ArticleThe western journal of emergency medicine2020
It's In The Bag: Tidal Volumes in Adult and Pediatric Bag Valve Masks.
Article in The western journal of emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 25 citations in OpenAlex.
- Bag size for manual ventilation during cardiopulmonary resuscitation in adult cardiac arrest: a systematic review.Resuscitation plus · 2026Article
- Pediatric versus adult self-inflating bags for cardiopulmonary resuscitation of adult patients with cardiac arrest - a non-randomized controlled trial.Resuscitation plus · 2026Article
- Measuring ventilation in pediatric simulations using a novel adjustable bag-valve-mask resuscitator: a comparative study with the Butterfly BVM and the traditional Ambu bag.Resuscitation plus · 2025Article
- Article
- [Focus emergency medicine 2023/2024-Summary of selected studies in emergency medicine].Die Anaesthesiologie · 2024Review
- Pathophysiology and Prevention of Manual-Ventilation-Induced Lung Injury (MVILI).Pathophysiology : the official journal of the International Society for Pathophysiology · 2024Review
- Assessment of Ventilation Using Adult and Pediatric Manual Resuscitators in a Simulated Adult Patient.Respiratory care · 2024Article
- Improved simulated ventilation with a novel tidal volume and peak inspiratory pressure controlling bag valve mask: A pilot study.Resuscitation plus · 2023Article
- Experimental validation of a portable tidal volume indicator for bag valve mask ventilation.BMC biomedical engineering · 2022Article
- Manikin-based noninferiority simulation study of Airgency™: A novel automatic bag valve mask device for emergency respiratory support.Turkish journal of emergency medicineArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionA bag valve mask (BVM) is a life saving device used by all levels of health care professionals during resuscitative care. We focus most of our time optimizing the patient's position, firmly securing the mask, and frequency of ventilations. However, despite our best efforts to control these factors, we may still be precipitating harm to the patient. Multiple studies have shown the tidal volumes typically delivered by the adult BVM are often higher than recommended for lung-protective ventilation protocols. In this study we measure and compare the ventilation parameters delivered by the adult and pediatric BVM ventilators.
methodsA RespiTrainer Advance® adult mannequin was used to simulate a patient. Healthcare providers were directed to manually ventilate an intubated mannequin for two minutes using adult and pediatric sized BVMs. Tidal volume, minute ventilation, peak pressure, and respiration rate was recorded.
resultsThe adult BVM provided a mean tidal volume of 807.7mL versus the pediatric BVM providing 630.7mL, both of which exceeded the upper threshold of 560mL of tidal volume necessary for lung protective ventilation of an adult male with an ideal body weight of 70kg. The adult BVM exceeded this threshold by 44.2% versus the pediatric BVM's 12.6% with 93% of participants exceeding the maximum threshold with the adult BVM and 82.3% exceeding it with the pediatric BVM.
conclusionThe pediatric BVM in our study provided far more consistent and appropriate ventilation parameters for adult patients compared to an adult BVM, but still exceeded the upper limits of lung protective ventilation parameters. The results of this study highlight the potential dangers in using an adult BVM due to increased risk of pulmonary barotrauma. These higher tidal volumes can contribute to lung injury. This study confirms that smaller BVMs may provide safer ventilatory parameters. Future studies should focus on patient-centered outcomes with BVM.
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