• 제목/요약/키워드: Bag-valve mask

검색결과 20건 처리시간 0.02초

백-밸브-마스크 보조장치를 이용한 환기효과 비교 (A comparison of ventilation effects using bag-valve-mask assist device)

  • 서은영;윤병길;김가은;김용석
    • 한국응급구조학회지
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    • 제26권3호
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    • pp.37-46
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    • 2022
  • Purpose: TThe experiment was designed to compare the efficiency of ventilation between conventional BVM ventilation and a newly devised A-BVM ventilation method with Tidal volume, total ventilation rate, average Ventilation speed, and average Ventilation volume. Methods: 40 Paramedical students who agreed to participate in the study were analyzed. Values were measured using IMB PASS after 2 minutes of Brayden Pro manikin with BVM and A-BVM ventilation. The difference in general characteristics was assessed by t-test and ANOVA and the difference in ventilation methods was analyzed by IBM SPSS. Results: A significant difference was found between the two ventilation methods in terms of tidal volume (t=-11.203, p<.001), ventilation time (t=-3.834, p<.001), and optimum ventilation probability (t=10.770, p<.001). A-BVM ventilation method, rather than BVM ventilation method, showed a value close to the appropriate amount recommended by Korean Advanced Life Support (500~600mL) in tidal volume, and higher in optimum ventilation probability. Conclusion: We could identify the a better mode of ventilation. Further studies on the efficacy of existing BVM ventilation methods as compared to device augmented BVM ventilation methods should be carried out to ensure that adequate ventilation is available to patients in clinical practice.

입-입 인공호흡(Mouth-to-mouth ventilation)을 위한 감염방지 도구의 병원성 세균 여과 효과 (Effect of a pathogenic bacteria filtration instrument for infection prevention during mouth-to-mouth ventilation)

  • 심규식;김은미
    • 한국응급구조학회지
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    • 제20권3호
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    • pp.49-56
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    • 2016
  • Purpose: The purpose of this study was to investigate the effect of a pathogenic bacteria filtration instrument for infection prevention during mouth-to-mouth ventilation. Methods: Two kinds of face shields were used for the study. One rescuer blew the filter through a bag valve mask and the filter was then cultured for bacteria. The mask was tested both on the front and back side. Results: Two kinds of face shields including the KF shield and CM shield were tested. The KF shield has received national certification and it prevented transmission of bacterial infection but the CM shield showed the opposite result and did not prevent bacterial transmission. Pathogenic bacteria were found on the back of the CM shield. Conclusion: A certified face shield is very important to prevent bacterial transmission. Face shields should be demonstrated and used by paramedic students.

심폐소생술 교육용 페이스 쉴드의 병원성 세균 차단 효과 (Effect of a CPR Educational Face Shield on Pathogenic Bacteria Protection)

  • 김은미;심규식;노상균
    • 한국화재소방학회논문지
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    • 제30권6호
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    • pp.137-141
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    • 2016
  • 심폐소생술에서 인공호흡은 환자와 구조자간 또는 심폐소생술 교육생들 간의 교차 감염 가능성이 높으나, 감염방지 도구인 페이스 쉴드(face shield)의 병원성 세균 여과 성능에 대한 연구 자료는 매우 부족하다. 따라서 본 연구는 인공호흡용 페이스 쉴드의 병원성 세균 여과 성능을 비교하여 전염성 질환으로부터 심폐소생술 교육생과 병원 전 구조자의 안전을 확보하기 위해 시행되었다. 대상 쉴드는 국내 심폐소생술 교육기관에서 일반적으로 사용되고 있는 FA shield와 CM shield 2종을 임의로 선정하였다. 실험방법은 실제 교육생이 입으로 불어넣은 필터에서 채취한 세균을 대상 필터에 각각 도말한 후 백밸브마스크(Bag valve mask, BVM)로 환기하여 필터의 앞면과 뒷면의 세균 검출 유무를 확인하였다. 그 결과 FA Shield는 병원성 세균 여과 성능이 있는 것으로 확인되었으나, CM Shield는 병원성 세균 여과 성능이 없는 것으로 나타났다. 결론적으로 안전한 인공호흡을 위해서는 국내에서 판매되는 페이스 쉴드의 전반적 성능 평가와 페이스 쉴드의 여과 성능 기준이 제시되어야 할 것으로 판단된다.

The Effects of Training on the Proper Use of Respiratory Rate Measurement Devices for Providing High-Quality Artificial Ventilation

  • Jae-Ran Lim;Sung-Hwan Bang;Hyo-Suk Song;Gyu-Sik Shim;Ho-Jin Park
    • 한국컴퓨터정보학회논문지
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    • 제29권3호
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    • pp.165-171
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    • 2024
  • 본 연구는 2급 응급구조사가 호흡부전 및 호흡정지 환자에게 백-밸브 마스크(BVM) 인공호흡 시 호흡량 측정기를 사용하여 적정량의 호흡량과 및 성공률을 알아보고자 한다. 연구는 2023년 12월 11일부터 12일까지 D 대학교에 재학 중인 2급 응급구조사를 대상으로 20명을 선정하여 10명은 호흡량 측정기를 이용하여 BVM 인공호흡을 교육한 실험군으로, 다른 10명은 호흡량 측정기 없이 BVM 인공호흡을 교육한 대조군으로 선정하여 2분간 인공호흡을 제공하는 실험을 하였다. 연구 결과, 대조군에서는 정확한 호흡량을 제공하지 못하였고(p=.025), 호흡 성공률 역시 실험군에서는 2분간 호흡 성공률이 높았으나 대조군에서는 유의한 차이를 보였으며(p=.001), 주관적 호흡량과 측정된 객관적 호흡량이 대조군에서 유의한 차이를 보였다(p=.010). 따라서 호흡량 측정기를 사용한 교육은 2급 응급구조사가 느끼는 주관적 호흡량을 객관적 호흡량과 일치시키고 호흡 성공률을 높여 호흡부전 및 호흡정지와 심폐소생술 시 심장정지 환자의 생존율을 높이는 데 도움이 될 것이다.

가상실현 기반 구급차에서 루카스와 수기에 의한 가슴압박과 인공호흡 비교 -마네킨 연구- (Comparison of chest compression and ventilation volume using LUCAS and manual in virtual reality-based ambulance simulation -A manikin study-)

  • 이재국;김진수;노상균
    • 한국응급구조학회지
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    • 제22권3호
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    • pp.67-76
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    • 2018
  • Purpose: The purpose of this study was to evaluate the quality of chest compressions and ventilation when using an mechanical device(LUCAS) and 2-men manual cardiopulmonary resuscitation(CPR) performed on a minikin, as well as to propose a more effective CPR method during transit. Methods: Data were collected by LUCAS and manual virtual reality based ambulance simulation. Analysis was performed using SPSS software 12.0. The average and standard deviation of chest compression depth and ventilation were analyzed using descriptive statistics and t-test. Results: In the virtual reality based LUCAS and manual CPR results, LUCAS showed better chest compression and lower incomplete chest release than manual CPR. During CPR with a chest compression-ventilation ratio of 30:2 in virtual reality ventilation with bag-valve mask was able to deliver an adequate volume of breathing. Conclusion: It is suggested that rescuers on ambulance may consider using LUCAS as an alternative to high-quality chest compression during transit.

2인구조자 심폐소생술 시 환기방법에 따른 가슴압박 중단시간의 비교: 일개 대학병원 간호사를 대상으로 (Comparison of compression pause time between different rescue ventilation maneuvers in two-rescuer cardiopulmonary resuscitation)

  • 현광록;문준동
    • 한국응급구조학회지
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    • 제19권2호
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    • pp.7-17
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    • 2015
  • Purpose: This study aimed to compare the effects of rescue ventilation maneuvers on the quality of two-rescuer cardiopulmonary resuscitation (CPR). Methods: We implemented mouth to mouth (MMV), mouth to pocket mask (MPV) and bag-valve mask ventilation (BMV) maneuvers. Each team of two-nurses was randomized to perform three consecutive sessions of two-rescuer CPR by using three artificial ventilation maneuvers. Results: The subjects were 26 teams of nurses (female: 96.2%, male: 3.8%, age: 26.6 years). Failed ventilation was more frequent in BMV ($2.23{\pm}2.21$, p <.001) than MMV ($0.31{\pm}0.74$) and MPV ($0.38{\pm}0.64$). BMV had more compressions per minute ($93.7{\pm}5.7$) than MMV ($87.0{\pm}7.2$, p = .001) and shorter total compression pause time ($46.1{\pm}5.8sec$) and compression pause fraction ($23.3{\pm}2.2%$) than MMV ($54.8{\pm}10.3sec$, p = .001, $25.5{\pm}3.5%$, p = .001, respectively) and MPV ($53.1{\pm}7.1sec$, p =. 006 and $25.8{\pm}2.6%$, p = .006, respectively). Conclusion: In our simulation study, BMV reduced the compression pause time and increased the number of compressions per minute, thus indicating CPR provided to patients was effective. However, considering the high rate of ventilation failure, we recommend periodic training.

인공호흡기 사용성 향상을 위한 새로운 보조기구 개발 (Development of Novel Assistive Device for Improving Usability of BVM)

  • 전강현;박용재
    • 한국산학기술학회논문지
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    • 제21권3호
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    • pp.420-426
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    • 2020
  • 본 논문에서는 휴대용 인공호흡기 보조기구를 개발하였다. 응급상황 발생 시 약 4분이 지나면 환자는 심각한 뇌 손상을 입는다. 따라서, 이를 방지하기 위해 응급구조사는 환자에게 적합한 산소 주머니를 통해 환자가 병원으로 인계될 때까지 지속해서 인공호흡을 실시하여야 한다. 이 과정에서 응급구조사들은 전완근의 반복적인 운동으로 인해 적지 않은 피로감을 느끼게 된다. 이는 손이 작거나 근력이 부족한 응급구조사들에게 더욱 큰 부담으로 작용할 수 있다. 이를 해결하기 위해 다양한 제품이 제작되었지만, 부피와 크기 그리고 사용 방법 등과 같은 실용성이 부족하여 상용화에 어려움을 겪고 있다. 이에 본 연구에서는 기존 제작하였던 인공호흡기 보조기구를 개선하고 사용자에게 가해지는 부담을 효율적으로 줄이는 방법을 고안하였다. 본 연구를 통해 개발한 보조기구는 크게 3가지 부위로 구성된다. 보조기구는 산소 주머니를 매회 균일하고 안정적으로 압박하고 대상에게 알맞은 산소의 양을 각도를 통해 시각적으로 알려주는 머리부, 휴대용 인공호흡기의 산소 흡입구에 결합하여 사용자의 힘을 휴대용 인공호흡기로 전달하는 몸통부, 다양한 자세에서도 효율적으로 힘을 가할 수 있도록 회전이 가능한 손잡이로 구성된다. 실험을 통해 안정적인 수치로 환자에게 산소를 공급할 수 있다는 사실을 확인하였다. 이를 통해 응급구조사는 보조기구를 사용해 피로감 감소뿐만 아니라 환자에게 적합한 양의 산소를 주입해 효율적인 인공호흡을 실시할 수 있을 것으로 판단된다.

심폐소생술의 최신지침 소개 (The New International Guidelines for Cardiopulmonary Resuscitation)

  • 우건화
    • Journal of Chest Surgery
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    • 제36권6호
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    • pp.451-455
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    • 2003
  • 심폐소생술 지침은 과거에 미국심장학회 지침과 유럽소생학회 지침으로 크게 양분되어 있었으나, 2000년 8월에 국제심폐소생술 위원회에 의한 공동 지침으로 ‘심폐소생술과 응급심장 처치에 관한 지침 2000’이 완성되었다. 현재까지 심폐소생술로써 환자의 생존율에 괄목할 만한 향상이 없으므로 보다 새로운 지식으로써 적절히 임상에 적용하는 것이 최선의 방법이라 할 수 있다. 새 지침의 특징은 알고리듬의 단순화와 과학적인 결과를 바탕으로 하였으며,성인 심정지 환자의 기본소생처치에서 심장 마사지 : 인공 호흡을 15 : 2로 통일하고 일반인에게는 경동맥 촉지법과 하임리히법을 가르치지 않는다는 것이다. 흡입 산소농도에 따라 호흡 흡입량의 차이를 두었으며, 기관 삽관의 튜브 크기를 8.0mm로 통일하였고, 심실빈맥/심실세동의 알고리듬에서 epinephrine대신에 vasopressin을 사용할 수 있게 하였으며, 자동 제세동기의 사용을 권장하였다. 또 급성 관상동맥 증후군에서는 병원 도착 전에 심전도를 중요시하고 혈전용해제를 조기에 사용할 수 있게 하였으며 급성 허혈성 뇌졸중에서도 병원 도착 전에 적절한 평가와 빠른 혈전용해제 사용이 추가되었다.

No frequency change of prehospital treatments by emergency medical services providers for traumatic cardiac arrest patients before and after the COVID-19 pandemic in Korea: an observational study

  • Ju Heon Lee;Hyung Il Kim
    • Journal of Trauma and Injury
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    • 제36권3호
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    • pp.172-179
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    • 2023
  • Purpose: Out-of-hospital traumatic cardiac arrest (TCA) often has a poor prognosis despite rescue efforts. Although the incidence and mortality of out-of-hospital cardiac arrest have increased, bystander cardiopulmonary resuscitation (CPR) has decreased in some countries during the COVID-19 pandemic. In the prehospital setting, immediate treatment of cardiac arrest is required without knowing the patient's COVID-19 status. Because COVID-19 is usually transmitted through the respiratory tract, airway management can put medical personnel at risk for infection. This study explored whether on-scene treatments involving CPR for TCA patients changed during the COVID-19 pandemic in Korea. Methods: This retrospective study used data from emergency medical services (EMS) run sheets in Gangwon Province from January 2019 to December 2021. Patients whose initial problem was cardiac arrest and who received CPR were included. Data in 2019 were classified as pre-COVID-19 and all subsequent data (from 2020 and 2021) as post-COVID-19. Age, sex, possible cause of cardiac arrest, and treatments including airway maneuvers, oropharyngeal airway (OPA) or i-gel insertion, endotracheal intubation (ETI), bag-valve mask (BVM) ventilation, intravenous (IV) line establishment, neck collar application, and wound dressing with hemostasis were investigated. Results: During the study period, 2,007 patients received CPR, of whom 596 patients had TCA and 367 had disease-origin cardiac arrest (DCA). Among the patients with TCA, 192 (32.2%) were pre-COVID-19 and 404 (67.8%) were post-COVID-19. In the TCA group, prehospital treatments did not decrease. The average frequencies were 59.7% for airway maneuvers, 47.5% for OPA, 57.4% for BVM, and 51.3% for neck collar application. The rates of ETI, i-gel insertion, and IV-line establishment increased. The treatment rate for TCA was significantly higher than that for DCA. Conclusions: Prehospital treatments by EMS workers for patients with TCA did not decrease during the COVID-19 pandemic. Instead, the rates of ETI, i-gel insertion, and IV-line establishment increased.

The Survey of Dentists: Updated Knowledge about Basic Life support and Experiences of Dental Emergency in Korea

  • Cho, Kyoung-Ah;Kim, Hyuk;Lee, Brian Seonghwa;Kwon, Woon-Yong;Kim, Mi-Seon;Seo, Kwang-Suk;Kim, Hyun-Jeong
    • 대한치과마취과학회지
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    • 제14권1호
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    • pp.17-27
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    • 2014
  • Background: Various medical emergency situations can occur during dental practices. Cardiac arrest is known to comprise approximately 1% of emergency situation. Thus, it is necessary for dentists to be able to perform cardiopulmonary resuscitation (CPR) to increase the chance of saving patient's life in emergency situation. In this paper, we conducted a survey study to evaluate to what extent dentists actually understood CPR practice and if they had experience in handling emergency situations in practice. Method: The survey was done for members of the Korean Dental Society of Anesthesiology (KDSA), who had great interest in CPR and for whom survey-by-mail was convenient. We had selected 472 members of the KDSA with a dental license and whose office address and contact information were appropriate, and sent them a survey questionnaire by mail asking about the degree of their CPR understanding and if they had experience of handling emergency questions before. Statistical analyses -frequency analysis, chi-square test, ANOVA, and so on- were performed by use of IBM SPSS Statistics 19 for each question. Result: Among 472 people, 181 responded (38.4% response rate). Among the respondents were 134 male and 47 female dentists. Their average age was $40.4{\pm}8.4$. In terms of practice type, there were 123 private practitioners (68.0%), 20 professors (11.0%), 16 dentists-in-service (8.8%), 13 residents (specialist training) (7.2%) and 9 military doctors (5%). There were 125 dentists (69.1%) who were specialists or receiving training to be specialist, most of whom were oral surgeon (57, 31.5%) and pediatric dentists (56, 30.9%). There were 153 people (85.0%) who received CPR training before, and 65 of them (35.9%) were receiving regular training. When asked about the ratio of chest pressure vs mouth-to-mouth respiration when conducting CPR, 107 people (59.1%) answered 30:2. However, only 27.1% of them answered correctly for a question regarding CPR stages, C(Circulation)- A(Airway)- B(Breathing)- D(Defibrillation), which was defined in revised 2010 CPR practice guideline. Dentists who had experience of handling emergency situations in their practice were 119 (65.6%). The kinds of emergency situations they experienced were syncope (68, 37.6%), allergic reactions to local anesthetic (44, 24.3%), hyperventilation (43, 23.8%), seizure (25, 13.8%), hypoglycemia (15, 8.3%), breathing difficulty (14, 7.8%), cardiac arrest (11, 6.1%), airway obstruction (6, 3.3%), intake of foreign material and angina pectoris (4, 2.2%), in order of frequency. Most respondents answered that they handled the situation appropriately under the given emergency situation. In terms of emergency equipment they had blood pressure device (70.2%), pulse oximetry (69.6%), Bag-Valve-Mask (56.9%), emergency medicine (41.4%), intubation kit (29.8%), automated external defibrillator (23.2%), suction kit (19.3%) and 12 people (6.6%) did not have any equipment. In terms of confidence in handling emergency situation, with 1-10 point scale, their response was $4.86{\pm}2.41$ points. The average point of those who received regular training was $5.92{\pm}2.20$, while those who did not was $4.29{\pm}2.29$ points (P<0.001) Conclusion: The result showed they had good knowledge of CPR but the information they had was not up-to-date. Also, they were frequently exposed to the risk of emergency situation during their dental practice but the level of confidence in handling the emergency situation was intermediate. Therefore, regular training of CPR to prepare them for handling emergency situation is deemed necessary.