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Altitude and Inspired Oxygen Pressure

Reach a lower inspired oxygen pressure by lowering the whole atmosphere at altitude, or by lowering the oxygen fraction in a normobaric hypoxia system.

Choose the gas location

This is Dalton's law in the environment: oxygen fraction multiplied by total barometric pressure.

Hypobaric hypoxia

Actual altitude

Barometric pressure

560 mmHg

Oxygen fraction

20.9%

Inspired oxygen pressure

117.1 mmHg

Oxygen remains 20.9% of dry air. Altitude lowers barometric pressure, so every gas has less partial pressure.

Normobaric hypoxia

Hypoxico-style system

Barometric pressure

760 mmHg

Oxygen fraction

15.4%

Inspired oxygen pressure

117.0 mmHg

Target: 15.4% FIO2

Total room pressure stays near ambient. The system lowers the oxygen fraction in the gas delivered to the room, tent, or mask.

Inspired oxygen pressures match

The two conditions match within 1 mmHg in this dry-gas comparison.

Same outcome, different control variable

117.1 mmHg

Actual altitude

117.0 mmHg

Normobaric system

Actual altitude changes pressure

PO₂ = 0.209 × PB

20.9% × 560 = 117.1 mmHg

Normobaric hypoxia changes fraction

PO₂ = FIO₂ × PB

15.4% × 760 = 117.0 mmHg

Where does arterial PaO2 come in?

These calculations stop at inspired gas. Alveolar PAO2 also depends on carbon dioxide and respiratory quotient; arterial PaO2 additionally depends on gas exchange and the alveolar-arterial gradient. Those are the next model layers for Chapter 12.

Next: oxygen binding in blood

Inspired oxygen pressure establishes the upstream condition. Continue by seeing how blood PO2 and tissue conditions determine hemoglobin saturation.

Open the oxygen-hemoglobin curve

Model foundation

This teaching model combines Dalton's law with the International Standard Atmosphere pressure approximation through 11 km. It is algebraic: there is no numerical solver and no prediction of an individual's oxygen saturation or symptoms.