Decreasing peak flow rate with a new bag-valve-mask device: Effects on respiratory mechanics, and gas distribution in a bench model of an unprotected airway

Resuscitation

Volumn 57, Issue 2, 2003, Pages 193-199

  Wagner Berger, Horst G ^a   Wenzel, Volker ^a   Stallinger, Angelika ^a   Voelckel, Wolfgang G ^a   Rheinberger, Klaus ^a   Stadlbauer, Karl H ^a   Augenstein, Sven ^a   Dörges, Volker ^b   Lindner, Karl H ^a   Hörmann, Christoph ^a  

^a UNIVERSITY OF INNSBRUCK   (Austria)

^b UNIVERSITY OF KIEL   (Germany)

Author keywords

Bag valve ventilation; Basic life support; Peak inspiratory flow; Respiration artificial; SMART BAG ; Unprotected airway

Indexed keywords

AIRWAY RESISTANCE; ARTICLE; ARTIFICIAL VENTILATION; ASSISTED VENTILATION; AUDIOVISUAL EQUIPMENT; BREATHING MECHANICS; BREATHING RATE; CONTROLLED STUDY; EQUIPMENT DESIGN; FACE MASK; FEMALE; FLOW RATE; HUMAN; INSTRUMENTATION; LOWER ESOPHAGUS SPHINCTER PRESSURE; LUNG COMPLIANCE; LUNG PRESSURE; LUNG VENTILATION; MALE; MASK; PHYSIOLOGY; PRIORITY JOURNAL; RESPIRATORY AIRFLOW; RESPIRATORY ARREST; RESPIRATORY FAILURE; SIMULATION; STOMACH; STOMACH VOLUME; TIDAL VOLUME;

EID: 12444293402     PISSN: 03009572     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0300-9572(03)00032-7     Document Type: Article

References (18)

1. Ruben H. A new non-rebreathing valve. Anesthesiology. 16:1955;643.
2. Wynne G., Marteau T.M., Johnston M., Whiteley C.A., Evans T.R. Inability of trained nurses to perform basic life support. Br. Med. J. (Clin. Res. Ed.). 294:1987;1198-1199.
3. Martin P.D., Cyna A.M., Hunter W.A., Henry J., Ramayya G.P. Training nursing staff in airway management for resuscitation. A clinical comparison of the facemask and laryngeal mask. Anaesthesia. 48:1993;133-137.
4. Stone B.J., Chantler P.J., Baskett P.J. The incidence of regurgitation during cardiopulmonary resuscitation: a comparison between the bag valve mask and laryngeal mask airway. Resuscitation. 38:1998;3-6.
5. Wenzel V., Idris A.H., Banner M.J., Kabulis P.S., Williams J.L. Jr. Influence of tidal volume on the distribution of gas between the lungs and stomach in the non-intubated patient receiving positive-pressure ventilation. Crit. Care Med. 26:1998;364-368.
6. Wenzel V. The current status of ventilation strategies during cardiopulmonary resuscitation. Curr. Opin. Crit. Care. 3:1997;206-213.
7. Bowman F.P., Menegazzi J.J., Check B.D., Duckett T.M. Lower esophageal sphincter pressure during prolonged cardiac arrest and resuscitation. Ann. Emerg. Med. 26:1995;216-219.
8. Safar P. Compliance in anesthetized adults. Anaesthesiology. 20:1959;283-289.
9. Ornato J.P., Bryson B.L., Donovan P.J., Farquharson R.R., Jaeger C. Measurement of ventilation during cardiopulmonary resuscitation. Crit. Care Med. 11:1983;79-82.
10. Johannigman J.A., Branson R.D., Davis K. Jr., Hurst J.M. Techniques of emergency ventilation: a model to evaluate tidal volume, airway pressure, and gastric insufflation. J. Trauma. 31:1991;93-98.
11. Krischer J.P., Fine E.G., Davis J.H., Nagel E.L. Complications of cardiac resuscitation. Chest. 92:1987;287-291.
12. Wenzel V., Keller C., Idris A.H., Dorges V., Lindner K.H., Brimacombe J.R. Effects of smaller tidal volumes during basic life support ventilation in patients with respiratory arrest: good ventilation, less risk? Resuscitation. 43:1999;25-29.
13. Dorges V., Ocker H., Hagelberg S., Wenzel V., Schmucker P. Optimisation of tidal volumes given with self-inflatable bags without additional oxygen. Resuscitation. 43:2000;195-199.
14. Anonymous. Guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care. International consensus on science. Resuscitation 46 (2000) 1-447.
15. Anonymous. Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. International consensus on science Circulation 102 (Suppl.) (2000) I-1-I-384.
16. Milander M.M., Hiscok P.S., Sanders A.B., Kern K.B., Berg R.A., Ewy G.A. Chest compression and ventilation rates during cardiopulmonary resuscitation: the effects of audible tone guidance. Acad. Emerg. Med. 2:1995;708-713.
17. Wenzel V., Idris A.H., Dorges V., et al. The respiratory system during resuscitation: a review of the history, risk of infection during assisted ventilation, respiratory mechanics, and ventilation strategies for patients with an unprotected airway. Resuscitation. 49:2001;123-134.
18. Felegi W.B., Conston A. Gastric trauma and pulmonary aspiration at autopsy after CPR. Acad Emerg Med. 3:1996;441 (Abstract).