395 results match your criteria Bag-Valve-Mask Ventilation

Outcome of cardiopulmonary resuscitation with different ventilation modes in adults: A meta-analysis.

Am J Emerg Med 2022 Apr 27;57:60-69. Epub 2022 Apr 27.

Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Department of Emergency Medicine, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China. Electronic address:

Background: The optimal airway management strategy for cardiac arrest remains unclear. This study aimed to compare the effects of different initial airway interventions on improving clinical outcomes based on the 2010 cardiopulmonary resuscitation (CPR) guidelines and later.

Methods: We searched PubMed, EMBASE, and the Cochrane Library for CPR articles tailored to each database from October 19, 2010, to July 31, 2021, to compare endotracheal intubation (ETI), supraglottic airway (SGA), or bag-valve-mask ventilation (BMV). Read More

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Pre-hospital airway management and survival outcomes after paediatric out-of-hospital cardiac arrests.

Resuscitation 2022 Apr 26;176:9-18. Epub 2022 Apr 26.

Department of Emergency Medicine, Singapore General Hospital, Singapore, Singapore; Health Services and Systems Research, Duke-NUS Medical School, Singapore.

Background: Paediatric out-of-hospital cardiac arrest (OHCA) results in high mortality and poor neurological outcomes. We conducted this study to describe and compare the effects of pre-hospital airway management on survival outcomes for paediatric OHCA in the Asia-pacific region.

Methods: We performed a retrospective analysis of the Pan Asian Resuscitation Outcomes Study (PAROS) data from January 2009 to June 2018. Read More

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Emergency Medical Services Responder Manual Ventilation Performance.

Prehosp Emerg Care 2022 Apr 20:1-8. Epub 2022 Apr 20.

University of Tennessee Health Science Center, UTHSC Department of Emergency Medicine, Memphis, TN.

Manual ventilation is a basic skill that every emergency medical services (EMS) responder is expected to perform proficiently. Improper manual ventilation may result in significant morbidity; however, there is no feedback mechanism or method of control for the volume, pressure, or frequency during manual ventilation. In this study, we aimed to quantify the volume and peak pressures of manually delivered breaths using a simulated lung. Read More

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The impact of prehospital endotracheal intubation on mortality in traumatic brain injury.

Am J Emerg Med 2022 05 5;55:152-156. Epub 2022 Feb 5.

Department of Emergency medicine, Chonnam National University Hospital, Republic of Korea.

Introduction: Our study aimed to evaluate whether prehospital endotracheal intubation (ETI) affects the mortality of individuals who sustain traumatic brain injury (TBI) compared with bag-valve mask (BVM) ventilation, as well as to test the interaction effect of ETI on study outcome according to carbon dioxide level.

Methods: Our retrospective study involving patients who experienced TBI between January 2019 and December 2020. The main exposure variable was the prehospital airway management technique (ETI vs. Read More

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Impact of different medical direction policies on prehospital advanced airway management for out-of hospital cardiac arrest patients: A retrospective cohort study.

Resusc Plus 2022 Mar 25;9:100210. Epub 2022 Feb 25.

Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences, Japan.

Background: Although optimal prehospital airway management after out-of-hospital cardiac arrest (OHCA) remains undetermined, no studies have compared different advanced airway management (AAM) policies adopted by two hospitals in charge of online medical direction by emergency physicians. We examined the impact of two different AAM policies on OHCA patient survival.

Methods: This observational cohort study included adult OHCA patients treated in Okayama City from 2013 to 2016. Read More

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Use of a novel pedal-operated compressor is non-inferior to the use of a standard hand-compressed bag-valve mask.

J Am Coll Emerg Physicians Open 2022 Feb 9;3(1):e12668. Epub 2022 Feb 9.

Department of Emergency Medicine Alpert Medical School of Brown University Providence Rhode Island USA.

Background: The standard bag-valve mask (BVM) used universally requires that a single healthcare practitioner affix the mask to the face with 1 hand while compressing a self-inflating bag with the second hand. Studies have demonstrated that creating a 2-handed seal (with 2 healthcare practitioners) is superior. Our study aims to assess the efficacy of a novel single-practitioner BVM device that uses a foot pedal as the bag compressor, allowing both hands to be available for the seal to facilitate delivery of appropriate tidal volumes during single-practitioner resuscitation. Read More

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February 2022

Improving Resuscitation Timing: Random Assignment of Interprofessional Team Leaders in Simulated Resuscitation.

Pediatr Emerg Care 2022 Feb;38(2):e978-e982

Division of Pediatric Critical Care Medicine, Department of Pediatrics, Mount Sinai School of Medicine, New York City, NY.

Objectives: The aims of the study were to assess whether preassigning a team leader influences resuscitation timing using simulation and to examine relationship between response timeliness and designated leader's profession, whether physician or nurse.

Methods: This is a prospective study of intervention (leader assigned) and control (no assigned leader) teams of residents and nurses participating in a simulated scenario. The primary outcome was time to bag-valve-mask (BVM) ventilation. Read More

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February 2022

Prehospital airway management for out-of-hospital cardiac arrest: A nationwide multicenter study from the KoCARC registry.

Acad Emerg Med 2022 Jan 22. Epub 2022 Jan 22.

Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Aim: This study investigated whether prehospital advanced airway management (AAM) is associated with improved survival of out-of-hospital cardiac arrest (OHCA) compared with conventional bag-valve-mask (BVM) ventilation.

Methods: We investigated the neurologically favorable survival of adult patients with OHCA who underwent BVM or AAM using the Korean Cardiac Arrest Research Consortium (KoCARC), a multicenter OHCA registry of Korea. The differences in clinical characteristics were adjusted by matching or weighting the clinical propensity for use of AAM or by least absolute shrinkage and selection operator (LASSO). Read More

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January 2022

Epidemiology of out-of-hospital pediatric airway management in the 2019 national emergency medical services information system data set.

Resuscitation 2022 Apr 19;173:124-133. Epub 2022 Jan 19.

Department of Emergency Medicine, The Ohio State University, Columbus, OH, United States. Electronic address:

Objective: Airway management is an important priority in the care of critically ill children. We sought to provide updated estimates of the epidemiology of pediatric out-of-hospital airway management and ventilation interventions in the United States.

Methods: We used data from the 2019 National Emergency Medical Services Information System (NEMSIS) data set. Read More

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Prehospital Cardiac Arrest Airway Management: An NAEMSP Position Statement and Resource Document.

Prehosp Emerg Care 2022 ;26(sup1):54-63

Airway management is a critical component of out-of-hospital cardiac arrest (OHCA) resuscitation. Multiple cardiac arrest airway management techniques are available to EMS clinicians including bag-valve-mask (BVM) ventilation, supraglottic airways (SGAs), and endotracheal intubation (ETI). Important goals include achieving optimal oxygenation and ventilation while minimizing negative effects on physiology and interference with other resuscitation interventions. Read More

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Prehospital Manual Ventilation: An NAEMSP Position Statement and Resource Document.

Prehosp Emerg Care 2022 ;26(sup1):23-31

Manual ventilation using a self-inflating bag device paired with a facemask (bag-valve-mask, or BVM ventilation) or invasive airway (bag-valve-device, or BVD ventilation) is a fundamental airway management skill for all Emergency Medical Services (EMS) clinicians. Delivery of manual ventilations is challenging. Several strategies and adjunct technologies can increase the effectiveness of manual ventilation. Read More

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Prehospital Pediatric Respiratory Distress and Airway Management Interventions: An NAEMSP Position Statement and Resource Document.

Prehosp Emerg Care 2022 ;26(sup1):118-128

Devices and techniques such as bag-valve-mask ventilation, endotracheal intubation, supraglottic airway devices, and noninvasive ventilation offer important tools for airway management in critically ill EMS patients. Over the past decade the tools, technology, and strategies used to assess and manage pediatric respiratory and airway emergencies have evolved, and evidence regarding their use continues to grow.NAEMSP recommends:Methods and tools used to properly size pediatric equipment for ages ranging from newborns to adolescents should be available to all EMS clinicians. Read More

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Prehospital Surgical Airway Management: An NAEMSP Position Statement and Resource Document.

Prehosp Emerg Care 2022 ;26(sup1):96-101

Bag-valve-mask ventilation and endotracheal intubation have been the mainstay of prehospital airway management for over four decades. Recently, supraglottic device use has risen due to various factors. The combination of bag-valve-mask ventilation, endotracheal intubation, and supraglottic devices allows for successful airway management in a majority of patients. Read More

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Singapore Basic Cardiac Life Support and Automated External Defibrillation Guidelines 2021.

Singapore Med J 2021 08;62(8):415-423

Emergency Medicine Department, National University Hospital, Singapore.

Basic Cardiac Life Support and Automated External Defibrillation (BCLS+AED) refers to the skills required in resuscitating cardiac arrest casualties. On recognising cardiac arrest, the rescuer should call for '995' for Emergency Ambulance and immediately initiate chest compressions. Good-quality chest compressions are performed with arms extended, elbows locked, shoulders directly perpendicular over the casualty's chest, and the heel of the palm placed on the lower half of the sternum. Read More

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Adapted Helping Babies Breathe approach to neonatal resuscitation in Haiti: a retrospective cohort study.

BMC Pediatr 2022 01 3;22(1). Epub 2022 Jan 3.

Department of Emergency Medicine, University of Washington, Harborview Medical Center, Box 359702, 325 Ninth Avenue, WA, 98104, Seattle, USA.

Background: Helping Babies Breathe (HBB) is an American Academy of Pediatrics neonatal resuscitation program designed to reduce neonatal mortality in low resource settings. The 2017 neonatal mortality rate in Haiti was 28 per 1000 live births and an estimated 85 % of Haitian women deliver at home. Given this, the Community Health Initiative implemented an adapted HBB (aHBB) in Haiti to evaluate neonatal mortality. Read More

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January 2022

Postoperative Apnea in a Neonate Following an Epidural Bolus Dose Through a High Thoracic Epidural Catheter.

J Med Cases 2021 Dec 2;12(12):485-490. Epub 2021 Dec 2.

Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, OH, USA.

Regional anesthesia is being used more frequently in the practice of pediatric anesthesia including neonates and infants. While generally safe and effective, adverse effects may occur related to catheter placement or its subsequent use. We present the rare occurrence of high motor blockade with apnea following the administration of a bolus dose of the local anesthetic agent, 2-chloroprocaine, into the thoracic epidural catheter of a 4-week-old, 2. Read More

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December 2021

Pediatric Bradycardia Is Undertreated in the Prehospital Setting: A Retrospective Multi-Agency Analysis.

Prehosp Emerg Care 2022 Jan 25:1-6. Epub 2022 Jan 25.

Division of Pediatric Emergency Medicine, Department of Emergency Medicine, University of Florida College of Medicine, Jacksonville, Florida.

Background: Bradycardia is the most common terminal cardiac electrical activity in children, and early recognition and treatment is necessary to avoid cardiac arrest. Interventions such as oxygen, chest compressions, epinephrine, and atropine recommended by American Heart Association (AHA) Pediatric Advanced Life support (PALS) guidelines have been shown to improve outcomes (including higher survival rates) for inpatient pediatric patients with bradycardia. However, little is known about the epidemiology of pediatric prehospital bradycardia. Read More

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January 2022

Evaluation of Basic Life Support First Responder Naloxone Administration Protocol Adherence.

Cureus 2021 Oct 20;13(10):e18932. Epub 2021 Oct 20.

Emergency Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, USA.

Objectives: Opioid overdoses have become a significant problem across the United States resulting in respiratory depression and risk of death. Basic Life Support (BLS) first responders have had the option to treat respiratory depression using a bag-valve-mask device, however naloxone, an opioid antagonist, has been shown to quickly restore normal respiration. Since the introduction of naloxone and recent mandates across many states for BLS personnel to carry and administer naloxone, investigation into the adherence of naloxone use standing protocols is warranted. Read More

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October 2021

Prehospital airway management in the pediatric patient: A systematic review.

Acad Emerg Med 2021 Nov 22. Epub 2021 Nov 22.

Department of Emergency Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas, USA.

Background: Critically ill children may require airway management to optimize delivery of oxygen and ventilation during resuscitation. We performed a systematic review of studies comparing the use of bag-valve-mask ventilation (BVM), supraglottic airway devices (SGA), and endotracheal intubation (ETI) in pediatric patients requiring prehospital airway management.

Methods: We searched Ovid MEDLINE, EMBASE, and Cochrane databases for papers that compared SGA or ETI to BVM use in children, including studies that reported survival outcomes. Read More

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November 2021

Simulation and evaluation of the protective barrier enclosure for cardiopulmonary resuscitation.

Resusc Plus 2021 Dec 13;8:100180. Epub 2021 Nov 13.

Department of Anesthesiology, Mennonite Christian Hospital, Hualien, Taiwan.

Introduction: The COVID-19 pandemic has presented a significant challenge for infection prevention and control during airway management in anaesthesia and critical care. The protective barrier enclosure has been described and studied particularly for perioperative anaesthesia use. The potential use of the protective barrier enclosure during cardiopulmonary resuscitation has been poorly explored in the current literature. Read More

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December 2021

Perioperative airway complications in infants and children with Crouzon and Pfeiffer syndromes: A single-center experience.

Paediatr Anaesth 2021 Dec 21;31(12):1316-1324. Epub 2021 Oct 21.

Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.

Background: Crouzon and Pfeiffer syndromes are rare genetic disorders characterized by craniosynostosis, exorbitism, and maxillary hypoplasia. Patients with these syndromes frequently require general anesthesia for various diagnostic and surgical procedures and may present a challenge to anesthetists with regard to airway management.

Aims: The primary aim of this study was to determine the incidence, timing, and management of perioperative upper airway obstruction in infants and children with Crouzon and Pfeiffer syndromes. Read More

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December 2021

Comparison of intraoral mask and classic face mask in terms of ventilation success and practitioners' workload assessments: A randomised crossover study.

Int J Clin Pract 2021 Nov 14;75(11):e14821. Epub 2021 Sep 14.

Ankara Numune Education and Research Hospital, Ankara, Turkey.

Aim: Providing effective ventilation of the unconscious patient is an essential skill in every specialty dealing with airway management. In this randomised crossover study aimed to compare intraoral and classic face mask in terms of ventilation success of patients, practitioners' workload and anxiety assessments. Also we analysed potential risk factors of difficult mask ventilation for both masks. Read More

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November 2021

Feasible and effective use of a simulation-based curriculum for post-graduate emergency medicine trainees in India to improve learner self-efficacy, knowledge, and skills.

Int J Emerg Med 2021 Jul 27;14(1):42. Epub 2021 Jul 27.

George Washington University School of Medicine and Public Health, Washington DC, USA.

Background: Pediatric emergency medicine training is in its infancy in India. Simulation provides an educational avenue to equip trainees with the skills to improve pediatric care. We hypothesized that a simulation-based curriculum can improve Indian post-graduate emergency medicine (EM) trainees' self-efficacy, knowledge, and skills in pediatric care. Read More

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Can bag-valve mask ventilation with positive end-expiratory pressure reduce hypoxia during intubation? A prospective, randomized, double-blind trial.

Trials 2021 Jul 17;22(1):460. Epub 2021 Jul 17.

Emergency Department, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: Hypoxia is one of the life-threatening complications of endotracheal intubation. Supplemental oxygen and ventilation play a vital role in preventing hypoxia. Bag-valve mask (BVM) ventilation is frequently used before intubation, and its ability to improve oxygenation was recently confirmed. Read More

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Empirical evidence for safety of mechanical ventilation during simulated cardiopulmonary resuscitation on a physical model.

Am J Emerg Med 2021 10 1;48:312-315. Epub 2021 Jul 1.

Pulmonary Engineering Laboratory, Biomedical Engineering Program (PEB/COPPE), Alberto Luiz Coimbra Institute for Graduate Studies and Research in Engineering, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil. Electronic address:

Background: Cardiac arrest is a critical event requiring adequate and timely response in order to increase a patient's chance of survival. In patients mechanically ventilated with advanced airways, cardiopulmonary resuscitation (CPR) maneuver may be simplified by keeping the ventilator on. This work assessed the response of an intensive care mechanical ventilator to CPR using a patient manikin ventilated in three conventional modes. Read More

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October 2021

ICU-free days as a more sensitive primary outcome for clinical trials in critically ill pediatric patients.

J Am Coll Emerg Physicians Open 2021 Aug 7;2(4):e12479. Epub 2021 Jul 7.

Berry Consultants, LLC Austin Texas USA.

Background: Our objective was to assess the association between intensive care unit (ICU)-free days and patient outcomes in pediatric prehospital care and to evaluate whether ICU-free days is a more sensitive outcome measure for emergency medical services research in this population.

Methods: This study used data from a previous pediatric prehospital trial. The original study enrolled patients ≤12 years of age and compared bag-valve-mask-ventilation (BVM) versus endotracheal intubation (ETI) during prehospital resuscitation. Read More

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Every one-minute delay in EMS on-scene resuscitation after out-of-hospital pediatric cardiac arrest lowers ROSC by 5.

Resusc Plus 2021 Mar 28;5:100062. Epub 2020 Dec 28.

University of Texas Southwestern, Dallas, TX, USA.

Objective: To determine which aspects of prehospital care impact outcomes after pediatric cardiac arrest.

Methods: In this study, the authors examine 5 years of consecutive data from their county emergency medical system (EMS), to identify predictors of good outcome after pediatric cardiac arrest, including return of spontaneous circulation (ROSC), survival to hospital admission (HA) and survival to hospital discharge (HD). Three logistic regression models were performed using JMP 14. Read More

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Changing patterns in paediatric medical emergency team (MET) activations over 20 years in a single specialist paediatric hospital.

Resusc Plus 2020 Sep 24;3:100025. Epub 2020 Aug 24.

Queensland Children's Hospital, 501 Stanley St, South Brisbane, Queensland, 4101, Australia.

Background: The Medical Emergency Team (MET) model was first introduced in the early 1990s and aimed to intervene at an earlier stage of patient clinical deterioration. This study aimed to describe the changes in patient demographics, patterns of activation and clinical outcomes of MET activations at our specialist paediatric hospital across a 20-year period providing the longest duration Medical Emergency Team data set published to date.

Methods: This single-centre observational study prospectively collected data about MET events at a single specialist paediatric hospital in Australia from 1995 to 2014. Read More

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September 2020

Modified Two-Rescuer CPR With a Two-Handed Mask-Face Seal Technique Is Superior To Conventional Two-Rescuer CPR With a One-Handed Mask-Face Seal Technique.

J Emerg Med 2021 09 5;61(3):252-258. Epub 2021 Jun 5.

Department of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. Electronic address:

Background: Bag-valve-mask (BVM) ventilation using a two-handed mask-face seal has been shown to be superior to a one-handed mask-face seal during cardiopulmonary resuscitation (CPR).

Objective: We aimed to compare CPR quality metrics during simulation-based two-rescuer CPR with a modified two-handed mask-face seal technique and two-rescuer CPR with the conventional one-handed mask-face seal technique.

Methods: Participants performed two-rescuer CPR on a simulation manakin and alternated between the modified and conventional CPR methods. Read More

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September 2021