Your browser is no longer supported

For the best possible experience using our website we recommend you upgrade to a newer version or another browser.

Your browser appears to have cookies disabled. For the best experience of this website, please enable cookies in your browser

We'll assume we have your consent to use cookies, for example so you won't need to log in each time you visit our site.
Learn more

Cardiopulmonary resuscitation

  • Comment

VOL: 98, ISSUE: 14, PAGE NO: 47

Phil Jevon, Resuscitation Officer, Manor House Hospital, Walsall

Sponsored by Pfizer

The bag/valve/ mask device or self-inflating bag is probably the most common ventilatory device used during cardiopulmonary resuscitation in hospital.

 

The bag/valve/ mask device or self-inflating bag is probably the most common ventilatory device used during cardiopulmonary resuscitation in hospital.

 

 

Unless experienced in using a bag/valve mask device, it is difficult for one person to apply the mask securely, lift the jaw with one hand and squeeze the bag with the other (Simons, 1999). A two-person technique is therefore recommended: one person to open the airway and ensure a good seal with the mask, the other to squeeze the bag (Resuscitation Council (UK), 2000).

 

 

Gastric inflation can lead to regurgitation of gastric contents, aspiration and pneumonia and can restrict lung expansion. Gastric inflation is more likely to occur if the lungs are inflated rapidly with large tidal volumes and high inflation pressures (Simons, 1999).

 

 

To minimise the risk of gastric inflation, allow two seconds for lung inflation, deliver lower tidal volumes (400-600ml) when using supplementary oxygen, and maintain an open, clear airway.

 

 

Many hospitals are now training nurses to insert a laryngeal mask airway for ventilation (instead of using a bag/valve/mask device) until the personnel with the necessary expertise arrive to insert a tracheal tube.

  • Comment

Have your say

You must sign in to make a comment

Please remember that the submission of any material is governed by our Terms and Conditions and by submitting material you confirm your agreement to these Terms and Conditions. Links may be included in your comments but HTML is not permitted.