Bag-Mask Ventilation




Indications



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  • • To ventilate and oxygenate a patient.


    • A ventilation face mask may be used with an oropharyngeal or nasopharyngeal airway during spontaneous, assisted, or controlled ventilation.





Contraindications



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Relative





  • • In patients with full stomach, cricoid pressure must be maintained to avoid vomiting and aspiration.





Equipment



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  • • Ventilation bags (manual resuscitator) come in 2 types: self-inflating bag and flow-inflating (“anesthesia”) bag.


    • Ventilation bags used for resuscitation should be self-inflating.


    • Ventilation bags come in different sizes: infant, child, and adult.


    • Face masks come in many sizes.


    • A ventilation mask consists of a rubber or plastic body, a standard connecting port, and a rim or face seal.


    • Supplemental oxygen can be attached to ventilation bags to provide oxygen to the patient.





Risks



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  • • Vomiting and aspiration.





Pearls and Tips



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  • • Bag-mask ventilation gives the clinician time to prepare for more definitive airway management.


    • Good technique involves preserving good mask-face seal, inflating the chest with minimal required pressure, and maintaining the optimal patency of the upper airway through manipulation of the mandible and cervical spine.


    • The clinician should only use the force and tidal volume necessary to cause the chest to rise visibly.


    • The mask should extend from the bridge of the nose to the cleft of the chin, enveloping the nose and mouth but avoiding compression of the eyes.


    • The mask should provide an airtight seal.


    • The goal of ventilation with a bag and mask should be to approximate normal ventilation.





Patient Preparation



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  • • Sedation may be required before beginning.



Jan 4, 2019 | Posted by in PEDIATRICS | Comments Off on Bag-Mask Ventilation

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