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KMID : 0895520130170030021
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Journal of the Korean Society of Emergency Medical Technology
2013 Volume.17 No. 3 p.21 ~ p.28
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Simulation study for Bag-Valve-Mask application guideline on pathologic pulmonary condition
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Choi Hae-Kyung
Jung Hyung-Keon
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Abstract
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Purpose: The purpose of this study is to get basic user guidelines of safe and efficient bag-valve- mask application on patients having abnormal pathophysiological pulmonary conditions.
Methods: This study was performed by pre-qualified 35 EMS junior and senior students. Participants were instructed to compress ambulatory bag randomly about half, one-third, one-fourth within different airway resistance and pulmonary compliance. Resultant tidal volume and pulmonary wedge pressures on RespiTranier monitor were analysed in relation to pulmonary physiologic index.
Results: At least over half compression of bag guaranteed minimal tidal volume regardless of pulmonary conditions. There was no increase of pulmonary wedge pressure above the level of barotrauma on half compression at any pulmonary conditions.
Conclusion: Assisted ventilation with ambulatory bag on patients with pathological pulmonary conditions should be over half compressed regardless of respiratory disease entity.
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KEYWORD
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Airway resistance, Barotrauma, Pulmonary compliance, Pulmonary wedge pressure, Tidal volume
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