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Bag-Valve-Mask Ventilation During OHCA
- Current OHCA resuscitation guidelines recommend a 30:2 strategy of CPR with BVM ventilations.
- Idris and colleagues performed a secondary analysis of the Resuscitation Outcomes Consortium CCC clinical trial to determine the incidence of BVM ventilation during a 30:2 CPR strategy and assess the association of detectable ventilations with patient outcomes.
- In 1,976 patients, the authors found that only 40% of patients had detectable ventilations (> 250 ml) in more than half of CPR pauses.
- For those patients with detectable ventilations in more than 50% of pauses, there was an association with increased survival to hospital admission, increased survival to hospital discharge, and increased survival with favorable neurologic outcome.
- The current study highlights the importance of proper BVM ventilation during OHCA resuscitation and the opportunity to improve performance of this vital skill.
References
Idris AH, et al. Bag-valve-mask ventilation and survival from out-of-hospital cardiac arrest: A multicenter study. Circulation. 2023;148:1847-56.