354 results match your criteria Bag-Valve-Mask Ventilation


It's In The Bag: Tidal Volumes in Adult and Pediatric Bag Valve Masks.

West J Emerg Med 2020 Apr 27;21(3):722-726. Epub 2020 Apr 27.

Capital Health Hospital System, Department of Emergency Medical Services, Trenton, New Jersey.

Introduction: A bag valve mask (BVM) is a life saving device used by all levels of health care professionals during resuscitative care. We focus most of our time optimizing the patient's position, firmly securing the mask, and frequency of ventilations. However, despite our best efforts to control these factors, we may still be precipitating harm to the patient. Read More

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http://dx.doi.org/10.5811/westjem.2020.3.45788DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7234703PMC

Relationship Between Self-efficacy and Performance of Simulated Neonatal Chest Compressions and Ventilation.

Simul Healthc 2020 May 4. Epub 2020 May 4.

From the Department of Pediatrics (L.T.D., M.A.U., K.R.H.), University of California, Davis, Sacramento, CA.

Introduction: Because improved competence in caring for patients is difficult to measure, self-efficacy (the strength of one's belief in one's ability to complete a task) is often used as a surrogate measurement of clinical ability. However, studies in adults and children have shown at best only weak correlations between self-efficacy and performance. This correlation has not been well studied in neonatal resuscitation limiting the utility of self-efficacy as a measurement of the effectiveness of interventions in this population. Read More

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http://dx.doi.org/10.1097/SIH.0000000000000446DOI Listing

Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval.

Clin Exp Emerg Med 2020 Mar 31;7(1):21-29. Epub 2020 Mar 31.

Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea.

Objective: The incidences of prehospital advanced airway management by emergency medical technicians in South Korea are increasing; however, whether this procedure improves the survival outcomes of patients experiencing out-of-hospital cardiac arrest remains unclear. The present study aimed to investigate the association between prehospital advanced airway management and neurologic outcomes according to a transport time interval (TTI) using the Korean Cardiac Arrest Research Consortium database.

Methods: We retrospectively analyzed the favorable database entries that were prospectively collected between October 2015 and December 2016. Read More

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http://dx.doi.org/10.15441/ceem.19.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141979PMC

Outcomes With the Use of Bag-Valve-Mask Ventilation During Out-of-hospital Cardiac Arrest in the Pragmatic Airway Resuscitation Trial.

Acad Emerg Med 2020 May 27;27(5):366-374. Epub 2020 Mar 27.

Oregon Health and Science University, Portland, OR.

Background: While emergency medical services (EMS) often use endotracheal intubation (ETI) or supraglottic airways (SGA), some patients receive only bag-valve-mask (BVM) ventilation during out-of-hospital cardiac arrests (OHCA). Our objective was to compare patient characteristics and outcomes for BVM ventilation to advanced airway management (AAM) in adults with OHCA.

Methods: Using data from the Pragmatic Airway Resuscitation Trial, we identified patients receiving AAM (ETI or a SGA), BVM ventilation only (BVM-only), and BVM ventilation as a rescue after at least one failed attempt at advanced airway placement (BVM-rescue). Read More

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http://dx.doi.org/10.1111/acem.13927DOI Listing
May 2020
2.006 Impact Factor

Impact of Personal Protective Equipment on the Performance of Emergency Pediatric Tasks.

Pediatr Emerg Care 2020 Feb 24. Epub 2020 Feb 24.

Department of Pediatrics, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA.

Objectives: Personal protective equipment (PPE) is worn by health care providers (HCPs) to protect against hazardous exposures. Studies of HCPs performing critical resuscitation tasks in PPE have yielded mixed results and have not evaluated performance in care of children. We evaluated the impacts of PPE on timeliness or success of emergency procedures performed by pediatric HCPs. Read More

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http://dx.doi.org/10.1097/PEC.0000000000002028DOI Listing
February 2020

Comparing Effectiveness of Initial Airway Interventions for Out-of-Hospital Cardiac Arrest: A Systematic Review and Network Meta-analysis of Clinical Controlled Trials.

Ann Emerg Med 2020 05 23;75(5):627-636. Epub 2020 Jan 23.

Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan; Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.

Study Objective: We compare effectiveness of different airway interventions during cardiopulmonary resuscitation for patients with out-of-hospital cardiac arrest.

Methods: We systematically searched the PubMed and EMBASE databases from their inception through August 2018 and selected randomized controlled trials or quasi randomized controlled trials comparing intubation, supraglottic airways, or bag-valve-mask ventilation for treating adult out-of-hospital cardiac arrest patients. We performed a network meta-analysis along with sensitivity analyses to investigate the influence of high intubation success rate on meta-analytic results. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.12.003DOI Listing

Success of Pediatric Intubations Performed by a Critical Care Transport Service.

Prehosp Emerg Care 2020 Jan 9:1-10. Epub 2020 Jan 9.

Prehospital pediatric endotracheal intubation (ETI) is rarely performed. Previous research has suggested that pediatric prehospital ETI, when performed by ground advanced life support crews, is associated with poor outcomes. In this study, we aim to evaluate the first-attempt success rate, overall success rate and complications of pediatric prehospital ETI performed by critical care transport (CCT) personnel. Read More

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http://dx.doi.org/10.1080/10903127.2019.1699212DOI Listing
January 2020

Noninvasive ventilation support during fiberoptic bronchoscopy-guided nasotracheal intubation effectively prevents severe hypoxemia.

J Crit Care 2020 Apr 14;56:12-17. Epub 2019 Nov 14.

Department of Pulmonary and Critical Care Medicine, Guangzhou Institute of Respiratory Health, State Key Lab of Respiratory Diseases, National Clinical Research Center of Respiratory Diseases, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. Electronic address:

Purpose: This study investigated the feasibility and efficacy of continuous noninvasive ventilation (NIV) support with 100% oxygen using a specially designed face mask, for reducing desaturation during fiberoptic bronchoscopy (FOB)-guided intubation in critically ill patients with respiratory failure.

Materials And Methods: This was a single-center prospective randomized study. All patients undergoing FOB-guided nasal tracheal intubation were randomized to bag-valve-mask ventilation or NIV for preoxygenation followed by intubation. Read More

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http://dx.doi.org/10.1016/j.jcrc.2019.10.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7126932PMC

[Effect of preoxygenation and apnoeic oxygenation during intubation in the critically ill patients: a network Meta-analysis].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2019 Oct;31(10):1236-1241

Department of Intensive Care Unit, the First People's Hospital of Lianyungang City, Lianyungang 222002, Jiangsu, China. Corresponding author: Liu Kexi, Email:

Objective: To systematic review the effect of preoxygenation (PreOx) and apnoeic oxygenation (ApOx) during intubation in the critically ill patients by network Meta-analysis.

Methods: The PubMed, Embase, the Cochrane Library, CNKI and Wanfang Data were searched by computer to collect randomized controlled trials (RCT) of PreOx and ApOx techniques in the intensive care unit (ICU) from inception to January 30th, 2019. PreOx techniques (p) included nasal cannula (NC), high flow nasal cannula (HFNC), bag valve mask (BVM), bi-level positive airway pressure (BiPAP), non-rebreather mask (NRM) and non-invasive ventilation (NIV), etc. Read More

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http://dx.doi.org/10.3760/cma.j.issn.2095-4352.2019.10.011DOI Listing
October 2019

Comparison of standard and over-the-head method of chest compressions during cardiopulmonary resuscitation - a simulation study.

BMC Emerg Med 2019 11 26;19(1):73. Epub 2019 Nov 26.

Department of Biochemistry and Molecular Biology, Faculty of Health Sciences, University of Bielsko-Biala, Willowa 2, 43-309, Bielsko-Biala, Poland.

Background: Maintaining highly effective cardiopulmonary resuscitation (CPR) can be particularly difficult when artificial ventilation using a bag-valve-mask device, combined with chest compression have to be carried out by one person. The aim of the study is to compare the quality of CPR conducted by one paramedic using chest compression from the patient's side with compression conducted from the 'over-the-head' position.

Methods: The subject of the study were two methods of CPR - 'standard' (STD) and 'over-the-head' (OTH). Read More

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http://dx.doi.org/10.1186/s12873-019-0292-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6880354PMC
November 2019

Gastric insufflation during cardiopulmonary resuscitation: A study in human cadavers.

Resuscitation 2020 01 12;146:111-117. Epub 2019 Nov 12.

Emergency Department, General Hospital of Annecy, Annecy, France.

Introduction: Bag-valve-mask ventilation is the first-line ventilation method during cardiopulmonary resuscitation (CPR). Risks include excessive volume delivery and gastric insufflation, the latter increasing the risk of pneumonia. The efficacy of ventilation can also be reduced by airway closure. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2019.10.014DOI Listing
January 2020
4 Reads
4.167 Impact Factor

Effect of tidal volume on gas exchange during rescue ventilation.

Respir Physiol Neurobiol 2020 02 7;273:103335. Epub 2019 Nov 7.

Department of Emergency Medicine, Dalhousie University, Suite 355 - 1796 Summer Street, Halifax, N.S, B3H 3A7, Canada. Electronic address:

Tidal volume V required for mouth-to-mouth (MTM) and bag-valve-mask (BVM) rescue ventilation remains debatable owing to differences in physiology and end-point objectives. Analysis of gas transport may clarify minimum necessary V and its determinants. Alveolar and arterial O and CO responses to MTM and air BVM ventilation for V between 0. Read More

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http://dx.doi.org/10.1016/j.resp.2019.103335DOI Listing
February 2020

Ventilation feedback device for manual ventilation in simulated respiratory arrest: a crossover manikin study.

Scand J Trauma Resusc Emerg Med 2019 Oct 22;27(1):93. Epub 2019 Oct 22.

Emergency Medicine Physician, Department of Emergency Medicine and Critical Care, Besançon University Hospital, Besançon, France.

Background: Studies have shown that providing adequate ventilation during CPR is essential. While hypoventilation is often feared by most caregivers on the scene, the most critical problem remains hyperventilation. We developed a Ventilation Feedback Device (VFD) for manual ventilation which monitors ventilatory parameters and provides direct feedback about ventilation quality to the rescuer. Read More

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http://dx.doi.org/10.1186/s13049-019-0674-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805533PMC
October 2019
1 Read

Acute respiratory failure: nonintubation assist methods for the acutely deteriorating patient.

Curr Opin Crit Care 2019 12;25(6):591-596

CHU de Poitiers, Médecine Intensive Réanimation, Poitiers.

Purpose Of Review: Noninvasive ventilation is strongly recommended in acute hypercapnic respiratory failure, whereas high-flow nasal oxygen therapy could be an alternative in de novo respiratory failure.

Recent Findings: High-flow nasal oxygen may improve the outcome of patients de novo respiratory failure as compared with standard oxygen. Its success within 2 h after initiation is well predicted by a ROX index (ratio of SpO2/FiO2 to respiratory rate) greater than 4. Read More

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http://dx.doi.org/10.1097/MCC.0000000000000670DOI Listing
December 2019
3 Reads

A survey of ventilation strategies during cardiopulmonary resuscitation.

World J Emerg Med 2019 ;10(4):222-227

Department of Emergency Medicine, Peking Union Medical College Hospital, Beijing, China.

Background: Many controversies still exist regarding ventilator parameters during cardiopulmonary resuscitation (CPR). This study aimed to investigate the CPR ventilation strategies currently being used among physicians in Chinese tertiary hospitals.

Methods: A survey was conducted among the cardiac arrest team physicians of 500 tertiary hospitals in China in August, 2018. Read More

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http://www.wjem.com.cn/default/articlef/index/id/694
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http://dx.doi.org/10.5847/wjem.j.1920-8642.2019.04.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6732165PMC
January 2019
2 Reads

Use of point-of-care ultrasound to assess esophageal insufflation during bag mask ventilation: A case report.

Respir Med Case Rep 2019 26;28:100928. Epub 2019 Aug 26.

Scripps Mercy Hospital, 4077 Fifth Ave, San Diego, CA, 92103, USA.

Bag-valve-mask ventilation is a basic airway management technique often used in patients with acute respiratory failure. Although highly effective in providing oxygenation and ventilation, this technique has been associated with gastric regurgitation and tracheal aspiration. In this case, the esophagus visualized with bedside ultrasonography during bag-mask ventilation of an unresponsive and critically ill patient. Read More

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http://dx.doi.org/10.1016/j.rmcr.2019.100928DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6733966PMC
August 2019
2 Reads

A comparison of controlled ventilation with a noninvasive ventilator versus traditional mask ventilation.

J Clin Monit Comput 2019 Jul 23. Epub 2019 Jul 23.

Department of Anesthesiology, University Hospital Anesthesiology, 50 North Medical Dr., Salt Lake City, UT, 84132, USA.

After induction, but before intubation, many general anesthesia patients are manually bag-mask ventilated. The objective of this study was to determine the efficacy of bag-mask ventilation (MkV) of an anesthetized patient versus mask ventilation using a noninvasive ventilator (NIV). We hypothesized that feedback-controlled, mask ventilation via NIV is more efficacious and safer. Read More

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http://dx.doi.org/10.1007/s10877-019-00365-1DOI Listing
July 2019
7 Reads

Comparison between synchronized and non-synchronized ventilation and between guided and non-guided chest compressions during resuscitation in a pediatric animal model after asphyxial cardiac arrest.

PLoS One 2019 18;14(7):e0219660. Epub 2019 Jul 18.

Pediatric Intensive Care Department, Hospital Universitario Gregorio Marañon, Madrid, Spain.

Introduction: There are no studies comparing synchronized and non-synchronized ventilation with bag-valve mask ventilation (BVMV) during cardiopulmonary resuscitation (CPR) in pediatric patients. The main aim is to compare between synchronized and non-synchronized BVMV with chest compressions (CC), and between guided and non-guided CC with a real-time feedback-device in a pediatric animal model of asphyxial cardiac arrest (CA). The secondary aim is to analyze the quality of CC during resuscitation. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0219660PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6638932PMC
March 2020
6 Reads

Effectiveness of Manual Ventilation in Intubated Helicopter Emergency Services-Transported Trauma Patients.

Air Med J 2019 Jul - Aug;38(4):273-275. Epub 2019 Apr 20.

Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI. Electronic address:

Background: Helicopter Emergency Medical Services agencies frequently transport intubated patients to definitive care. No evidence exists to determine the type of ventilation in this population. Practice varies amongst programs from bag-valve-mask to mechanical ventilation. Read More

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http://dx.doi.org/10.1016/j.amj.2019.03.013DOI Listing
April 2019
6 Reads

Bag-Valve-Mask Ventilation After Induction for Intubation: PreVenting Hypoxemia?: July 2019 Annals of Emergency Medicine Journal Club.

Ann Emerg Med 2019 07;74(1):160-162

Department of Emergency Medicine, University of Maryland, Baltimore, MD.

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http://dx.doi.org/10.1016/j.annemergmed.2019.05.021DOI Listing
July 2019
5 Reads

Adjustable Pressure Limit Valve Failure During Intraoperative Care: A Case Report.

A A Pract 2019 Oct;13(7):257-259

From the Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio.

One of the many safety features of modern day anesthesia machines is the adjustable pressure limiting (APL) valve. This device regulates pressure within the anesthesia circuit during manual ventilation with the anesthesia bag. We report an unusual case where a crack in the APL valve allowed release of pressure from within the circuit resulting in ineffective bag-valve-mask ventilation of an infant. Read More

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http://dx.doi.org/10.1213/XAA.0000000000001045DOI Listing
October 2019
10 Reads

Confirmed cardiac output on emergency medical services arrival as confounding by indication: an observational study of prehospital airway management in patients with out-of-hospital cardiac arrest.

Emerg Med J 2019 Jul 6;36(7):410-415. Epub 2019 Jun 6.

Department of Acute Medicine, The University of Tokyo Graduate School of Medicine, Bunkyo, Japan.

Objectives: Many registry studies on patients with out-of-hospital cardiac arrest (OHCA) have reported that conventional bag-valve-mask (BVM) ventilation is independently associated with favourable outcomes. This study aimed to compare the data of patients with OCHA with confirmed cardiac output on emergency medical services (EMS) arrival and consider the confounding factors in prehospital airway management studies.

Methods: This was a cohort study using the registry data for survivors after out-of hospital cardiac arrest in the Kanto region at 2012 in Japan (SOS-KANTO 2012). Read More

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http://dx.doi.org/10.1136/emermed-2018-208107DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6662946PMC
July 2019
13 Reads

Association of ventilation with outcomes from out-of-hospital cardiac arrest.

Resuscitation 2019 08 18;141:174-181. Epub 2019 May 18.

Department of Emergency Medicine, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-8579, United States. Electronic address:

Aim Of Study: To determine the association between bioimpedence-detected ventilation and out-of-hospital cardiac arrest (OHCA) outcomes.

Methods: This is a retrospective, observational study of 560 OHCA patients from the Dallas-Fort Worth site enrolled in the Resuscitation Outcomes Consortium Trial of Continuous or Interrupted Chest Compressions During CPR from 4/2012 to 7/2015. We measured bioimpedance ventilation (lung inflation) waveforms in the pause between chest compression segments (Physio-Control LIFEPAK 12 and 15, Redmond, WA) recorded through defibrillation pads. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2019.05.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6650372PMC
August 2019
34 Reads

Paramedics' Newborn Life Support Knowledge and Skills Before and After a Targeted Simulation-Based Educational Intervention.

Front Pediatr 2019 10;7:132. Epub 2019 Apr 10.

Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.

Resuscitation of neonates after birth in the out-of-hospital setting is challenging. Thus, we aimed to assess paramedics' newborn life support knowledge and skills before and after targeted simulation-based training. Voluntary paramedics were recruited from a single Red Cross division. Read More

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http://dx.doi.org/10.3389/fped.2019.00132DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6467958PMC
April 2019
4 Reads

A Cross-Over Trial Comparing Conventional to Compression-Adjusted Ventilations with Metronome-Guided Compressions.

Prehosp Disaster Med 2019 Apr 10;34(2):220-223. Epub 2019 Apr 10.

1.Department of Emergency Medicine, Allegheny Health Network,Saint Vincent Hospital,Erie, PennsylvaniaUSA.

Introduction: Hyperventilation during cardiopulmonary resuscitation (CPR) negatively affects cardiopulmonary physiology. Compression-adjusted ventilations (CAVs) may allow providers to deliver ventilation rates more consistently than conventional ventilations (CVs). This study sought to compare ventilation rates between these two methods during simulated cardiac arrest. Read More

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http://dx.doi.org/10.1017/S1049023X19000098DOI Listing
April 2019
4 Reads

Crossover Assessment of Intraoral and Cuffed Ventilation by Emergency Responders.

Mil Med 2019 03;184(Suppl 1):310-317

University of Nebraska Medical Center, 981150 Nebraska Medical Center, Omaha, NE.

Objectives: A cuffed bag valve mask (BVM) is the most common device used by emergency medical responders to ventilate patients. The BVM can be difficult for users to seal around the patient's mouth and nose. An intraoral mask (IOM) with snorkel-like design may facilitate quicker and better ventilation particularly under austere conditions. Read More

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https://academic.oup.com/milmed/article/184/supplement_1/310
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http://dx.doi.org/10.1093/milmed/usy304DOI Listing
March 2019
9 Reads

Impact of the laryngeal tube as supraglottic airway device on blood flow of the internal carotid artery in patients undergoing general anaesthesia.

Resuscitation 2019 05 15;138:141-145. Epub 2019 Mar 15.

Hannover Medical School, Department of Anaesthesiology and Intensive Care Medicine, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. Electronic address:

Introduction: Laryngeal tubes (LT) are supraglottic airway devices routinely used in emergency airway management. During cardiac arrest in a swine model, the carotid artery blood flow is reduced after insertion of a LT. A compression of the internal carotid (ICA) artery by the inflated cuff was shown. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2019.03.010DOI Listing
May 2019
7 Reads

Use of End Tidal Oxygen Monitoring to Assess Preoxygenation During Rapid Sequence Intubation in the Emergency Department.

Ann Emerg Med 2019 09 14;74(3):410-415. Epub 2019 Mar 14.

Department of Emergency Medicine, University of Arizona College of Medicine, Tucson, AZ.

Study Objective: Preoxygenation is important to prevent oxygen desaturation during emergency airway management. The purpose of this study is to describe the use of end tidal oxygen (eto) during rapid sequence intubation in the emergency department.

Methods: This study was carried out in 2 academic centers in Sydney, Australia, and New York City. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.038DOI Listing
September 2019
8 Reads

Systematic Review of Capnography with Mask Ventilation during Cardiopulmonary Resuscitation Maneuvers.

J Clin Med 2019 Mar 13;8(3). Epub 2019 Mar 13.

Physiotherapy Department at the University of Balearic Islands, Ctra. de Valldemossa, km 7.5, 07122 Palma de Mallorca, Balearic Islands, Spain.

The latest guidelines identify capnography as an instrument used to assess bag-valve-mask ventilation during cardiopulmonary resuscitation (CPR). In this review, we analyzed the feasibility and reliability of capnography use with face mask ventilation during CPR maneuvers in adults and children. This systematic review was completed in December 2018; data for the study were obtained from the following databases: EBSCOhost, SCOPUS, PubMed, Índice Bibliográfico Español en Ciencias de la Salud (IBECS), TESEO, and Cochrane Library Plus. Read More

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http://dx.doi.org/10.3390/jcm8030358DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463178PMC
March 2019
5 Reads

Concepts of Prehospital Advanced Airway Management in the Operational K9: A Focus on Cricothyrotomy.

Authors:
Lee E Palmer

J Spec Oper Med Spring 2019;19(1):99-106

Similar to people, airway obstruction is a potentially preventable cause of combat and line of duty death for civilian law enforcement Operational K9s (OpK9) and military working dogs (MWD). Basic (i.e. Read More

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http://dx.doi.org/DOI Listing
August 2019
2 Reads

Intra-hospital transport of critically ill patients with rapid response team and risk factors for cardiopulmonary arrest: A retrospective cohort study.

PLoS One 2019 5;14(3):e0213146. Epub 2019 Mar 5.

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea.

Introduction: This study aimed to determine the occurrence rate and risk factors of cardiopulmonary arrest (CPA) during intra-hospital transport (IHT) among critically ill patients, accompanied by a rapid response team (RRT).

Methods: We performed a retrospective cohort study in a 1300-bed tertiary-care teaching hospital. Data of all admitted patients transported within the hospital and accompanied by the RRT from October 2012 to May 2016 were included. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0213146PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6400377PMC
December 2019
25 Reads

A randomised controlled trial of bag-valve-mask teaching techniques.

Clin Teach 2020 Feb 27;17(1):41-46. Epub 2019 Feb 27.

Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

Background: Bag-valve-mask (BVM) ventilation is a vital skill in the management of the collapsed patient; however, the quality of BVM ventilation is a cause for concern. Modified techniques, designed to be easier for the novice practitioner, offer an opportunity to improve quality. One such modification is the 'LASOO' (Lift, Apply, Slide, Oppose, Observe) approach, which offers theoretical benefits over the traditionally taught 'CE' (finger shapes) technique. Read More

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http://doi.wiley.com/10.1111/tct.13008
Publisher Site
http://dx.doi.org/10.1111/tct.13008DOI Listing
February 2020
44 Reads

Is the Mallampati Score Useful for Emergency Department Airway Management or Procedural Sedation?

Ann Emerg Med 2019 08 16;74(2):251-259. Epub 2019 Feb 16.

Departments of Pediatrics and Emergency Medicine, University of Minnesota, Minneapolis, MN.

We review the literature in regard to the accuracy, reliability, and feasibility of the Mallampati score as might be pertinent and applicable to emergency department (ED) airway management and procedural sedation. This 4-level pictorial tool was devised to predict difficult preoperative laryngoscopy and intubation, but is now also widely recommended as a routine screening element before procedural sedation. The literature evidence demonstrates that the Mallampati score is inadequately sensitive for the identification of difficult laryngoscopy, difficult intubation, and difficult bag-valve-mask ventilation, with likelihood ratios indicating a small and clinically insignificant effect on outcome prediction. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2018.12.021DOI Listing
August 2019
8 Reads

Compared Efficacy of Four Preoxygenation Methods for Intubation in the ICU: Retrospective Analysis of McGrath Mac Videolaryngoscope Versus Macintosh Laryngoscope (MACMAN) Trial Data.

Crit Care Med 2019 04;47(4):e340-e348

Medical Intensive Care Unit, University Hospital, Nantes, France.

Objectives: Severe hypoxemia is the most common serious adverse event during endotracheal intubation. Preoxygenation is performed routinely as a preventive measure. The relative efficacy of the various available preoxygenation devices is unclear. Read More

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http://dx.doi.org/10.1097/CCM.0000000000003656DOI Listing
April 2019
14 Reads

Positive airway pressure ventilation and complications in pediatric tracheocutaneous fistula repair.

Laryngoscope 2020 Jan 28;130(1):E30-E34. Epub 2019 Jan 28.

Department of Otolaryngology-Head and Neck Surgery, University of Michigan Hospitals and Health Centers, Ann Arbor, Michigan, U.S.A.

Objectives: Surgical repair of persistent tracheocutaneous fistula in children may be complicated by tracheal air leak with resultant subcutaneous emphysema, pneumomediastinum, and/or pneumothorax. We first sought to identify clinical risk factors for postoperative complications after primary repair of persistent tracheocutaneous fistula in children. Second, the type and frequency of complications in patients administered positive airway pressure ventilation (e. Read More

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http://dx.doi.org/10.1002/lary.27834DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6661196PMC
January 2020
21 Reads

Six Hours of Manual Ventilation With a Bag-Valve-Mask Device Is Feasible and Clinically Consistent.

Crit Care Med 2019 03;47(3):e222-e226

County of San Diego, Health & Human Services Agency, Emergency Medical Services, San Diego, CA.

Objectives: Manual ventilation of intubated patients is a common intervention. It requires skill as well as physical effort and is typically restricted to brief periods. Prolonged manual ventilation may be unavoidable in some scenarios, for example, extreme mass casualty incidents. Read More

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http://dx.doi.org/10.1097/CCM.0000000000003632DOI Listing
March 2019
10 Reads

Efficacy, safety, and pharmacokinetics of intravenous midazolam in Japanese children with status epilepticus.

J Neurol Sci 2019 01 4;396:150-158. Epub 2018 Oct 4.

Department of Pediatrics, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan. Electronic address:

Background: No dosing regimen has been established for the initial treatment of pediatric status epilepticus with intravenous midazolam. We therefore evaluated the efficacy, safety, and pharmacokinetics of bolus and continuous midazolam infusion.

Methods: This open-label, prospective, multicenter study involved 34 Japanese children with status epilepticus unresponsive to diazepam. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0022510X183041
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http://dx.doi.org/10.1016/j.jns.2018.09.035DOI Listing
January 2019
43 Reads

Efficacy of Manual Ventilation Techniques During Cardiopulmonary Resuscitation in Dogs.

Front Vet Sci 2018 1;5:239. Epub 2018 Oct 1.

Department of Veterinary Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, Davis, CA, United States.

The efficacy of ventilation of dogs during cardiopulmonary resuscitation (CPR) with a tight fitting face mask or mouth-to-nose rescue breathing has not been evaluated. Twenty-four purpose bred research dogs: Dogs were randomized to be ventilated by cuffed orotracheal tube, tight fitting face mask, mouth-to-nose breathing or compressions only during CPR ( = 6 in all groups). Orotracheal tube and face mask ventilation was performed on room air. Read More

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https://www.frontiersin.org/article/10.3389/fvets.2018.00239
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http://dx.doi.org/10.3389/fvets.2018.00239DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174302PMC
October 2018
36 Reads

Preferred learning modalities and practice for critical skills: a global survey of paediatric emergency medicine clinicians.

Emerg Med J 2019 May 16;36(5):273-280. Epub 2018 Oct 16.

Paediatric Research in Emergency Departments International Collaborative (PREDICT), Parkville, Victoria, Australia.

Objective: To describe senior paediatric emergency clinician perspectives on the optimal frequency of and preferred modalities for practising critical paediatric procedures.

Methods: Multicentre multicountry cross-sectional survey of senior paediatric emergency clinicians working in 96 EDs affiliated with the Pediatric Emergency Research Network.

Results: 1332/2446 (54%) clinicians provided information on suggested frequency of practice and preferred learning modalities for 18 critical procedures. Read More

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http://emj.bmj.com/lookup/doi/10.1136/emermed-2017-207384
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http://dx.doi.org/10.1136/emermed-2017-207384DOI Listing
May 2019
36 Reads

Does the Number of Fingers on the Bag Influence Volume Delivery? A Randomized Model Study of Bag-Valve-Mask Ventilation in Infants.

Children (Basel) 2018 Sep 21;5(10). Epub 2018 Sep 21.

Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz 8010, Austria.

We sought to compare the effectiveness of two versus five fingers used for bag-valve-mask (BVM) ventilation on effective tidal volume (V) delivery in an infant resuscitation model. In a randomised cross-over study, 40 healthcare professionals ventilated a modified leak-free infant resuscitation manikin with both two and five fingers, using a self-inflating bag. The delivered and effective tidal volumes, ventilation rate, and mask leak were measured and recorded using a respiratory function monitor. Read More

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http://www.mdpi.com/2227-9067/5/10/132
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http://dx.doi.org/10.3390/children5100132DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209896PMC
September 2018
15 Reads

Updates in emergency airway management.

Curr Opin Crit Care 2018 12;24(6):525-530

Department of Emergency Medicine, University of Texas Health Science Center at Houston, Houston, Texas, USA.

Purpose Of Review: Historically, most evidence supporting emergency airway management strategies have been limited to small series, retrospective analyses and extrapolation from other settings (i.e. the operating room). Read More

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http://Insights.ovid.com/crossref?an=00075198-900000000-9915
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http://dx.doi.org/10.1097/MCC.0000000000000552DOI Listing
December 2018
24 Reads

Acute muscle fatigue and CPR quality assisted by visual feedback devices: A randomized-crossover simulation trial.

PLoS One 2018 19;13(9):e0203576. Epub 2018 Sep 19.

CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain.

Objective: To analyse the acute muscular fatigue (AMF) in triceps brachii and rectus abdominis during compression-only and standard cardiopulmonary resuscitation (CPR) performed by certified basic life support providers.

Methods: Twenty-six subjects were initially recruited and randomly allocated to two study groups according to the muscles analysed; eighteen finally met the inclusion criteria (nine in each group). Both groups carried out two CPR tests (compression-only and standard CPR) of 10 min divided into five 2-min intermittent periods. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0203576PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145543PMC
February 2019
18 Reads

Can Altering Grip Technique and Bag Size Optimize Volume Delivered with Bag-Valve-Mask by Emergency Medical Service Providers?

Prehosp Emerg Care 2019 Mar-Apr;23(2):210-214. Epub 2018 Aug 29.

Introduction: Emergency Medical Services (EMS) professionals rely on the bag-valve-mask (BVM) to provide life-saving positive-pressure ventilation in the prehospital setting. Multiple emergency medicine and critical care studies have shown that lung-protective ventilation protocols reduce morbidity and mortality. A recent study has shown that the volumes typically delivered by EMS professionals with the adult BVM are often higher than recommended by lung-protective ventilation protocols. Read More

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http://dx.doi.org/10.1080/10903127.2018.1489020DOI Listing
July 2019
14 Reads

To intubate or not: ventilation is the question. A manikin-based observational study.

BMJ Open Respir Res 2018 17;5(1):e000261. Epub 2018 Jul 17.

Inserm CIC 1431, University Hospital of Besançon, Besancon, France.

Introduction: There is a continuous debate concerning the superiority of endotracheal intubation on bag-valve-mask (BVM) ventilation in patients with cardiac arrest. In this manikin-based observational study, we evaluate and compare the performance of manual ventilation through a facemask (BVM) and an endotracheal tube (ETT).

Methods: One hundred and forty healthcare providers were instructed to manually ventilate a manikin as they would do for a 75 kg adult patient in respiratory arrest. Read More

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http://bmjopenrespres.bmj.com/lookup/doi/10.1136/bmjresp-201
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http://dx.doi.org/10.1136/bmjresp-2017-000261DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6089311PMC
July 2018
28 Reads

The Effect of a Mechanical Compression Device and Supraglottic Airway on Flow Time: A Simulation Study of Out-of-Hospital Cardiac Arrest in a High-Rise Building.

Emerg Med Int 2018 16;2018:7246964. Epub 2018 Jul 16.

Department of Emergency Medical Services, College of Health and Nursing, Kongju National University, Gongju, Chungnam 32588, Republic of Korea.

High-rise buildings present unique challenges to providing high-quality CPR. We investigated the effect of using a mechanical compressor and supraglottic airway on flow time and CPR quality in simulated cardiac arrests occurring within a high-rise building. Twelve teams of EMS providers performed CPR according to 4 scenarios: manual compression and ventilation through bag-valve-mask (MAB) or supraglottic airway (MAS); mechanical compression and ventilation through bag-valve-mask (MEB) or supraglottic airway (MES). Read More

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http://dx.doi.org/10.1155/2018/7246964DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6077538PMC
July 2018
6 Reads

Manual ventilation to prevent hypoxaemia during endotracheal intubation of critically ill adults: protocol and statistical analysis plan for a multicentre randomised trial.

BMJ Open 2018 08 10;8(8):e022139. Epub 2018 Aug 10.

Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Introduction: Hypoxaemia is the most common complication during endotracheal intubation of critically ill adults, and it increases the risk of cardiac arrest and death. Manual ventilation between induction and intubation has been hypothesised to decrease the incidence of hypoxaemia, but efficacy and safety data are lacking.

Methods And Analysis: The Preventing Hypoxemia with Manual Ventilation during Endotracheal Intubation trial is a prospective, multicentre, non-blinded randomised clinical trial being conducted in seven intensive care units in the USA. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02213
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http://dx.doi.org/10.1136/bmjopen-2018-022139DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6089322PMC
August 2018
63 Reads

Comparison of ventilation effectiveness of the bag valve mask and the LMA Air-Q SP in nurses during simulated CPR.

Pol Merkur Lekarski 2018 May;44(263):223-226

Medical University of Łódź, Poland: Chair of Anesthesiology and Intensive Care.

In a case of sudden cardiac arrest (SCA) in a health facility there is a procedure to summon a resuscitation team. Nurses are obliged to begin cardiopulmonary resuscitation with chest compressions and implement ventilation using the bag valve mask of 30:2 compressionventilation ratio. Nurses are not allowed to implement methods of advanced airway management. Read More

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May 2018
21 Reads

Impact of prehospital airway management on combat mortality.

Am J Emerg Med 2018 Jun 8;36(6):1032-1035. Epub 2018 Feb 8.

US Air Force En Route Care Research Center 59th MDW/ST, Chief Scientist's Office -US Army Institute of Surgical Research, JBSA Ft. Sam Houston, TX, United States; Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, United States.

Introduction: Analysis of modern military conflicts suggests that airway compromise remains the second leading cause of preventable death of combat fatalities. This study compares outcomes of combat casualties that received prehospital airway interventions, specifically bag valve mask (BVM) ventilation, cricothyrotomy, and supraglottic airway (SGA) placement. The goal is to compare the effectiveness of airway management strategies used in the military pre-hospital setting. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07356757183012
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http://dx.doi.org/10.1016/j.ajem.2018.02.007DOI Listing
June 2018
94 Reads