Bag valve mask ventilation: Difference between revisions
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==Procedure== | ==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 | |||
===Tidal Volume=== | |||
*avoid hyperinflation | |||
*bag until chest rise is seen | |||
==Complications== | ==Complications== | ||
Revision as of 22:27, 1 September 2015
Overview
- simple, life-saving skill that is critical in airway management
- oxygenation and ventilation prior to definitive airway placement
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
- OPA/NPA/adjuncts to facilitate successful BVM ventilation
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
Tidal Volume
- avoid hyperinflation
- bag until chest rise is seen