2. IDEAL RESUSCITATOR BAGS
Lightweight/ one hand •Self-inflating bags
15:22 •Twice the vol to be
delivered
Easy to assemble
•Adult 1600 = 800ml Vt
Durable material •Child 500 ml
No back leaking •Infant 240 ml
Low deadspace <30 •PEEP valve
ml •Accept vol meas. device
•Monitor Airway pressure
High FiO2
•Face mask with an
Rapid refill time effective seal
High R/R
4. STANDARD OF DESIGN
Min. of FiO2 of 0.85 with O2 at 15 l/min, ideally, Fi02 > 0.95
Operate in temps of 180 - 600 C
Vt > 600 ml, compliance 0.02 l/cmH20 and a resistance of 20
cm/H2O/L/sec
No valve jam up to 30 l/min
Valve restoration of function in 20 sec
15:22 mm (ID:OD) fitting
8. OPA PLACEMENT
The OPA should be used if airway obstruction is still
evident despite proper head and neck positioning, i.e..:
“head tilt / chin lift” (if not contraindicated due to
trauma, etc..).
With proper positioning the great majority of patients
should not require OPA use.
9. TECHNIQUE
Use an oropharyngeal or
nasopharyngeal airway
Best if done with two
people
One secures the airway
by positioning and
sealing the mask
The other squeezes the
bag with both hands
10. Manual Resuscitator Bags
Use
Practitioner at head of bed
Head tilt maneuver to open airway assuming no cervical
injury
OPA if necessary
Vt
Deliver Vt for adequate chest rise
~6-7 ml/kg IBW
~500-600 ml
1 sec Ti
Smaller Vt decrease airway Pressure, minimize gastric
insufflaLATION, maximize venous return during CPR
11. Manual Resuscitator Bags
Use
FiO2
Capable of 100%
Depends on
o Ox flow - 10-15l/m
o Reservoir volume - ensure adequate
o Delivered Vt - over 1 sec
o Rate - do not hyperventilate
o Bag refill time - allow longest refill time
possible