+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Sudden severe barotrauma from self-inflating bag-valve devices

Sudden severe barotrauma from self-inflating bag-valve devices

Journal of Trauma 40(2): 320-322

Self-inflating bag-valve devices are commonly used for the ventilation of intubated patients, especially during resuscitation and transport. These devices are generally safe, but minor deviations in their recommended use can expose patients to airway pressures greater than 135 cm H-2O. We present a patient in whom a sudden tension pneumothorax developed during ventilation with a bag-valve device. We believe that this complication resulted from high airway pressures generated in the bag-valve device. The ability of the device in question to cause barotrauma was confirmed by bench-top measurements of the peak airway pressures generated by minor deviations from proper use of the device.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 009488081

Download citation: RISBibTeXText

PMID: 8637092

Related references

Evaluation of the self-inflating bag-valve-mask and non-rebreather mask as preoxygenation devices in volunteers. Bmj Open 2(5):, 2012

Sudden onset of "cardiac" symptoms, (?) mild or severe aortic valve stenosis involving a congenitally bicuspid aortic valve, and nearly normal coronary arteries in an octogenarian. American Journal of Geriatric Cardiology 15(3): 185-187, 2006

Self inflating ventilation devices and FIO2. Anaesthesia 64(11): 1268-1269, 2009

Inflating valve. Anaesthesia 13(3): 345-346, 1958

Effect of addition of oxygen to some emergency inflating devices. Indian Journal of Anaesthesia 16(3): 291-295, 1968

Cardiff inflating valve. British Medical Journal 2(4829): 202, 1953

A pressure-operated inflating valve. Anaesthesia 21(2): 277-281, 1966

Pneumothorax reexacerbated by a self-inflating bag-valve device. Anesthesiology 76(6): 1067-1068, 1992

Effective Valve for Inflating An Endotracheal Tube Cuff. Anesthesiology 26: 227, 1965

An inflating spill valve for controlled respiration in a semiclosed circuit. British Journal of Anaesthesia 32: 616-618, 1960

The effect of a PEEP valve on a Laerdal neonatal self-inflating resuscitation bag. Journal of Paediatrics and Child Health 46(1-2): 51-56, 2010

The patient inflating valve in anaesthesia and resuscitation breathing systems. Anaesthesia and Intensive Care 41(2): 163-174, 2013

PEEP valve barotrauma. Anesthesia and Analgesia 70(6): 674-675, 1990

Positive-pressure ventilation during transport: a randomized crossover study of self-inflating and flow-inflating resuscitators in a simulation model. Paediatric Anaesthesia 24(12): 1281-1287, 2014

Successful surgical management of a dissecting aneurysm of the ascending and transverse aorta with heart failure due to sudden, severe aortic valve insufficiency. Journal of Cardiovascular Surgery 19(4): 389-396, 1978