Centimeter Water (4 °C) to Pound per Square Inch
cmH2O
psi
Conversion History
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Quick Reference Table (Centimeter Water (4 °C) to Pound per Square Inch)
| Centimeter Water (4 °C) (cmH2O) | Pound per Square Inch (psi) |
|---|---|
| 1 | 0.01422295170535975976260760926656899004 |
| 5 | 0.07111475852679879881303514557809031908 |
| 10 | 0.14222951705359759762607029115618063816 |
| 15 | 0.21334427558039639643910543673427095724 |
| 20 | 0.28445903410719519525213913193498396076 |
| 100 | 1.42229517053597597626069856042967443492 |
| 1,033 | 14.69230911163663183477301785518761591824 |
About Centimeter Water (4 °C) (cmH2O)
The centimeter of water at 4 °C (cmH₂O) equals approximately 98.064 pascals — ten times the mmH₂O unit. It is the standard pressure unit in respiratory medicine and intensive care: positive end-expiratory pressure (PEEP), peak inspiratory pressure, and continuous positive airway pressure (CPAP) for sleep apnoea are all specified in cmH₂O. Cerebrospinal fluid pressure measurements also use cmH₂O. The unit spans a clinically convenient range, covering both physiological pressures and therapeutic ventilator settings.
CPAP therapy for sleep apnoea is prescribed at 4–20 cmH₂O. Normal cerebrospinal fluid pressure is about 10–18 cmH₂O in the lying position.
About Pound per Square Inch (psi)
The pound per square inch (psi) is the dominant pressure unit in US customary practice, equal to approximately 6,894.76 pascals. It is universally used in the United States for tire pressures, compressed-air systems, hydraulic machinery, pipe pressure ratings, and industrial gauges. Standard atmospheric pressure is 14.696 psi. Pressure is expressed as gauge (psig, relative to atmosphere) or absolute (psia). Natural gas pipeline pressures, boiler ratings, and municipal water supply pressures in the US are all quoted in psi.
Car tire inflation is typically 30–35 psi. A standard garden hose delivers water at 40–60 psi.
Etymology: A straightforward compound of "pound" (from Latin pondus, weight) and "square inch", arising naturally from US customary engineering practice. There is no single defining event; the unit crystallised alongside the development of American steam engineering in the early 19th century.
Centimeter Water (4 °C) – Frequently Asked Questions
Why is CPAP pressure prescribed in cmH₂O and not in a more standard unit?
Respiratory medicine adopted cmH₂O because the original ventilators literally used water columns to regulate pressure — a jar of water with a submerged tube set the pressure at whatever depth the tube was immersed. A CPAP setting of 10 cmH₂O meant the air bubbled out at 10 cm depth. The unit stuck even after electronics replaced water seals, because clinicians, patients, and device manuals all speak the same scale.
What CPAP pressure in cmH₂O do most sleep apnoea patients use?
Most adults are prescribed between 6 and 14 cmH₂O, with 10 cmH₂O being a common starting point. Severe obstructive sleep apnoea may require 15–20 cmH₂O. Auto-titrating (APAP) machines vary pressure within a set range — typically 4–20 cmH₂O — adjusting breath by breath. Higher pressures are more effective at splinting the airway open but can cause discomfort and air swallowing.
How does cmH₂O relate to the ventilator pressures used in intensive care?
ICU ventilators also use cmH₂O. Positive end-expiratory pressure (PEEP) is usually set at 5–15 cmH₂O to keep alveoli open. Peak inspiratory pressure above 30–35 cmH₂O raises the risk of lung injury. Plateau pressures are monitored to stay below 30 cmH₂O. The entire field of mechanical ventilation runs on this single unit because it directly corresponds to the pressures inside the lung.
What is a normal cerebrospinal fluid pressure in cmH₂O?
Measured via lumbar puncture with the patient lying on their side, normal CSF pressure is 10–18 cmH₂O in adults. Above 25 cmH₂O suggests raised intracranial pressure — potentially from a tumor, meningitis, or hydrocephalus. Below 6 cmH₂O indicates low pressure, often from a CSF leak. Neurologists use cmH₂O rather than mmHg because spinal fluid is essentially water, making the unit a direct physical analogue.
How do you convert cmH₂O to millibars or kilopascals?
1 cmH₂O ≈ 0.981 mbar ≈ 0.0981 kPa. For bedside estimates, 1 cmH₂O ≈ 1 mbar is close enough (error under 2%). A CPAP setting of 12 cmH₂O is about 11.8 mbar or 1.18 kPa. Since respiratory equipment universally reads cmH₂O, conversion is mainly needed when interfacing with industrial instruments or when charting pressures alongside blood gas data reported in mmHg.
Pound per Square Inch – Frequently Asked Questions
Why do race car teams obsess over half-psi differences in tire pressure?
Because at racing speeds, tiny pressure changes transform tire behavior. Half a psi less inflates the contact patch, generating more grip but also more heat — potentially pushing the rubber past its optimal temperature window within a few laps. Half a psi more stiffens the sidewall, improving response but shrinking the contact patch and reducing peak grip. Formula 1 teams adjust pressures in quarter-psi increments based on track temperature, fuel load, and stint length. In NASCAR, a 1 psi difference between left and right tires is a deliberate setup tool that changes how the car rotates through banked turns.
What psi should car and bicycle tires be inflated to?
Passenger car tires: 30–35 psi (check the door jamb sticker, not the tire sidewall — the sidewall shows the maximum, not the recommended). Truck tires: 80–100 psi. Road bike tires: 80–130 psi. Mountain bike tires: 25–35 psi. Under-inflation by just 5 psi increases fuel consumption by about 2% and accelerates edge wear. Over-inflation reduces grip and makes the ride harsh.
What is the difference between psi, psig, and psia?
PSI is the generic unit. PSIG ("gauge") means pressure above atmospheric — what your tire gauge reads. PSIA ("absolute") includes atmospheric pressure on top: PSIA = PSIG + 14.7. A tire at 32 psig is actually at 46.7 psia. The distinction matters in engineering calculations involving gas laws (PV=nRT uses absolute pressure) and in vacuum work where gauge readings go negative.
What psi range do common household and industrial systems use?
City water supply: 40–80 psi. Home espresso machine: ~130 psi (9 bar). Pressure washer: 1,000–4,000 psi. Scuba tank: 3,000 psi. Hydraulic car jack: 3,000–10,000 psi. Diesel fuel injector rail: up to 30,000 psi. Waterjet cutter: 60,000+ psi. The range from a garden hose to an industrial waterjet spans roughly three orders of magnitude.
How do you quickly convert between psi and bar in your head?
Divide psi by 14.5 to get bar, or multiply bar by 14.5 to get psi. For even quicker estimates: 15 psi ≈ 1 bar, 30 psi ≈ 2 bar, 45 psi ≈ 3 bar. This "15 psi per bar" shortcut is within 2% of exact and is used by mechanics, divers, and engineers worldwide when a calculator is not handy.