Low Flow Oxygen / Air (or combination)
Administration

 

Compiled and Reviewed by Nicola Svirskis - NE
May
2009
Clinical Guidelines Back Newborn Services Home Page
 

Low Flow Oxygen/Air administration is used for infants requiring some respiratory support but not CPAP

Steps Action

1

Any increase in O2 during feeds should be documented.

2

Choose appropriate prong size (small or medium).  Prongs should fit snugly and be taped to face appropriately using thin Duoderm as a base and Hyperfix to tape.

3

Check that nasal prongs are clear, frequently; changing once a week or more frequently if required.

Low flow can be separated into 3 categories:

Combination of Low Flow Oxygen and Low Flow Air

This may be used on consultant's orders to support a baby when CPAP is discontinued but the infant continues to have a minimal oxygen requirement.

The combination may be:

Steps Action

1

Use a Y connector to join the low flow O2 and low flow air.

2

Use a low flow air meter to deliver 250ml of air.

3

Use low flow oxygen meter to deliver a maximum of 125ml to maintain an appropriate SaO2  as per Standing Orders

Low Flow Oxygen Administration (Infants > 36 weeks gestation only) -
Non Humidified

Low Flow Air Administration - Non Humidified

This may be used for individual babies on Consultant order, as a transition from CPAP to room air.
Steps Action

1

Use a low flow air meter to delivery 300ml of air.

2

The flow may be weaned to 250ml, no less, before trialling off (following discussion on medical round).
 

 

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