Document Detail


Evaluation of bag-valve-mask ventilation in simulated toxic environments.
MedLine Citation:
PMID:  18717663     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bag-valve-mask ventilation is a key component of life support, but only one handheld resuscitator is designed to operate in contaminated or toxic atmospheres. Following Institutional Review Board approval we determined the efficacy of this device. Twenty anaesthetists ventilated a modified manikin, either with or without a combination filter attached to the resuscitator inlet. The mean (SD) maximum minute volume achieved without the filter was 9.3 (3.1) l x min(-1). Use of the inlet filtration system reduced the maximum minute volume significantly to 6.4 (2.2) l x min(-1) (reduction of 30%, p = 0.0017). The achieved maximum minute volumes ranged from 13.4 to 4 l x min(-1) in the controls and from 9.5 to 3 l x min(-1) in the filter group. The delay in refilling of the self-inflatable bag may have resulted in reduced achievable minute volumes. The range of the maximum minute volumes in both groups highlights the need for continuous bag-valve-mask ventilator training.
Authors:
A Brinker; W M Stratling; J Schumacher
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Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2008-08-19
Journal Detail:
Title:  Anaesthesia     Volume:  63     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-26     Completed Date:  2008-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  1234-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Anaesthesia, Medway Maritime Hospital, Gillingham, UK. andreabrinker@gmx.net
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MeSH Terms
Descriptor/Qualifier:
Clinical Competence
Disasters
Environmental Exposure / prevention & control
Equipment Design
Feasibility Studies
Filtration
Hazardous Substances / administration & dosage*
Humans
Inhalation Exposure / prevention & control*
Manikins
Masks*
Respiration, Artificial / instrumentation*
Terrorism
Weapons of Mass Destruction
Chemical
Reg. No./Substance:
0/Hazardous Substances

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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