Use of heliox in critical upper airway obstruction. Physical and physiologic considerations in choosing the optimal helium:oxygen mix.

Ho, Anthony M H; Dion, Peter W; Karmakar, Manoj K; Chung, David C; Tay, Beng A · Resuscitation · 2002

Level V

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Abstract

Heliox has a lower density than oxygen and nitrogen, and can improve ventilation rapidly in patients with critical upper airway obstruction. The choice of the best helium:oxygen ratio depends on whether the predominant problem is hypercarbia or hypoxia. In the former situation, 80% helium should be used, and in the latter, 100% oxygen is appropriate.

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