Evidence map›Paper›PMID 38688544›Full record

ArticleRespiratory care2024

Assessment of Ventilation Using Adult and Pediatric Manual Resuscitators in a Simulated Adult Patient.

Joshua M Justice, Arthur S Slutsky, Nathan Stanford, Christopher Isennock, Sameer Siddiqui, Hamza Zamir, J Richard Walker, Mark F Brady

Abstract read
In one paragraph

Article in Respiratory care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Joshua M JusticeDepartment of Emergency Medicine, University of Tennessee Health Science Center, Memphis, Tennessee; and Department of Emergency Medicine, TriStar Centennial Medical Center, Nashville, Tennessee ybn631@uthsc.edu.
Arthur S SlutskyKeenan Research Center, Li Ka Shing Knowledge Institute, Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada.
Nathan StanfordDepartment of Emergency Medicine, University of Tennessee Health Science Center, Memphis, Tennessee.
Christopher IsennockDepartment of Emergency Medicine, University of Tennessee Health Science Center, Memphis, Tennessee.
Sameer SiddiquiUniversity of Missouri-Columbia, Columbia, Missouri.
Hamza ZamirUniversity of Missouri-Columbia, Columbia, Missouri.
J Richard WalkerDepartment of Emergency Medicine, University of Tennessee Health Science Center, Memphis, Tennessee.
Mark F BradyDepartment of Emergency Medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe bag-valve-mask (BVM) or manual resuscitator bag is used as a first-line technique to ventilate patients with respiratory failure. Volume-restricted manual resuscitator bags (eg, pediatric bags) have been suggested to minimize overventilation and associated complications. There are studies that both support and caution against the use of a pediatric resuscitator bag to ventilate an adult patient. In this study, we evaluated the ability of pre-hospital clinicians to adequately ventilate an adult manikin with both an adult- and pediatric-size manual resuscitator bag without the assistance of an advanced airway or airway adjunct device.

methodsThis study was conducted at an international conference in 2022. Conference attendees with pre-hospital health care experience were recruited to ventilate an adult manikin using a BVM for 1 min with both an adult and pediatric resuscitator bag, without the use of adjunct airway devices, while 6 ventilatory variables were collected or calculated: tidal volume (V

resultsA total of 208 participants completed the study. Ventilation with the adult-sized BVM delivered an average V

conclusionsBoth pediatric- and adult-sized BVM provided lower ventilation volumes than those recommended by professional guidelines for an adult. Ventilation with the pediatric BVM was significantly worse than with the adult bag when ventilating a simulated adult subject.

Indexed as

ManikinsRespiration, ArtificialTidal VolumeAdultEquipment DesignFemaleHumansMaleRespiratory InsufficiencyRespiratory Ratebag-valve-maskestimated alveolar ventilationmanual ventilationsimulated patienttidal volume

Identifiers

PMID38688544
PMCPMC11298233

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.