The majority of contemporary gas delivery modules, on anaesthetic work
stations, are equipped with oxygen-nitrous oxide proportioning systems
which should prevent the delivery of hypoxic gas mixtures. We investi
gated five modules, of two different types, using fresh gas flows rang
ing from 50 mL min(-1) to 20 L min(-1) with minimally acceptable propo
rtions of oxygen and maximally acceptable proportions of nitrous oxide
set at the flow control valves. The oxygen concentrations of the resu
lting gas mixtures were measured at the fresh gas outlet of the gas de
livery modules. All the modules prevented the delivery of hypoxic fres
h gas flows both under normal and abnormal working conditions (unequal
supply of gas pressures). All systems showed increased O-2 concentrat
ions at fresh gas flows below 1 L min(-1). The systems can be used wit
h low flow anaesthesia techniques with one exception (Dameca) also wit
h minimal flow techniques.