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Bag Valve Mask Ventilation

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Outcomes With the Use of Bag-Valve-Mask Ventilation During Out-of-hospital Cardiac Arrest in the Pragmatic Airway Resuscitation Trial.

Joshua R Lupton, Robert H Schmicker, Shannon Stephens, Jestin N Carlson, Clifton Callaway, Heather Herren, Ahamed H Idris, George Sopko, Juan C J Puyana, Mohamud R Daya, Henry Wang, Matt Hansen,

BACKGROUND:While emergency medical services (EMS) often use endotracheal intubation (ETI) or supraglottic airways (SGA), some patients receive only bag-valve-mask (BVM) ventilation during out-of-hospital cardiac arrests (OHCA). Our objective was to compare patient characteristics and outcomes for BVM ventilation to advanced airway management (AAM) in adults with OHCA. METHODS:Using data from ... Read more >>

Acad Emerg Med (Academic emergency medicine : official journal of the Society for Academic Emergency Medicine)
[2020, :]

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Comparing Effectiveness of Initial Airway Interventions for Out-of-Hospital Cardiac Arrest: A Systematic Review and Network Meta-analysis of Clinical Controlled Trials.

Chih-Hung Wang, An-Fu Lee, Wei-Tien Chang, Chien-Hua Huang, Min-Shan Tsai, Eric Chou, Chien-Chang Lee, Shyr-Chyr Chen, Wen-Jone Chen,

STUDY OBJECTIVE:We compare effectiveness of different airway interventions during cardiopulmonary resuscitation for patients with out-of-hospital cardiac arrest. METHODS:We systematically searched the PubMed and EMBASE databases from their inception through August 2018 and selected randomized controlled trials or quasi randomized controlled trials comparing intubation, supraglottic airways, or bag-valve-mask ventilation for treating ... Read more >>

Ann Emerg Med (Annals of emergency medicine)
[2020, :]

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Use of high flow nasal cannula for preoxygenation and apneic oxygenation during intubation.

Jean-Damien Ricard, Baptiste Gaborieau, Juliette Bernier, Camille Le Breton, Jonathan Messika,

Ann Transl Med (Annals of translational medicine)
[2019, 7(Suppl 8):S380]

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Safe patient transport for COVID-19.

Mei Fong Liew, Wen Ting Siow, Ying Wei Yau, Kay Choong See,

Crit Care (Critical care (London, England))
[2020, 24(1):94]

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2019 Novel coronavirus: where we are and what we know.

Zhangkai J. Cheng, Jing Shan,

There is a current worldwide outbreak of a new type of coronavirus (2019-nCoV), which originated from Wuhan in China and has now spread to 17 other countries. Governments are under increased pressure to stop the outbreak spiraling into a global health emergency. At this stage, preparedness, transparency, and sharing of ... Read more >>

Infection (Infection)
[0, :1-9]

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Preoxygenation before intubation in adult patients with acute hypoxemic respiratory failure: a network meta-analysis of randomized trials.

Ka Man Fong, Shek Yin Au, George Wing Yiu Ng,

BACKGROUND:Patients with acute hypoxemic respiratory failure are at risk for life-threatening complications during endotracheal intubation. Preoxygenation might help reduce the risk of hypoxemia and intubation-related complications. This network meta-analysis summarizes the efficacy and safety of preoxygenation methods in adult patients with acute hypoxemic respiratory failure. METHODS:We searched PubMed, EMBASE, and ... Read more >>

Crit Care (Critical care (London, England))
[2019, 23(1):319]

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Development and pilot of an interprofessional pediatric resuscitation program for non-acute care inpatient providers.

Ronish Gupta, Colleen Fitzgibbons, Christa Ramsay, Lindsey Vanderheiden, Christina Toppozini, Anna-Theresa Lobos,

Multiprofessional ward healthcare providers are generally unprepared to assemble and engage in the initial resuscitation of pediatric inpatients. This is important as the performance of these first-responders, in the several minutes prior to the arrival of acute care support, may have significant effects on overall patient outcome. Accordingly, we aimed ... Read more >>

Med Educ Online (Medical education online)
[2019, 24(1):1581521]

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Comparison of standard and over-the-head method of chest compressions during cardiopulmonary resuscitation - a simulation study.

Michał Ćwiertnia, Marek Kawecki, Tomasz Ilczak, Monika Mikulska, Mieczysław Dutka, Rafał Bobiński,

BACKGROUND:Maintaining highly effective cardiopulmonary resuscitation (CPR) can be particularly difficult when artificial ventilation using a bag-valve-mask device, combined with chest compression have to be carried out by one person. The aim of the study is to compare the quality of CPR conducted by one paramedic using chest compression from the ... Read more >>

BMC Emerg Med (BMC emergency medicine)
[2019, 19(1):73]

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Use of point-of-care ultrasound to assess esophageal insufflation during bag mask ventilation: A case report.

Paola Lopomo Baskin, Bruce J Kimura,

Bag-valve-mask ventilation is a basic airway management technique often used in patients with acute respiratory failure. Although highly effective in providing oxygenation and ventilation, this technique has been associated with gastric regurgitation and tracheal aspiration. In this case, the esophagus visualized with bedside ultrasonography during bag-mask ventilation of an unresponsive ... Read more >>

Respir Med Case Rep (Respiratory medicine case reports)
[2019, 28:100928]

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Adjustable Pressure Limit Valve Failure During Intraoperative Care: A Case Report.

Ajay J D'Mello, Vidya T Raman, Joseph D Tobias,

One of the many safety features of modern day anesthesia machines is the adjustable pressure limiting (APL) valve. This device regulates pressure within the anesthesia circuit during manual ventilation with the anesthesia bag. We report an unusual case where a crack in the APL valve allowed release of pressure from ... Read more >>

A A Pract (A&A practice)
[2019, 13(7):257-259]

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Effect and safety of 4% albumin in the treatment of cardiac surgery patients: study protocol for the randomized, double-blind, clinical ALBICS (ALBumin In Cardiac Surgery) trial.

Hanna Vlasov, Tatu Juvonen, Seppo Hiippala, Raili Suojaranta, Markku Peltonen, Alexey Schramko, Kaapo Arvonen, Ulla-Stina Salminen, Ilona Kleine Budde, Tiina Eränen, Maxim Mazanikov, Mihkel Meinberg, Tommi Vähäsilta, Erika Wilkman, Ville Pettilä, Eero Pesonen,

BACKGROUND:In cardiac surgery with cardiopulmonary bypass (CPB), large amounts of fluids are administered. CPB priming with crystalloid solution causes marked hemodilution and fluid extravasation. Colloid solutions may reduce fluid overload because they have a better volume expansion effect than crystalloids. The European Medicines Agency does not recommend the use of ... Read more >>

Trials (Trials)
[2020, 21(1):235]

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Noninvasive ventilation support during fiberoptic bronchoscopy-guided nasotracheal intubation effectively prevents severe hypoxemia.

Lingbo Nong, Weibo Liang, Yuheng Yu, Yin Xi, Dongdong Liu, Jie Zhang, Jing Zhou, Chun Yang, Weiqun He, Xiaoqing Liu, Yimin Li, Rongchang Chen,

PURPOSE:This study investigated the feasibility and efficacy of continuous noninvasive ventilation (NIV) support with 100% oxygen using a specially designed face mask, for reducing desaturation during fiberoptic bronchoscopy (FOB)-guided intubation in critically ill patients with respiratory failure. MATERIALS AND METHODS:This was a single-center prospective randomized study. All patients undergoing FOB-guided ... Read more >>

J Crit Care (Journal of critical care)
[2020, 56:12-17]

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Training and well-equipped facility increases the odds of skills of health professionals on helping babies breathe in public hospitals of Southern Ethiopia: cross-sectional study.

Abera Mersha, Shitaye Shibiru, Teklemariam Gultie, Nega Degefa, Agegnehu Bante,

BACKGROUND:Health professionals equipped with the adequate skills of helping baby breath remain the backbone in the health system in improving neonatal outcomes. However, there is a great controversy between studies to show the proximate factors of the skills of health care providers in helping babies breathe. In Ethiopia, there is ... Read more >>

BMC Health Serv Res (BMC health services research)
[2019, 19(1):946]

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Cost effectiveness of a novel device for improving resuscitation of apneic newborns.

Ayman Ali, Jacob Nudel, Curtis R Heberle, Data Santorino, Kristian R Olson, Chin Hur,

BACKGROUND:Intrapartum-related hypoxic events are a major cause of morbidity and mortality in low resource countries. Neonates who receive proper resuscitation may go on to live otherwise healthy lives. However, even when a birth attendant is present, these babies frequently receive suboptimal ventilation with poor outcomes. The Augmented Infant Resuscitator (AIR) ... Read more >>

BMC Pediatr (BMC pediatrics)
[2020, 20(1):46]

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Acute respiratory failure: nonintubation assist methods for the acutely deteriorating patient.

Jean-Pierre Frat, Damien Marie, Arnaud W Thille,

PURPOSE OF REVIEW:Noninvasive ventilation is strongly recommended in acute hypercapnic respiratory failure, whereas high-flow nasal oxygen therapy could be an alternative in de novo respiratory failure. RECENT FINDINGS:High-flow nasal oxygen may improve the outcome of patients de novo respiratory failure as compared with standard oxygen. Its success within 2 h after ... Read more >>

Curr Opin Crit Care (Current opinion in critical care)
[2019, 25(6):591-596]

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Avoiding desaturation during endotracheal intubation: is high-flow nasal cannula the answer?

Thais Dias Midega, Guilherme Benfatti Olivato, Fabio Barlem Hohmann, Ary Serpa Neto,

Ann Transl Med (Annals of translational medicine)
[2019, 7(Suppl 6):S211]

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Impact of Personal Protective Equipment on the Performance of Emergency Pediatric Tasks.

Mark D Adler, Steven Krug, Carmel Eiger, Grace L Good, Maybelle Kou, Mark Nash, Fred M Henretig, Christoph P Hornik, Leigh Gosnell, Jia-Yuh Chen, Julie Debski, Gaurav Sharma, David Siegel, Aaron J Donoghue, ,

OBJECTIVES:Personal protective equipment (PPE) is worn by health care providers (HCPs) to protect against hazardous exposures. Studies of HCPs performing critical resuscitation tasks in PPE have yielded mixed results and have not evaluated performance in care of children. We evaluated the impacts of PPE on timeliness or success of emergency ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2020, :]

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Prevention of atelectasis secondary to propofol-based general anesthesia by application of continuous positive airway pressure to children with neuroblastoma undergoing computerized tomography: a quality improvement project.

Rebecca D Margolis, Sean J Gamble, Jimmy J Hoang, Makoto Nagoshi,

JA Clin Rep (JA clinical reports)
[2019, 5(1):78]

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High-flow nasal cannula therapy as apneic oxygenation during endotracheal intubation in critically ill patients in the intensive care unit: a systematic review and meta-analysis.

Hong-Jie Jhou, Po-Huang Chen, Chin Lin, Li-Yu Yang, Cho-Hao Lee, Chung-Kan Peng,

We conducted a systematic review and meta-analysis to assess the clinical efficacy of high-flow nasal cannula (HFNC) therapy as apneic oxygenation in critically ill patients who require endotracheal intubation in the intensive care unit (ICU). This systematic review and meta-analysis included six randomized controlled trials and a prospective study identified ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):3541]

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Accuracy of the Cosmed K5 portable calorimeter.

Scott E Crouter, Samuel R LaMunion, Paul R Hibbing, Andrew S Kaplan, David R Bassett,

PURPOSE:The purpose of this study was to assess the accuracy of the Cosmed K5 portable metabolic system dynamic mixing chamber (MC) and breath-by-breath (BxB) modes against the criterion Douglas bag (DB) method. METHODS:Fifteen participants (mean age±SD, 30.6±7.4 yrs) had their metabolic variables measured at rest and during cycling at 50, ... Read more >>

PLoS ONE (PloS one)
[2019, 14(12):e0226290]

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Effect of tidal volume on gas exchange during rescue ventilation.

John R Fitz-Clarke,

Tidal volume VT required for mouth-to-mouth (MTM) and bag-valve-mask (BVM) rescue ventilation remains debatable owing to differences in physiology and end-point objectives. Analysis of gas transport may clarify minimum necessary VT and its determinants. Alveolar and arterial O2 and CO2 responses to MTM and air BVM ventilation for VT between ... Read more >>

Respir Physiol Neurobiol (Respiratory physiology & neurobiology)
[2020, 273:103335]

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ASSESSMENT OF THE QUALITY OF PEDIATRIC CARDIOPULMONARY RESUSCITATION USING THE IN SITU MOCK CODE TOOL.

Gabriela de Sio Puetter Kuzma, Camila Bellettini Hirsch, Angélica Luciana Nau, Analiz Marchini Rodrigues, Eduardo Maranhão Gubert, Leonardo Cavadas Costa Soares,

OBJECTIVE:To evaluate the quality of individual and team care for cardiac arrest in a pediatric hospital using clinical surprise simulation (in situ mock code). METHODS:We conducted an observational study with a sample of the hospital staff. Clinical simulations of cardiorespiratory arrest were performed in several sectors and work shifts. The ... Read more >>

Rev Paul Pediatr (Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo)
[2020, 38:e2018173]

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Comparing the efficacy of bag-valve mask, endotracheal intubation, and laryngeal mask airway for subjects with out-of-hospital cardiac arrest: an indirect meta-analysis.

Zhanzheng Yang, Hengrui Liang, Jiaying Li, Shuxian Qiu, Zhuosen He, Jinyin Li, Zanfeng Cao, Ping Yan, Qing Liang, Liangbo Zeng, Rong Liu, Zijing Liang,

Background:For subjects with out-of-hospital cardiac arrest (OHCA), bag-valve mask (BVM), endotracheal intubation (ETI), and laryngeal mask airway (LMA) are the most common methods of ventilatory support; however, the best choice remains controversial. Methods:A comprehensive search of online databases was performed. A traditional meta-analysis was performed to determine the risk ratio ... Read more >>

Ann Transl Med (Annals of translational medicine)
[2019, 7(12):257]

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Thoracic electrical impedance tomography to minimize right heart strain following cardiac arrest.

Gregory Hansen, Tanya Holt, Jeffrey Dmytrowich,

Titrating ventilator settings to minimize pulmonary arterial pressures and optimize both ventilation and oxygen delivery can be challenging following cardiac arrest. Erroneous ventilator adjustments can lead to unnecessary strain on the right ventricle that may be particularly vulnerable during the acute recovery. We report a child with fulminant myocarditis who ... Read more >>

Ann Pediatr Cardiol (Annals of pediatric cardiology)
[2019, 12(3):315-317]

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A comparison of controlled ventilation with a noninvasive ventilator versus traditional mask ventilation.

Mike Fogarty, Kai Kuck, Joseph Orr, Derek Sakata,

After induction, but before intubation, many general anesthesia patients are manually bag-mask ventilated. The objective of this study was to determine the efficacy of bag-mask ventilation (MkV) of an anesthetized patient versus mask ventilation using a noninvasive ventilator (NIV). We hypothesized that feedback-controlled, mask ventilation via NIV is more efficacious ... Read more >>

J Clin Monit Comput (Journal of clinical monitoring and computing)
[2019, :]

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