bvm

MVCC Respiratory Care Program

CPR Overview

  • Recognition of Cardiac Arrest
    • Adults: No normal breathing or only gasping
    • Children/Infants: Unresponsive, no pulse in 10 seconds
  • CPR Sequence: Chest Compressions, Airway, Breathing (C-A-B)
  • Compression Rate: At least 100/min, 30:2 compression-ventilation ratio
  • Compression Depth:
    • Adults: At least 2 inches (5 cm)
    • Children: About 2 inches (5 cm)
    • Infants: About 1½ inches (4 cm)
  • Ventilations: 1 breath every 6-8 seconds (asynchronous with compressions)

Manual Resuscitation Devices

  • Barrier Devices: Face shields, CPR Microshield for safe ventilation
  • Resuscitator Bags Design:
    • Self-inflating and non-self-inflating options
    • Adult BVM: 500-1000 ml capacity; Pediatric: 125-250 ml; Infant: 125-150 ml
  • Bagging Techniques:
    • Proper hand placement and sealing the mask against the patient’s face
    • For two rescuers, one performs mask holding, the other squeezes the bag

Advanced Airway Management

  • Tracheostomy Ventilation: Use barrier devices for mouth-to-stoma ventilation
  • Hyperventilation Risks: Can decrease venous return and cardiac output
  • Pressure Relief Valves: 40-45 cm H2O for adults/pediatrics to prevent barotrauma

Equipment Inspection & Maintenance

  • Ensure bag assembly is functioning; check for valve operation and leaks
  • Clear obstructions from patient valve, replace if necessary

Use Cases and Recommendations

  • Indications for Resuscitator Bag Use:
    • Acute respiratory distress, transport of patients requiring assistance
    • On crash carts, near mechanically ventilated patients

ResQPod Benefits

  • Improves CPR outcomes:
    • Doubles venous return and blood flow to the brain
    • Increases survival rates and success rates of defibrillation
  • Features: Ventilation port, assist lights for timing, resistance regulator for resumed breathing