Dr.
Abdalle
CHAPTER 4:
AIRWAY MANAGEMENT
Mouth-to-Barrier Device Breathing
Health care provider is recommended to use standard precaution such as the pocket mask.
Pocket mask is a mask that has a 1-way valve that diverts exhaled air, blood/body fluid
away from rescuer.
Figure 1 : Pocket mask
Figure 2 : Giving mouth to mask breath (Adult)
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Dr. Abdalle
Figure 3 : Giving mouth to mask breath (Paediatric)
9.2 Bag-Mask Device
Bag-mask device is a mask that consists of a bag (with 1-way valve ) attached to a face mask.
It is used to give positive-pressure ventilation during CPR.
Adequate ventilation is achieved when rescuer squeeze the bag to give breath (1 sec each )
and there is visible chest rise.
Figure 4: Bag-Mask Device
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Dr. Abdalle
E-C clamp technique and 2 hands technique
Figure 5 : One hand technique Figure 6 : Two hands technique
(E-C clamp technique) (E-C clamp technique)
Laryngeal Mask Airway ( LMA )
LMA is an advanced airway device. It is widely used by healthcare providers, either for the
out-of-hospital cardiac arrest or in-hospital cardiac arrest.
It can provide adequate ventilation during resuscitation and easy to be used.
However, the only problem with LMA is, it can never prevent aspiration during assist
ventilation.
There are various sizes available. When LMA is in place during 2-rescuer CPR, no more
cyclical CPR (30 compression: 2 ventilation) is applied. Rescuers are to give 1 breath every
6 sec (10 breaths per minute) and continue compression 100-120 per minute. Hazards and
risk of infection from CPR is extremely low. However, standard precautions including using
barrier devices, such as pocket mask is essential
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Dr. Abdalle
Table 1 sizes of LMA
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