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Interventions 3 > Manual Ventilation > Flashcards

Manual Ventilation Flashcards

1
Q

Successful Bag-Mask Ventilation in an Adult will depend upon

A
  1. Positioning/Patent Airway
  2. Patent Airway
  3. Mask Seal
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2
Q

Positioning/Patent Airway

In Adult Ventilation

A

Head Tilt Chin Lift

Jaw Thrust-C-Spine

You Position-HOB

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3
Q

Patent Airway with Adult Ventilation

A

Maintain an open airway

OPA, NPA

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4
Q

Mask Seal with Adult Ventilation

A
  • Appropriate mask size
  • Hand positioning
    • Single hand
  • Lift chin up to mask
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5
Q

Proper Ventilation For Adult Manual Ventilation

A

Connect bag to mask and O2

Should not use entire volume of bag

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6
Q

Assessing Mask Seal For Adult Manual Ventilation

A

Should feel some resistance in the bag.

Does the chest rise?

Can you hear a leak?

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7
Q

Steps to Improve Mask Seal For Adult Manual Ventilation

A
  • Remove mask and reseat to face
  • Is airway patent
    • Head tilt chin lift?
    • OPA
    • Suction oropharynx
  • Two hand mask seal
  • Reinserting patient’s false teeth
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8
Q

What Breaths Should You Give an Adult Patient

A

12 bpm

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9
Q

What Vt Should You Give an Adult Patient

A

Target 500-600 mls for an adult

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10
Q

What Ti Should You Give an Adult Patient

A

Ti 1.0s

Decrease insufflation of stomach with gentle ventilation

Esophageal sphincter opening pressures ~25cmH2O

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11
Q

Effective Ventilation in Adults

A

Chest rise and fall with ventilation-This is the goal

Breath sounds with ventilation

Improving SpO2

Capnograph waveform

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12
Q

Bag Mask Ventilation in a Child

Positioning/ Patent Airway

A
  • Head Tilt Chin Lift
  • Jaw Thrust
    • C-Spine
  • You Position
    • HOB
  • Children have large occiputs compared with adults
    • Use an OPA
    • Large tongue relative to oropharynx
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13
Q

Bag Mask Ventilation in a Child

Mask Seal

A

Appropriate mask size

Hand positioning

Lift chin up to mask

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14
Q

Child Airway Anatomy

A

Large and posterior tongue, small space.

Larynx is more superior than adults.

Epiglottis short, stubby, angled over the trachea

Angled vocal cords: try rotating ETT to correct position at anterior commissure.

Narrowest part is cricoid cartilage.

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15
Q

Proper Ventilation for a Child

A

Connect bag to mask and O2

Bag size depending on size of child

Goal is for visible chest rise

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16
Q

Different Volumes in the Resuscitation Bags

A

Infant bag ~ 240 ml

Child bag ~ 500 ml

Adult bag ~ 1600-2000ml

17
Q

Child Ti

A

Ti will depend on size of child

0.5 -1.0 secs

18
Q

Assess for Mask Seal in a Child

A
  • Should feel some resistance in the bag.
  • Does the chest rise?
  • Can you hear a leak?
  • Steps to improve mask seal
    • Remove mask and reseat to face
    • Is airway patent
    • Head tilt chin lift?
    • OPA
    • Suction oropharynx
  • Two hand mask seal
19
Q

Assessment of Effective Ventilation in Children

A

Chest rise and fall with ventilation

Breath sounds with ventilation

Improving SpO2

Improving HR

Capnograph waveform

20
Q

1.Positioning/Patent Airway in Neonates

A

Head Tilt Chin Lift

Newborns have large occiputs

Shoulder roll will help with positioning

21
Q

Mask Seal in Neonates

A

Appropriate mask size

Hand positioning

Lift chin up to mask

Tight seal is required for flow inflating devices to inflate

22
Q

Resuscitator Features in Neonates

A

Appropriate bag size

  • Infant bag ~ 240 ml

Safety feature

  • Pop off valve for self inflating
  • Pressure manometer to guide pressures
  • Set pressure and pressure relief (T piece)
23
Q

Proper Ventilation for Neonates

A

Connect bag to mask and O2 blender

Goal is for visible chest rise

24
Q

Vt for Neonates

A

~12-25 ml

25
Q

RR for Neonates

A

40-60 breaths

26
Q

Ti for Neonates

A

~0.5 sec

27
Q

MRSOPA

A

: mask, reposition, Sxn, open, pressure, alternative

28
Q

Assess for Mask Seal for Neonates

A
  • Should feel some resistance in the bag.
  • Does the chest rise?
  • Can you hear a leak?
    *
29
Q

Steps to Improve Mask Seal in Neonates

A

Remove mask and reseat to face

Is airway patent-Head tilt chin lift?

Suction oropharynx

Open babes mouth slightly

Use more pressure

30
Q

Assessment of Effective Ventilation for Neonates

A

Improving HR

Improving color

Improving tone

Improving SpO2

Chest rise and fall with ventilation

Breath sounds with ventilation

Capnograph waveform

Interventions 3 (34 decks)

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