Video – Small bags, big risks

To prevent hyperventilation, some companies have been reducing the size of ventilation bags, typically from 1500 mL to 1000 mL. While this practice has the advantage of limiting the maximal insufflated volume and thus reducing the amount of air reaching the lungs, it also has the potential to lead to hypoventilation if leaks are not managed well.

In this video, Stuart Hildage, Archeon’s marketing director, demonstrates how far we can deviate from guideline recommendations when using a small bag.

Scientific references in this video :

[2] Snyder, B. D., Van Dyke, M. R., Walker, R. G., Latimer, A. J., Grabman, B. C., Maynard, C., Rea, T. D., Johnson, N. J., Sayre, M. R., & Counts, C. R. (2023). Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. Resuscitation, 193, 109991. https://doi.org/10.1016/j.resuscitation.2023.109991

[3] Broc, A., Morin, F., Schmit, H., Taillantou-Candau, M., Vuillermoz, A., Drouet, A., Hutin, A., Polard, L., Lamhaut, L., Brisset, U., Charbonney, E., Delisle, S., Beloncle, F., Richard, J. C., Savary, D., & CAVIAR Cardiac Arrest, Ventilation International Association for Research Group (2024). Performances and limits of Bag-Valve-Device for pre-oxygenation and manual ventilation: A comparative bench and cadaver study. Resuscitation, 194, 109999. https://doi.org/10.1016/j.resuscitation.2023.109999

[4] Khoury, A., De Luca, A., Sall, F. S., Pazart, L., & Capellier, G. (2019). Ventilation feedback device for manual ventilation in simulated respiratory arrest: a crossover manikin study. Scandinavian journal of trauma, resuscitation and emergency medicine, 27(1), 93. https://doi.org/10.1186/s13049-019-0674-7