IPPV with BVM

Question 1

What indications are listed for IPPV with a BVM? (2)

Answer 1

1. Apnoea or significant hypoventilation.

2. Ventilation of adult patients with cardiac output should generally include the use of PEEP.

Question 2

What contraindications are listed for IPPV with a BVM? (1)

Answer 2

1. PEEP valves are contraindicated for paediatric patients and cardiac arrests

Question 3

What precautions are listed for IPPV with a BVM?

Answer 3

None.

Question 4

What are the appropriate positions to BVM a pt in?

Answer 4

1. Supine
2. Stable side position
3. Sitting (if pt in respiratory distress)

Question 5

Should a triple airway manoeuvre be performed prior to BVM?

Answer 5

Yes.

Question 6

What airway adjunct could be considered in the first instance if the pt requires BVM?

Answer 6

OPA, if indicated.

Question 7

What is the minimum flow rate of O2 to BVM a pt?

Answer 7

> 8L min.

Question 8

Describe the technique used for gripping a BVM mask to a patients face.

Answer 8

CW grip - thumb and pointer pressing down on mask, 3rd, 4th and 5th fingers gripping along jaw.

Question 9

Why should extra care be taken when gripping a child’s face to BVM?

Answer 9

Soft tissues under the chin are easily compressed if gripped which may cause airway compromise.

Question 10

If inadequate seal using 1 handed technique, then?

Answer 10

Use 2 handed grip, using fingers along angle of mandible to apply jaw thrust - ask other person to squeeze bag.