Oxygen Cylinder

OVERVIEW

  • cylinder filled with oxygen for use as a medical gas

USES

  • Provision of supplemental oxygen to maintain aerobic metabolism during patient transport

DESCRIPTION

Oxygen Cylinder
  • pressure varies from cylinder to cylinder
  • typically stored at 13,700 kPa (137 bar) — may vary between 12,000 – 17,000kPa depending on the cylinder
  • Oxygen cylinders have black body with a white top
  • Contains gaseous oxygen (pressure drops linearly as oxygen is depleted)

METHOD OF INSERTION AND/OR USE

  • cylinder connected to a flow and pressure regulator
  • pin index system ensures appropriate connections

COMPLICATIONS

  • explosion
  • oxygen toxicity
  • barotrauma (must use a regulator)
  • trauma from dropping the cylinder on someone!

OTHER INFORMATION

Safety features

  • safety outlet is fitted between the block and the cylinder neck which melts at low temperatures, allowing the escape of gas in case of a fire
  • Pin index safety system (6 pin positions, each one is unique to a different medical gas)
  • Cylinder colour
  • Nozzle colour
  • Diameter index safety system
  • Labelled yolk
  • Knob texture
  • matching wall connectors

INHALO integrated valve cylinder

  • these are now widely used (universally?) in Australia
  • can be started right away, without any complex set-up, unnecessary manual handling or connection of a flow regulator
  • consists of:
    • lightweight cylinder
    • a built-in pressure regulator and valve
    • easy on/off handwheel and  integral flow selector
  • advantages
    • simple to use
    • lighter cylinder
    • quick to connect and start
    • provide low constant outlet pressure and flow settings
    • has a “live” contents gauge, giving a clear indication of contents at all times even when the cylinder is turned off

Other gas cylinders

  • Oxygen cylinders have black body with a white top
  • Nitrous oxide cylinders are completely blue
  • Entonox cylinders have a blue body with a top divided into quarters alternating blue and white
  • Medical air has a grey body with a white and black top
  • Carbon dioxide is grey with a black stripe on the body

References and links

FOAM and web resources


CCC 700 6

Critical Care

Compendium

Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also the Innovation Lead for the Australian Centre for Health Innovation at Alfred Health and Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.

After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education.

He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE.  He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference.

His one great achievement is being the father of two amazing children.

On Twitter, he is @precordialthump.

| INTENSIVE | RAGE | Resuscitology | SMACC

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