Tidal Breathing

Three minutes of tidal breathing are required. The shallower breaths take longer to raise the O2 concentration in the alveoli but is normally more pleasant for the patient (Fig 1).

With a circle system the oxygen flow should be at least equal to the patient's minute volume (6 L/min or above) in order to keep the inspired oxygen concentration at 100%.

For a Bain system the oxygen flow must be greater (9 L/min or higher) to minimize rebreathing of both nitrogen and carbon dioxide.

Fig 2 shows the oxygen flow needed for tidal breathing method using a circle system.

Fig 1 Percentage of oxygen measured at the mouth during preoxygenation using tidal breathing (note inspiratory and expiratory values displayed)
Fig 2 The oxygen flow needed for tidal breathing method using a circle system