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Oxygen Tank: Types, How to Use It Safely, and When to Call a Doctor

Oct 29
10 min read

Updated: 6 days ago

Written and medically reviewed by Dr. Baraa Alnahhal, MD · Last reviewed: October 2026 · How we review

Quick Answer: What is an oxygen tank?

An oxygen tank is a medical device that stores supplemental oxygen for people with a lung condition or trouble breathing. The three main types are compressed oxygen, liquid oxygen, and oxygen concentrators. A prescription is required, and tanks must stay at least 10 feet from flames, smoking, and heat sources. [1][2]

What the research says

  • Long-term oxygen helps most when blood oxygen is severely low at rest. After a systematic review of the evidence, an official clinical guideline panel strongly recommended long-term oxygen for adults with COPD (moderate-quality evidence) or interstitial lung disease (low-quality evidence) who have severe chronic low blood oxygen at rest, and conditionally recommended against it for COPD with only moderate resting low oxygen. (Jacobs et al., Am J Respir Crit Care Med, 2020) [2]

  • Oxygen does not help every person with COPD. In a randomized trial of 738 people with stable COPD and moderate oxygen drops (89–93% at rest, or dips during exercise), followed for 1 to 6 years, long-term oxygen did not delay death or first hospitalization (hazard ratio 0.94; 95% CI 0.79–1.12). (Long-Term Oxygen Treatment Trial Research Group, N Engl J Med, 2016) [3]

  • Oxygen-related fires and burns are rising. A 2026 burn-care review reports that a national analysis found oxygen therapy injuries increased by 14% per year over a 10-year period, with household ignition sources driving fires that burn hotter and spread faster. (Klas et al., J Burn Care Res, 2026) [4]

Key takeaways

  • An oxygen tank delivers extra oxygen through a nasal cannula or a face mask.

  • There are three main types: compressed gas, liquid, and concentrator.

  • You need a prescription to get or refill one.

  • Oxygen is not flammable, but it makes fire burn hotter and faster — keep a 10-foot (about 3-meter) clear zone.

  • Dizziness, confusion, headache, or nausea while on oxygen can signal oxygen toxicity. Call your doctor.

What is an oxygen tank used for?

An oxygen tank is used to give your body extra oxygen when your lungs cannot take in enough from room air. It is one part of oxygen therapy. [1][6]

The air you breathe every day is only about 20% oxygen. The rest is mostly nitrogen. An oxygen tank delivers a much higher concentration straight to your airways. [1]

Tanks come in many sizes:

  • Large tanks are heavy and hard to move. They stay at home or in the hospital.

  • Small, portable tanks fit in a carrier so you can take them outside. [1]

You breathe the oxygen through one of two devices:

  • A nasal cannula — a soft plastic tube with two short prongs that sit in your nostrils.

  • An oxygen mask — a plastic mask that covers your nose and mouth. [1]

Oxygen tanks are common. More than 1.5 million adults in the United States use supplemental oxygen at home. [1][5]

What are the 3 types of oxygen tanks?

The three main types of oxygen tanks are compressed oxygen, liquid oxygen, and oxygen concentrators. Each one stores or makes oxygen in a different way. [1]

Comparison of the 3 main types of oxygen tanks: compressed oxygen (at least 99.5% oxygen, gas under pressure with a gauge and regulator), liquid oxygen (100% oxygen stored at −297°F / −182.8°C), and an oxygen concentrator that makes oxygen from room air and needs no refills

Feature

Compressed oxygen

Liquid oxygen

Oxygen concentrator

How oxygen is stored

Gas under pressure in a metal cylinder

Very cold liquid in an insulated tank

Not stored — made from room air

Oxygen purity

At least 99.5%

100%

Purified, nitrogen removed

Power needed

No

No

Yes — wall outlet or batteries

Refills

Yes

Yes

No refills needed

Main caution

Heavy; can fall and break

Cold burns or frostbite on contact

Needs backup batteries for power cuts

Sources: [1]

Compressed oxygen

Compressed oxygen tanks hold oxygen gas squeezed under pressure. A gauge on top shows how much is left. A regulator releases oxygen when you breathe in and stops when you breathe out. [1]

Liquid oxygen

Liquid oxygen tanks hold 100% oxygen as a very cold liquid. Oxygen turns liquid at −297°F (−182.8°C). When it leaves the tank, it turns back into a gas. Touching liquid oxygen can cause cryogenic burns (burns from extreme cold) or frostbite. [1]

Oxygen concentrator

An oxygen concentrator pulls in the air around you, separates and compresses the oxygen, and removes the nitrogen. It runs on electricity, either from a wall plug or batteries. Unlike the other two types, it never needs refilling. [1]

What conditions are treated with an oxygen tank?

Oxygen tanks treat conditions that lower the amount of oxygen reaching your blood. These include: [1]

Long-term oxygen is also used in scarring lung diseases such as pulmonary fibrosis when resting oxygen levels are severely low. [2]

You do not always need a lung condition to use oxygen. Some people, including athletes, use oxygen tanks when visiting high-altitude areas, where altitude sickness is a risk. [1]

How do you use an oxygen tank step by step?

To use an oxygen tank, secure it in its carrier, check the gauge, set the prescribed flow, open the valve, confirm oxygen is flowing, and attach your cannula or mask. Your healthcare provider will teach you the exact setup for your device. [1]

Seven steps to use an oxygen tank — secure the tank, read the gauge, set the prescribed flow, open the valve with the wrench, check the flow, attach the nasal cannula or mask, and turn it off — with a gauge showing the full and empty zones
  1. Secure the tank. Place it upright in its sleeve, carrier, or cart so it cannot tip over.

  2. Read the gauge. The regulator on top shows how much oxygen is left. The needle sits in the green zone when the tank is full and moves into the red zone as it empties.

  3. Set your flow. Turn the knob on the side of the regulator to the amount your provider prescribed.

  4. Open the valve. Use the small wrench attached to the tank. Turn left to open and right to tighten.

  5. Check the flow. Listen or feel for oxygen at the outlet on the side of the regulator. If you notice nothing, adjust the valve and regulator.

  6. Attach and fit. Connect your nasal cannula or mask to the outlet. Loop the tubes behind your ears like eyeglasses, then rest the rest of the tubing under your chin or behind your head.

  7. Turn it off. Close the valve whenever you are not using oxygen. [1]

All portable oxygen tanks share the same basic valve shape and size. Once you learn one, you can usually use others. [1]

How do you keep oxygen equipment clean?

Clean equipment lowers your risk of illness and infection. [1]

Task

How often

Wash plastic tubing with soap and water

At least once a week

Replace nasal cannula or mask

At least once a month

Replace nasal cannula or mask

After you have been sick

Have a provider check your tanks and regulator

At least twice a year

Sources: [1]

How long will you need an oxygen tank?

How long you need an oxygen tank depends on the reason you use it. [1]

  • Short-term conditions: You may only need oxygen until you recover.

  • Long-term conditions: You may need oxygen for the rest of your life. Your care team will help you adjust so it fits into work, bathing, exercise, and travel. [1]

Many people live long, active lives while using oxygen. Your provider can give you a personal outlook based on your condition. [1]

What are the benefits of using an oxygen tank?

The main benefit of an oxygen tank is easier breathing. It is not a cure, and it may not fully remove shortness of breath, but it should make breathing easier. [1]

Other benefits include:

  • More energy. Low oxygen leaves your body and mind tired. More oxygen in your blood can raise your energy so you can stay active and exercise.

  • Better sleep. Higher blood oxygen helps you sleep better at night. [1]

What are the risks of using an oxygen tank?

The biggest risk of using an oxygen tank is fire. Oxygen itself is not flammable, but it makes fire burn hotter and faster and can lead to an explosion. [1][4]

Oxygen tank fire safety 10-foot rule: a 10-foot (about 3-meter) clear zone around the tank, with cigarettes, open flames, ovens, grills, gasoline, oil, paint thinner, rubbing alcohol, petroleum jelly, hair dryers, space heaters, electric blankets, razors, and vape pens kept away

Keep your tank at least 10 feet (about 3 meters) away from: [1]

Heat and flames

Flammable products

Electrical devices that can spark

Cigarettes and cigars

Gasoline

Hair dryers

Fires and open flames

Oil

Electric blankets

Ovens

Paints and paint thinner

Space heaters

Grills

Rubbing alcohol

Electric razors

—

Oil-based products, such as petroleum jelly

Vape pens

Simple steps that lower fire risk: [1]

  • Put "No smoking" signs at the entrances to your home.

  • Use water-based lubricants and skin products instead of oil-based ones.

Other risks to know

  • Falls. Tanks are heavy. A falling tank can cause injury or break. A broken tank can release gas so fast that it launches through the air. Always keep it in a carrier or cart.

  • Cold burns. Liquid oxygen on your skin can cause cryogenic burns or frostbite. Avoid contact.

  • Power cuts. If you use a concentrator, keep at least one extra set of fully charged batteries — enough to run it for a few days. [1]

How can you refill an oxygen tank at home?

You can refill some oxygen systems at home. A concentrator only needs electricity or batteries. Home refill systems can also fill compressed oxygen tanks by compressing room air, which can take up to a few hours per tank. [1]

You can also schedule tank deliveries through a hospital or a medical equipment supplier. [1]

Do you need a prescription for an oxygen tank?

Yes, you need a prescription from a healthcare provider to get or refill an oxygen tank. Oxygen tanks are not sold over the counter. For a new tank, contact your provider or a medical supply company. [1]

When should you call a doctor while using an oxygen tank?

Call your doctor if you have new breathing symptoms or any of these signs while using oxygen: [1]

  • Dizziness

  • Confusion

  • Memory loss

  • Headaches

  • Nausea or vomiting

These can be signs of oxygen poisoning (oxygen toxicity), which happens when breathing too much supplemental oxygen damages the lungs. [1]

Also call your provider if you think your tank or regulator is not working properly. [1]

Conclusion

An oxygen tank does one job: it gets more oxygen into your blood so breathing takes less effort. Whether you use compressed gas, liquid oxygen, or a concentrator, the same rules keep you safe — use only your prescribed flow, keep the tank secured, clean your tubing, and keep a 10-foot clear zone from flames, smoke, and heat. Using a cannula or carrying a portable tank can feel awkward at first, but most people return to many of their usual activities. If something feels off — a new headache, confusion, or equipment that seems faulty — call your care team.

Want to understand the condition behind your oxygen prescription? Read our guides to pneumonia, asthma attacks, and heart failure, and save this page to share with anyone who helps you at home.

FAQ

What is an oxygen tank?

An oxygen tank is a medical device that stores supplemental oxygen for people with a lung condition or difficulty breathing. You breathe the oxygen through a nasal cannula or a face mask.

What are the 3 types of oxygen tanks?

The three main types of oxygen tanks are compressed oxygen, liquid oxygen, and oxygen concentrators. Compressed tanks hold gas under pressure, liquid tanks hold very cold liquid oxygen, and concentrators make oxygen from room air using electricity.

Do you need a prescription for an oxygen tank?

Yes, an oxygen tank requires a prescription from a healthcare provider. You cannot buy one over the counter, and you also need a prescription to refill it.

How far should an oxygen tank be from flames or heat?

An oxygen tank should stay at least 10 feet (about 3 meters) from open flames, cigarettes, stoves, grills, and flammable products. Oxygen makes fire burn hotter and faster.

Can you refill an oxygen tank at home?

Yes, some oxygen tanks can be refilled at home. Home refill systems compress room air into compressed oxygen tanks, which can take up to a few hours, while concentrators only need electricity or batteries.

How do you know when an oxygen tank is empty?

An oxygen tank is empty when the regulator gauge needle reaches the red zone. The needle sits in the green zone when the tank is full and moves toward red as you use oxygen.

What are the signs of too much oxygen?

Signs of too much supplemental oxygen include dizziness, confusion, memory loss, headaches, and nausea or vomiting. Call your doctor if you notice any of these while using oxygen.

How often should oxygen tubing be cleaned?

Oxygen tubing should be washed with soap and water at least once a week. Replace your nasal cannula or mask at least once a month and after any illness.

How long does an oxygen tank last?

It depends on the tank size and your flow rate. Higher flow rates empty a tank faster, so your supplier can tell you how long your tanks should last.

Can you travel with an oxygen tank?

In a car, keep the tank upright, secured and away from heat, with air flowing in the car. Airlines do not allow personal oxygen tanks on board, so ask about a portable oxygen concentrator for flights.

Related Reading

Oxygen Concentrator: How It Works, Types, Who Needs One, and Safety Tips explains how concentrators make oxygen from room air.

Nasal Cannula: A Comprehensive Guide to Supplemental Oxygen Therapy shows how a nasal cannula delivers oxygen and how to use it comfortably.

Hypoxemia: Causes, Symptoms, and Emergency Management explains low blood oxygen, its symptoms and when it is an emergency.

References

  1. Cleveland Clinic. Oxygen Therapy Tanks: Types, Purpose & How To Use. Cleveland Clinic. Last updated August 4, 2023. https://my.clevelandclinic.org/health/treatments/25181-oxygen-tank

  2. Jacobs SS, Krishnan JA, Lederer DJ, et al. Home Oxygen Therapy for Adults with Chronic Lung Disease. An Official American Thoracic Society Clinical Practice Guideline. Am J Respir Crit Care Med. 2020;202(10):e121-e141. PMID 33185464. https://doi.org/10.1164/rccm.202009-3608ST

  3. Long-Term Oxygen Treatment Trial Research Group; Albert RK, Au DH, Blackford AL, et al. A Randomized Trial of Long-Term Oxygen for COPD with Moderate Desaturation. N Engl J Med. 2016;375(17):1617-1627. PMID 27783918. https://doi.org/10.1056/NEJMoa1604344

  4. Klas KS, Coffey R, Sheckter CC, et al. Preventing Oxygen Therapy-Related Fires and Burn Injuries: A Comprehensive National Strategic Approach. J Burn Care Res. 2026;47(1):120-129. PMID 40736181. https://doi.org/10.1093/jbcr/iraf125

  5. Jacobs SS, Lederer DJ, Garvey CM, et al. Optimizing Home Oxygen Therapy. An Official American Thoracic Society Workshop Report. Ann Am Thorac Soc. 2018;15(12):1369-1381. PMID 30499721. https://doi.org/10.1513/AnnalsATS.201809-627WS

  6. National Library of Medicine (US). Oxygen Therapy. MedlinePlus. Last updated January 26, 2024. https://medlineplus.gov/oxygentherapy.html

  7. American Lung Association. Getting Started with Oxygen in Metal Tanks. American Lung Association. Last updated January 28, 2026. https://www.lung.org/lung-health-diseases/lung-procedures-and-tests/oxygen-therapy/oxygen-in-metal-tanks

Medical disclaimer

This article is for general education and does not replace advice from your doctor. Always follow the oxygen prescription and safety instructions your healthcare provider gives you. If you have severe trouble breathing, chest pain, or confusion, seek emergency care.

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