BAG-MASK VENTILATION TECHNIQUES

Bag-mask ventilation (BMV) is a fundamental skill in managing pediatric patients with respiratory failure or cardiac arrest. Proper technique ensures adequate oxygenation and ventilation until definitive airway management is established.

Steps for Effective BMV:

  • Ensure a proper mask seal over the nose and mouth.
  • Position the head using the head-tilt/chin-lift or jaw-thrust maneuver.
  • Squeeze the bag gently, providing one breath every 2-3 seconds (20-30 breaths per minute) in infants and children.
  • Monitor for visible chest rise to confirm adequate ventilation.

Common Challenges:

  • Air Leaks: Ensure a tight seal to prevent air from escaping.
  • Gastric Inflation: Use low tidal volumes to minimize air entering the stomach.
  • Inadequate Ventilation: Reassess head position and mask fit if chest rise is insufficient.

BMV is a lifesaving technique that provides temporary respiratory support during emergencies.