Precise minute ventilation delivery using a bag-valve mask and audible feedback
Autor: | Jung Soo Lim, O Yu Kwon, Yong Chul Cho, Sung Pil Chung, Seung Whan Kim, Kwoen Yu |
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Rok vydání: | 2012 |
Předmět: |
Male
Artificial ventilation medicine.medical_specialty medicine.medical_treatment Heart Massage Manikins law.invention law medicine Humans Heart massage Cardiopulmonary resuscitation business.industry Significant difference Masks General Medicine Compression device Respiration Artificial Cardiopulmonary Resuscitation Surgery Bag valve mask Clinical Alarms Anesthesia Ventilation (architecture) Emergency Medicine Female business Respiratory minute volume |
Zdroj: | The American Journal of Emergency Medicine. 30:1068-1071 |
ISSN: | 0735-6757 |
DOI: | 10.1016/j.ajem.2011.07.003 |
Popis: | The efficacy of a modified bag-valve mask (BVM) with a ventilation rate alarm system was compared with conventional BVM to maximize adequate minute ventilation volume delivery in a manikin model.After a 30-minute instructional session on how to use the 2 types of BVM, volunteers were randomly assigned to ventilate a manikin in a 2-minute arrest simulation using 2 different types of BVM. The manikin cardiopulmonary resuscitation was performed with a mechanical chest compression device, to which we added a rate alarm, which makes a ticking sound to indicate each second and buzzes every sixth second, to ensure a regular ventilation rate (10 breaths per minute). Fifty-two volunteers attempted to squeeze the classic BVM at a rate of 8 to 10 times per minute during 2-minute trial (volume marked BVM [VBVM]). After a 1-hour break, artificial ventilation was performed at a rate of 9 times per minute with the guidance of the rate alarm (rate and volume adjusted BVM [RVBVM]).There were no correlations between the data and the participants' physical characteristics or levels of training. In this study, the accuracy of minute ventilation between the 2 groups showed a significant difference (P.001). The minute ventilation rate was constant in the RVBVM group, whereas in the VBVM group, the minute ventilation rate was irregular.In a manikin arrest model, the use of RVBVM results in a more constant and regular minute tidal ventilation rate than the use of VBVM and is, therefore, expected to produce more favorable outcomes in practical resuscitative situations. |
Databáze: | OpenAIRE |
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