Infant Bag Valve Mask (BVM) - Which One Is The Best?

Summary

The video script reviews different types of bag-valve-mask (BBM) devices, focusing on the Mercury Medical Infant VVM and the Laradoll Bag. The speaker prefers the latter for its suitability in resuscitation, equipped with a peep valve and manometer for pressure control. The Kiraplex BBM from Bound Tree is highlighted for its innovative features, including a secure oxygen connection and a built-in manometer, making it the top choice for resuscitation scenarios.

Takeaways

• 🤱 The Mercury Medical Infant BVM is more set up for resuscitation, while the Laerdal bag seems more suited for CPR training.
• 🚫 The Laerdal bag lacks a PEEP valve and manometer attachment points, which are essential for resuscitation.
• 🫁 The Mercury Medical BVM comes with a spot for a PEEP valve and manometer, making it more versatile and reliable for resuscitation.
• 🧰 The need to assemble components on the Laerdal BVM could be problematic during an emergency, as it is less ready-to-use than the Mercury Medical one.
• 🌬️ The pop-off valve on the Mercury Medical BVM is set to 40 cm of water pressure, which prevents excessive pressure during ventilation.
• 📊 The manometer on the Mercury BVM is essential for controlling the amount of pressure when resuscitating infants, to avoid exceeding safe limits.
• 🧵 Corrugated tubing on some BVMs (e.g., Laerdal) lacks visual feedback, making it difficult to verify oxygen flow during resuscitation.
• 🎯 The Bound Tree Kiraplex BVM features a screw-on oxygen connection that prevents accidental disconnections, enhancing its reliability during resuscitation.
• 👜 The Kiraplex BVM has an integrated manometer and a pop-off valve set to 25 cm of water pressure, which is considered a safer limit for infants.
• 🔄 The ability to use different sizes of PEEP valves on the Kiraplex BVM adds flexibility, ensuring compatibility even when the ideal valve isn't available.

Q & A

What are the two types of BBMs discussed in the script?

The two types of BBMs discussed are the Mercury Medical Infant VVM and the Laradoll Bag.

Which BBM does the speaker prefer for resuscitation and why?

The speaker prefers the Laradoll Bag for resuscitation because it comes more set for resuscitation, with features like a built-in peep valve and manometer attachment point.

What is a potential use for the Mercury Medical BBM mentioned in the script?

The Mercury Medical BBM might be suitable for CPR classes because it lacks a peep valve and manometer, which could be seen as simpler for training purposes.

What is a self-inflating bag and how does it function?

A self-inflating bag is a type of BBM that automatically inflates with oxygen when the oxygen supply is connected, allowing for the delivery of breaths without needing to squeeze the bag.

What is a peep valve and why is it important in resuscitation?

A peep valve is a device that helps maintain continuous positive airway pressure during mechanical ventilation. It is important in resuscitation to ensure proper oxygenation and prevent alveolar collapse.

What is the purpose of a manometer in a BBM?

A manometer in a BBM is used to measure and control the amount of pressure being delivered during ventilation, which is crucial for safely managing the patient's airway pressure.

What is the pop-off valve and how does it work?

The pop-off valve is a safety feature that sets a maximum pressure limit. When the pressure exceeds this limit, the valve opens to prevent over-inflation and potential damage to the patient's lungs.

Why does the speaker prefer a reservoir bag over corrugated tubing in a BBM?

The speaker prefers a reservoir bag because it provides a clear visual cue of oxygen flow and bag inflation, which is important during resuscitation when auditory cues might be missed.

What is the significance of the oxygen tubing design in the Laradoll BBM?

The oxygen tubing design in the Laradoll BBM is beneficial because it can connect directly to the oxygen source or to a 'Christmas tree' adapter, providing flexibility and a fail-safe in case of single patient use oversight.

What is the Kiraplex BBM and what makes it stand out according to the speaker?

The Kiraplex BBM is another type of resuscitation device that the speaker finds to be possibly the best on the market. It stands out due to its secure oxygen connection, built-in manometer, adjustable pop-off valve, and versatile peep valve attachment.

Why is it important to avoid high pressure during pre-oxygenation in children?

High pressure during pre-oxygenation can cause the esophageal sphincter to open, leading to gastric insufflation and a drastically increased risk of aspiration.