Bag valve mask ventilation: Difference between revisions
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==Overview== | ==Overview== | ||
* | *Simple, life-saving skill that is critical in airway management | ||
* | *Deliver oxygen at positive pressure via a bag containing oxygen connected to a mask placed over a patient's nose and mouth | ||
* | *Oxygenation and ventilation prior to definitive airway placement or bridge to sedative metabolization | ||
==Indications== | ==Indications== | ||
* | *Respiratory failure | ||
* | *Pre-oxygenation | ||
* | *Emergent need to oxygenate/ventilate | ||
==Contraindications== | ==Contraindications== | ||
| Line 14: | Line 14: | ||
==Equipment Needed== | ==Equipment Needed== | ||
*Bag connected to oxygen at 15L/min | *Bag connected to oxygen at 15L/min | ||
* | *Mask connected to the bag | ||
* | *Consider PEEP valve (provides PEEP between ventilations) | ||
*OPA/NPA/adjuncts to facilitate successful BVM ventilation | *OPA/NPA/adjuncts to facilitate successful BVM ventilation | ||
* | *Suction | ||
*SpO2 monitor helpful | *SpO2 monitor helpful | ||
====Children==== | ====Children==== | ||
* | *Proper-sized mask (covers nose and chin) | ||
* | *Proper bag (enough to see chest rise) | ||
==Procedure== | ==Procedure== | ||
==="EC" Hand Position=== | ==="EC" Hand Position=== | ||
* | *Thumb and index finger holding mask in a "C" position | ||
** | **Thumb superior and index inferior | ||
*3rd, 4th, 5th finger hold the mandible and perform a jaw thrust | *3rd, 4th, 5th finger hold the mandible and perform a jaw thrust | ||
* | *Other hand used to bag | ||
===2-person=== | ===2-person=== | ||
* | *One person holds the mask with both hands (lateral edges) | ||
*2nd person bags | *2nd person bags | ||
===Rate=== | ===Rate=== | ||
* | *Adult bag at 10-12/min | ||
* | *Children 16-20/min | ||
* | *Infants 30/min | ||
*Neonates 40-60/min | |||
===Tidal Volume=== | ===Tidal Volume=== | ||
* | *Avoid hyperinflation | ||
* | *Bag until chest rise is seen | ||
==Complications== | ==Complications== | ||
* | *Poor seal | ||
* | *Poor oxygenation/ventilation | ||
* | *Overinflation of the stomach causing emesis/aspiration | ||
==See Also== | ==See Also== | ||
Revision as of 22:10, 4 September 2015
Overview
- Simple, life-saving skill that is critical in airway management
- Deliver oxygen at positive pressure via a bag containing oxygen connected to a mask placed over a patient's nose and mouth
- Oxygenation and ventilation prior to definitive airway placement or bridge to sedative metabolization
Indications
- Respiratory failure
- Pre-oxygenation
- Emergent need to oxygenate/ventilate
Contraindications
Difficult BVM (MOANS)
- Mask seal
- Obesity
- Aged
- No teeth
- Stiffness (resistance to ventilation)
Equipment Needed
- Bag connected to oxygen at 15L/min
- Mask connected to the bag
- Consider PEEP valve (provides PEEP between ventilations)
- OPA/NPA/adjuncts to facilitate successful BVM ventilation
- Suction
- SpO2 monitor helpful
Children
- Proper-sized mask (covers nose and chin)
- Proper bag (enough to see chest rise)
Procedure
"EC" Hand Position
- Thumb and index finger holding mask in a "C" position
- Thumb superior and index inferior
- 3rd, 4th, 5th finger hold the mandible and perform a jaw thrust
- Other hand used to bag
2-person
- One person holds the mask with both hands (lateral edges)
- 2nd person bags
Rate
- Adult bag at 10-12/min
- Children 16-20/min
- Infants 30/min
- Neonates 40-60/min
Tidal Volume
- Avoid hyperinflation
- Bag until chest rise is seen
Complications
- Poor seal
- Poor oxygenation/ventilation
- Overinflation of the stomach causing emesis/aspiration