Ch. 9: Bag-Mask Ventilation

Question 1

Open the Airway

Answer 1

• Grasp the madible
• Open the mouth
• Pull the jaw up/anterior/forward
• Use OPA to keep lower teeth in front of upper teeth

The condyls of manidlble come out of the TMJ

Question 2

Oral and Nasal Pharyngeal Airway

Answer 2

• Help keep tongue from falling back.
• Size OPA from lips to just beyond angle of jaw.
• NPA 7mm in adults. Spray w Neosynephrine.
  
  • Insert with the bevel medially. Avoid if skull fx.

Question 3

Positioning and Holding the Mask

Answer 3

• First place with bag unattached
• Cuff presses against bone and teeth
• If edentulous can pack guaze rolls into cheeks.
  
  • or roll lower lip down under bottom part of mask
• Don’t push down but pull jaw into the mask

Question 4

Single and Two Handed Mask Hold

Answer 4

Single Handed

• E C Grip
• 4th and 5th fingers jaw thrust.

Two Handed

• Much more effective
• Thenar grip is better. Thumbs pointing down and fingers 2-5 provide chin life/jaw thrust.

Question 5

Ventilating

Answer 5

• Don’t go nuts. Can cause barotrauma and stomach distention.
• Want 10 breaths a minute over 1 to 2 seconds
• 500 cc per breath.
• Consider circoid cartilage pressure. NOT thyroid cart.

Question 6

Trouble Shooting

Answer 6

• BVMing is difficult.
• Get most experienced with biggest hands
• Is OPA/NPA being used.
• Take mask off and redo jaw thrust.
• Cover beard with plastic wrape
• Pack cheeks.