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
 INDICATIONS
 Respiratory arrest
 CMV failure
 Manual sigh/cough
 Hyperoxygenation
 Hyperinflation
 Manipulate Minute ventilation
 Transport ventilation
 suctioning
 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
INFLATION
EXAHALATION
OROPHARYNGEAL AIRWAYS
(OPA)
 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