Non-Rebreather Mask Function and When Doctors Use It (2024)

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A non-rebreather mask is a medical device that helps deliver oxygen in emergency situations. It consists of a face mask connected to a reservoir bag that’s filled with a high concentration of oxygen. The reservoir bag is connected to an oxygen tank.

The mask covers both your nose and mouth. One-way valves prevent exhaled air from reentering the oxygen reservoir.

A non-rebreather mask is used in emergency situations to prevent hypoxemia, also known as low blood oxygen. Conditions that disrupt your lungs’ ability to uptake oxygen or your heart’s ability to pump blood can cause low blood oxygen levels.

If your blood oxygen levels drop too low, you can develop a condition called hypoxia, where your essential tissues become oxygen-deprived.

A non-rebreather mask may be used after traumatic injury, smoke inhalation, or carbon monoxide poisoning to keep blood oxygen levels within a normal range.

In this article, we explain how non-rebreather masks work and how they differ from other masks used during oxygen therapy.

A non-rebreather face mask fits over your mouth and nose and attaches with an elastic band around your head. The mask is connected to a plastic reservoir bag filled with a high concentration of oxygen. The mask has a one-way valve system that prevents exhaled oxygen from mixing with the oxygen in the reservoir bag.

When you inhale, you breathe in oxygen from the reservoir bag. Exhaled air escapes through vents in the side of the mask and goes back into the atmosphere.

Non-rebreather masks allow you to receive a higher concentration of oxygen than with standard masks. They’re generally only used for short-term increases in oxygenation.

Non-rebreather masks aren’t commonly used because they come with several risks. Disruptions in airflow can lead to suffocation. You can potentially choke if you vomit while wearing the mask if you’re sedated or unconscious. A healthcare provider usually remains in attendance during use of this type mask.

A non-rebreather mask can deliver between 60 percent to 80 percent oxygen at a flow rate of about 10 to 15 liters/minute (L/min). They’re useful in situations when people have extremely low levels of blood oxygen, since they can quickly deliver oxygen to your blood.

A partial rebreather mask looks similar to a non-rebreather mask but contains a two-way valve between the mask and reservoir bag. The valve allows some of your breath back into the reservoir bag.

It’s difficult to obtain as high of a blood oxygen concentration with a partial rebreather since the oxygen concentration in the reservoir bag becomes diluted.

Both types of masks may be used in emergency situations. A medical professional will determine which mask to use based on your specific condition.

A simple face mask is usually used to deliver a low to moderate amount of oxygen. A simple mask contains holes on the sides to let exhaled air through and to prevent suffocation in case of a blockage.

It can deliver around 40 percent to 60 percent oxygen at 6 to 10 L/min. It’s used for people who can breathe on their own but may have low blood oxygen levels.

A simple face mask doesn’t deliver as high of an oxygen concentration as a non-rebreather mask but is safer in the case of a blockage. A medical professional will make a decision of which type of oxygen delivery system is needed based on the specific condition being treated and blood oxygen levels.

A rebreather mask is a misnomer and doesn’t exist in the context of oxygen therapy. The term “rebreather mask” usually refers to a simple mask.

Non-rebreathing masks are not available for home use. A non-rebreathing mask is meant for short-term use in situations such as transporting people to a hospital. They’re rarely used outside of an emergency department and should only be used under medical supervision. If the oxygen flow is disrupted, it can lead to suffocation.

A doctor may recommend home oxygen therapy to people with long-term conditions like chronic obtrusive pulmonary disease, severe asthma, or cystic fibrosis.

Home oxygen therapy can be delivered through oxygen tanks or an oxygen concentrator. It’s often administered through nasal cannula or tubes that insert into your nostrils. It may also be administered through a face mask.

Non-rebreathing masks are used to deliver high concentrations of oxygen in emergency situations. These masks may be used for traumatic injuries, after smoke inhalation, and in cases of carbon monoxide poisoning.

Non-rebreathing masks aren’t available for home use. However, if you have a condition like severe asthma that affects your breathing, you may benefit from a home oxygen system. Speak with your doctor about whether a home oxygen system is right for you.

Non-Rebreather Mask Function and When Doctors Use It (2024)

FAQs

Non-Rebreather Mask Function and When Doctors Use It? ›

Non-rebreather masks are usually for emergency use when a person has low blood oxygen levels, but can breathe on their own. Some examples of emergency situations would include: Smoke inhalation. Carbon monoxide poisoning.

When would you use a non-rebreather mask? ›

Non-rebreather masks are used for individuals who are still able to breathe on their own but require additional oxygen (e.g., traumatic injury to the lungs; smoke inhalation; carbon monoxide poisoning; any chronic disorder of the airways that limits the amount of oxygen reaching the lungs, such as chronic obstructive ...

What is the function of NRBM mask? ›

Non-rebreather masks are designed to deliver a lot of extra oxygen to your airway. The normal fraction of inspired oxygen (FIO2), or concentration of oxygen in the air, in any room is about 21%. Non-rebreather masks provide you with 60% to 91% FIO2. To do this, they form a seal around your nose and mouth.

When properly fitted to a patient's face what of oxygen will a non-rebreather mask deliver? ›

Flow rate: The flow rate for a non-rebreather mask should be set to deliver a minimum of 10 to 15 L/minute. The reservoir bag should be inflated prior to placing the mask on the patient. With a good fit, the non-rebreather mask can deliver between 60% and 80% FiO2.

Why are non-rebreather masks often used to treat injured divers? ›

Non-rebreather masks are often used to treat injured scuba divers. The patient does not 'rebreathe' his exhaled breath. Low oxygen concentration, exhaled air is dumped out of the mask. The masks are excellent for delivering around 80% oxygen and are second only in choice to demand valves for treating injured divers.

Which nursing intervention is indicated when a patient is on a non-rebreather mask? ›

Which nursing intervention is indicated when a patient is on a non-rebreather mask? Monitor a continuous pulse oximetry level.

What is the difference between a non-rebreather mask and a resuscitation mask? ›

Non-rebreather Masks

These masks do not conform to faces as effectively as oronasal masks, however, so some oxygen escapes, and some ambient air enters the mask via perimeter gaps. As a result, injured divers using non-rebreather masks receive a lower percentage of oxygen compared with resuscitation masks.

How long should a patient be on a non-rebreather? ›

All spontaneously breathing patients require preoxygenation with 100% oxygen via tight-fitting non-rebreather mask for at least 2 to 3 minutes.

What are the disadvantages of rebreather mask? ›

Disadvantages: These masks have a risk of suffocation if the gas flow is interrupted. The bag should never totally deflate. The patient should never be left alone unless the one-way valves on the exhalation ports are removed.

Do you need an order for non-rebreather? ›

In the absence of a complete order, Non-Rebreathing Mask therapy will be administered only in an emergency. The order must be secured ASAP after emergency administration has occurred. Otherwise, the complete order must be secured before therapy can be administered.

Can a nurse apply oxygen without an order? ›

Final answer: A nurse can administer oxygen to a patient without a direct physician's order in emergencies, guided by institutional protocols or standing orders. However, they must obtain an official order for ongoing treatment and closely monitor the patient.

Can 95% oxygen may be delivered with a non-rebreather mask? ›

Non-rebreather mask

A one-way valve between the mask and the reservoir bag prevents the patient from inhaling expired air. It can be set to deliver between 10 and 15 L·min1 (80–95% oxygen). Oxygen flow <10 L·min1 can cause the bag to completely collapse during inspiration.

How high can the flow rate be set on a non-rebreather mask? ›

10 to 15 L/min

Why is a non-rebreather mask potentially detrimental for patients with long-term COPD? ›

A COPD patient receiving higher percentages of oxygen, such as what the simple mask delivers, could potentially elevate their carbon dioxide levels to dangerously high levels which would be detrimental to their health.

When to use NRB vs NC? ›

NASAL CANNULA (NC)

Nasal cannulas are used to administer supplemental oxygen to a responsive patient when they could benefit from oxygen administration but may not be able to tolerate a non-rebreather (NRB) mask or do not need a large amount of oxygen it would provide.

Which is better non-rebreather or high flow nasal cannula? ›

HOW DOES IT WORK? HFNC is better at oxygen delivery than the standard non-rebreather oxygen mask, venti-mask, and simple low flow nasal cannula. The distinct advantages are the flow and titratable FiO2 are not as dependent on the patient's work of breathing to deliver a consistent and higher concentration of oxygen.

Which patient would most likely benefit from a humidifier on an oxygen cylinder? ›

Expert-Verified Answer. The elderly are more likely to suffer from dry air, which can lead to problems such as dry skin, nosebleeds, and respiratory infections. the ninety-year-old patient is the one who would most likely benefit from a humidifier on an oxygen cylinder.

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