Can you deliver accurate tidal volume by manual resuscitator?

Lee, H M; Cho, K H; Yoon, Songyi; Choi, Y H

doi:10.1136/emj.2007.053678

Cited by 38 publications

(48 citation statements)

References 22 publications

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“…Lee et al 10 undertook a simple study evaluating the tidal volume delivered by 114 individuals trained in basic life support using a 1.6-L manual resuscitator. Participants were instructed to deliver 1-s inspirations at a rate of 10 breaths/min using one-handed compressions, 2-handed compressions, and 2-handed half-compressions.…”

Section: Manual Ventilation Is Neither Safe Nor Effectivementioning

confidence: 99%

Should a Portable Ventilator Be Used in All In-Hospital Transports?

Holets

Davies

2016

Respir Care

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Movement of the mechanically ventilated patient may be for a routine procedure or medical emergency. The risks of transport seem manageable, but the memory of a respiratory-related catastrophe still gives many practitioners pause. The risk/benefit ratio of transport must be assessed before movement. During transport of the ventilated patients, should we always use a transport ventilator? What is the risk of using manual ventilation? How are PEEP and F IO 2 altered? Is there an impact on the ability to trigger during manual ventilation? Is hyperventilation and hypoventilation a common problem? Does hyperventilation or hypoventilation result in complications? Are portable ventilators worth the cost? What about the function of portable ventilators? Can these devices faithfully reproduce ICU ventilator function? The following pro and con discussion will attempt to address many of these issues by reviewing the current evidence on transport ventilation.

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Section: Manual Ventilation Is Neither Safe Nor Effectivementioning

confidence: 99%

Should a Portable Ventilator Be Used in All In-Hospital Transports?

Holets

Davies

2016

Respir Care

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“…[13] Current 2015 CPR Guidelines recommend to give each rescue breath with enough volume to make the victim's chest rise. [7] Several variables such as patient factors, [14][15][16] device factors, [2,17] and rescuer factors [18][19][20][21] can affect successful bag-mask ventilation (visible chest rise) during CPR. Authors have realized that delivering adequate tidal volume (visible chest rise) over 1 second while maintaining peak airway pressure less than 20 mmHg is an extremely difficult task.…”

Section: Discussionmentioning

confidence: 99%

Effect of metronome rates on the quality of bag-mask ventilation during metronome-guided 30:2 cardiopulmonary resuscitation: A randomized simulation study

Han

Choi

et al. 2017

World Journal of Emergency Medicine

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BACKGROUND: Metronome guidance is a feasible and effective feedback technique to improve the quality of cardiopulmonary resuscitation (CPR). The rate of the metronome should be set between 100 to 120 ticks/minute and the speed of ventilation may have crucial effect on the quality of ventilation. We compared three different metronome rates (100, 110, 120 ticks/minute) to investigate its effect on the quality of ventilation during metronome-guided 30:2 CPR.METHODS: This is a prospective, randomized, crossover observational study using a RespiTrainer ○ r . To simulate 30 chest compressions, one investigator counted from 1 to 30 in cadence with the metronome rate (1 count for every 1 tick), and the participant performed 2 consecutive ventilations immediately following the counting of 30. Thirty physicians performed 5 sets of 2 consecutive (total 10) bag-mask ventilations for each metronome rate. Participants were instructed to squeeze the bag over 2 ticks (1.0 to 1.2 seconds depending on the rate of metronome) and defl ate the bag over 2 ticks. The sequence of three different metronome rates was randomized.

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“…Regardless of international consensus de- fining the self-inflating bag as the main instrument for manual ventilation, studies have shown that there is no unanimity in the guidelines for self-inflating bag use in neonatal ventilation. 6,8,14 Lee et al 28 reported that the volumes delivered range widely, and they do not encourage self-inflating bag use for careful and precise ventilation.…”

Section: Discussionmentioning

confidence: 99%

Neonatal and Pediatric Manual Hyperinflation: Influence of Oxygen Flow on Ventilation Parameters

Oliveira¹,

Almeida-Júnior

Almeida

et al. 2013

Respir Care

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BACKGROUND: Although self-inflating bags are widely used for manual hyperinflation, they do not allow ventilation parameters, such as pressure or volume, to be set. We studied the ventilation performance of neonatal and pediatric self-inflating bags. METHODS: We asked 22 physiotherapists to manually hyperinflate 2 lung models (neonatal and pediatric), using self-inflating bags from 3 manufactures (

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Can you deliver accurate tidal volume by manual resuscitator?

Cited by 38 publications

References 22 publications

Should a Portable Ventilator Be Used in All In-Hospital Transports?

Should a Portable Ventilator Be Used in All In-Hospital Transports?

Effect of metronome rates on the quality of bag-mask ventilation during metronome-guided 30:2 cardiopulmonary resuscitation: A randomized simulation study

Neonatal and Pediatric Manual Hyperinflation: Influence of Oxygen Flow on Ventilation Parameters

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