2. Objectives
•By the end of this PowerPoint the learner will
be able to:
‐ Restate at least…
•5 complications associated with the use of
airway adjuncts
•3 complications associated with bag-valve-mask
ventilation (BVM) ventilation
‐ Choose an appropriately sized airway adjunct and
BMV facemask according to anatomic landmarks
Pediatrics
Page 2
xxx00.#####.ppt 11/14/13 09:29 PM
9. Options - Oral Airway
•Prevents upper airway obstruction
•May make Bag-valve-mask ventilation more
effective
•Should not be used in semi comatose of alert
patients
Pediatrics
Page 9
xxx00.#####.ppt 11/14/13 09:29 PM
12. Oral Airway – Too Small
Pediatrics
Page 12
xxx00.#####.ppt 11/14/13 09:29 PM
13. Oral Airway – Too Large
Pediatrics
Page 13
xxx00.#####.ppt 11/14/13 09:29 PM
14. Insertion Technique
•First open mouth (can use cross finger scissor
technique)
•Option # 1 – push tongue down w/ tongue
depressor and insert “straight in”
•Option # 2 – insert “upside down” and then
rotate 180 degrees as oral airway is being
advanced to back of oropharynx
Pediatrics
Page 14
xxx00.#####.ppt 11/14/13 09:29 PM
20. Bag Mask Ventilation
•True life saving technique
•Can oxygenate and ventilate
•Helpful during intubation
‐ Can “improve” patient so that intubation is less
strenuous
‐ Can “rescue” patient if intubation attempt fails
•May need airway adjunct and two people!!!
Pediatrics
Page 20
xxx00.#####.ppt 11/14/13 09:29 PM
22. Mask Size and Fit
•Extend from bridge of nose to chin (covering
mouth and nose)
•Inflatable rim can help assure seal
•“E-C” hold is preferred technique
‐ Thumb and forefinger form C on top of mask
‐ Middle/ring fingers on ridge of mandible (chin lift)
‐ Pinky behind angle of mandible (jaw thrust)
Pediatrics
Page 22
xxx00.#####.ppt 11/14/13 09:29 PM
25. Complications of BMV
•Excessive air in stomach
‐ Aspiration risk
‐ Decreases lung volume/requires higher PIPs
•Corneal abrasions
•Injury to lips/gums and nasal bridge
•Excessive bagging due to user exuberance
Pediatrics
Page 25
xxx00.#####.ppt 11/14/13 09:29 PM
