Manual Ventilation



Manual Ventilation





A handheld resuscitation bag is an inflatable device that can be attached to a face mask or directly to an endotracheal (ET) or tracheostomy tube, allowing manual delivery of oxygen or room air to the lungs of a patient who can’t breathe by himself. Typically used in emergencies, manual ventilation also can be performed while the patient is temporarily disconnected from a mechanical ventilator, such as during a tubing change, during transport, or before suctioning. In such instances, use of the handheld resuscitation bag maintains ventilation.

During cardiopulmonary resuscitation (CPR), however, using a handheld resuscitation bag to administer rescue breaths is less important than providing high-quality chest compressions. Lone rescuers should begin chest compressions first. After 30 compressions, the rescuer should then administer two breaths. When a second person arrives, a handheld resuscitation bag can be used to administer two breaths after every 30 compressions.




Preparation of Equipment

Unless the patient is intubated or has a tracheostomy, select a mask that fits snugly over the mouth and nose. Attach the mask to the resuscitation bag.

If oxygen is readily available, connect the handheld resuscitation bag to the oxygen source. Attach one end of the tubing to the bottom of the bag and the other end to the nipple adapter on the flowmeter of the oxygen source.

Turn on the oxygen, and adjust the flow rate to 15 L. If the patient has a low partial pressure of arterial oxygen, he’ll need a higher fraction of inspired oxygen (FIO2). To increase the concentration of inspired oxygen, you can add an oxygen accumulator (also called an oxygen reservoir). This device, which attaches to an adapter on the bottom of the bag, permits an FIO2 of up to 100%. If time allows, set up suction equipment.



Jul 21, 2016 | Posted by in NURSING | Comments Off on Manual Ventilation

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