REUSABLE RESUSCITATOR BY SARTHAK JAIN GENERAL MANAGER ANAECON HEALTHCARE PVT. LTD.
IDEAL RESUSCITATOR BAGS Lightweight/ one hand •Self-inflating bags 15:22 •Twice the vol to be delivered Easy to assemble •Adult 1600 = 800ml Vt Durable material •Child 500 ml No back leaking •Infant 240 ml Low deadspace <30 •PEEP valve ml •Accept vol meas. device •Monitor Airway pressure High FiO2 •Face mask with an Rapid refill time effective seal High R/R
STANDARD OF DESIGN Min. of FiO2 of 0.85 with O2 at 15 l/min, ideally, Fi02 > 0.95 Operate in temps of 180 - 600 C Vt > 600 ml, compliance 0.02 l/cmH20 and a resistance of 20 cm/H2O/L/sec No valve jam up to 30 l/min Valve restoration of function in 20 sec 15:22 mm (ID:OD) fitting
OPA PLACEMENT The OPA should be used if airway obstruction is still evident despite proper head and neck positioning, i.e..: “head tilt / chin lift” (if not contraindicated due to trauma, etc..). With proper positioning the great majority of patients should not require OPA use.
TECHNIQUE Use an oropharyngeal or nasopharyngeal airway Best if done with two people One secures the airway by positioning and sealing the mask The other squeezes the bag with both hands
Manual Resuscitator Bags Use Practitioner at head of bed Head tilt maneuver to open airway assuming no cervical injury OPA if necessary Vt Deliver Vt for adequate chest rise ~6-7 ml/kg IBW ~500-600 ml 1 sec Ti Smaller Vt decrease airway Pressure, minimize gastric insufflaLATION, maximize venous return during CPR
Manual Resuscitator Bags Use FiO2 Capable of 100% Depends on o Ox flow - 10-15l/m o Reservoir volume - ensure adequate o Delivered Vt - over 1 sec o Rate - do not hyperventilate o Bag refill time - allow longest refill time possible