The laryngeal mask airway in resuscitation

Part 8: Adult Advanced Cardiovascular Life Support

“…All healthcare providers should be familiar with the use of the bag-mask device. 11,12 Use of bag-mask ventilation is not recommended for a lone provider. When ventilations are performed by a lone provider, mouth-to-mouth or mouth-to-mask are more efficient.…”

How can a single rescuer adequately deliver tidal volume with a manual resuscitator? An improved device for delivering regular tidal volume

“…Several non-invasive emergency airway techniques for ventilation such as mouth-to-mouth, pocket-mask device, and bag-mask device have been developed for popular use currently 9 10. Some recent studies have revealed that the BVM can provide a reasonable alternative airway management in out-of-hospital emergency care settings 6 11.…”

Can you deliver accurate tidal volume by manual resuscitator?

“…Although many experts consider endotracheal intubation to be the optimal technique to secure airway protection, rates of success and complications vary widely 2. Recent evidence suggests that BVM ventilation may offer an acceptable alternative for airway stabilisation in out-of-hospital settings 1.…”

“…The bag–valve–mask (BVM) ventilator is an essential device for basic life support (BLS), but effective BVM ventilation requires adequate training and frequent practice because it is a difficult skill to maintain 1 2. The optimal tidal volume during cardiopulmonary resuscitation (CPR) is not known,3 but adequate ventilation can be maintained with a lower tidal volume than normal 4 5.…”