Oxygen Therapy

Bedside emergency supplies 

  • Adolescents would fit the adult (small-large) resuscitator adult masks. 

  • Adult-sized BVM for patients > 20 kg; manual ventilation is to visible chest rise. 

  • Use a PEEP valve for patients with a PEEP > 10cmH2O. 

  • At SickKids, we use a flow-inflating bag (Mapleson circuit with 1 L bag for those > 20kg), although it is not necessary. A BVM is more than appropriate for all patients.  

 

Oxygen Therapy Options  

Nasal Cannula 

Face mask 

HFNC 

Non-Rebreather Mask 

  

0.5 - 6 LPM 

See pathway for limits based on age.  

  

  

Could be Venturi, Large volume nebulizer, MistyOx  

See algorithm,  

Adolescents 40-60 LPM, titrate in increments of 5-10LPM 

10-15 LPM (or whatever keeps reservoir inflated) 

Most commonly used 

Can be used if patient prefers a face mask to nasal cannula  

Use when failing standard oxygen (and further support not yet indicated) 

Use in emergencies desaturations; or stay on HFNC with 100% O2 

  

  • Oxygen therapy is approached similarly in adults as in pediatrics.  

  • An adolescent will have same nasal cannula limits as an adult (5-6 LPM, use your ; approaches on when to use HFNC can be the same as adults.