconception is that the FiO
2 changes with elevation. It remains at 0.21 at all altitudes within the atmosphere. What changes is the barometric pressure of air. At altitude, therefore, the
partial pressure of oxygen delivered by that 21% of oxygen is lower. The partial pressure is the driving force to oxygenate the blood and therefore a lower partial pressure makes it that much harder to get O
2 delivered to the tissues that require it, resulting in
hypoxia.
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