Accuracy of bag ventilation in simulated resuscitation
Journal of Paramedic Practice · 2009-01-01 · Observational study
Abstract
The efficacy of manual bag ventilation during cardiopulmonary resuscitation (CPR) is often a difficult task to undertake, however, very little is known about its accuracy. Aims The objective of this study was to evaluate operator delivery of ventilation rate, tidal volume and minute volume in a simulated cardiac arrest using two different capacity self-inflating bags in an undergraduate paramedic cohort. Methods An observational single blinded study with third year university undergraduate paramedic students using a mechanical lung model and a simulated adult cardiac arrest to assess their ventilation ability. Students ventilated using 1600 ml and 1000 ml bag for 2 minutes at a rate and tidal volume for a patient undergoing CPR with an advanced airway. Ventilation rate and tidal volume were recorded using an analogue scale with mean values calculated. Results Mean tidal volumes were significantly higher for the 1600 ml bag: 528.4 ml (95% CI 491.3–565.5) versus 648.7 ml (95% CI 603.7–693.7) (P < 0.0001), while no statistically significant differences were found in mean ventilation rates and minute volumes between the two bags. Conclusion Smaller self-inflating bags reduce the incidence of overzealous tidal volumes and produce greater guideline-consistent results for cardiac arrest patients.
Abstract © the authors or publisher, via OpenAlex. Reuse and removal
Tags
Bag-valve-mask ventilation · Students
Related articles
- Effects of weights applied to the apex of a bag-valve-mask and pinch strength on tidal volume: a prospective simulation study. (Sci Rep, 2024)
- Tidal volume according to the 4-point sealing forces of a bag-valve-mask: an adult respiratory arrest simulator-based prospective, descriptive study. (BMC Emerg Med, 2021)
- Efficacy of Laryngeal Tube versus Bag Mask Ventilation by Inexperienced Providers. (West J Emerg Med, 2020)
- Evaluation of a novel paediatric self-inflating bag to improve accuracy of tidal volumes delivered during simulated advanced paediatric resuscitation. (Resuscitation, 2012)
- Smaller self-inflating bags produce greater guideline consistent ventilation in simulated cardiopulmonary resuscitation. (BMC Emerg Med, 2009)
- Feasibility of laryngeal mask airway use by prehospital personnel in simulated pediatric respiratory arrest. (Prehosp Emerg Care, 2007)