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Comparative Analysis of Tidal Volume and Airway Pressure with a Bag-valve Mask using RespiTrainer

RespiTrainer를 활용한 백-밸브마스크 환기에서 일회호흡량과 기도압 비교 연구

  • Shin, So-Yeon (Graduate School of Industry & Science, Kangwon National Univ.) ;
  • Lee, Jae-Gook (Dept. of Emergency Medical Services, Sunmoon Univ.) ;
  • Roh, Sang-Gyun (Dept. of Emergency Medical Services, Sunmoon Univ.)
  • 신소연 (강원대학교 산업과학대학원) ;
  • 이재국 (선문대학교 응급구조학과) ;
  • 노상균 (선문대학교 응급구조학과)
  • Received : 2014.08.05
  • Accepted : 2014.11.07
  • Published : 2014.12.31

Abstract

The purpose of this study was to comparative analysis of tidal volume and airway pressure after one-rescuer BVM, two-rescuer BVM, advanced airway devices with a Bag-valve mask using RespiTrainer. The data were obtained from June 2 to 10 in 2014. The collected data were analyzed using the SPSS WIN 18.0 program. The results showed that BVM ventilation using the endotracheal intubation produced higher mean tidal volume $497{\pm}78mL$, Two-rescuer ventilation $479{\pm}91mL$ One-rescuer ventilation $386{\pm}59mL$, King LTS-D $365{\pm}05mL$, Laryngeal mask airway (LMA) $351{\pm}35mL$. Peak airway pressure was higher in BVM ventilation using the endotracheal intubation. As a result, the study confirmed that the BVM Ventilation by endotracheal intubation and Two-rescuer BVM ventilation to one third the bag depth squeeze method is appropriate.

이 연구는 RespiTrainer를 활용한 백밸브마스크 환기에서 1인 백밸브마스크, 2인 백밸브마스크, 전문기도삽관 별 호흡량과 기도압을 비교 분석하였다. 실험기간은 2014년 6월 2일부터 6월 10일까지이며, 수집된 자료는 SPSS 18.0을 이용하여 분석하였다. 그 결과 기관내삽관을 통한 환기 $497{\pm}78mL$, 2인 BVM 환기 $479{\pm}91mL$를 보였고, 1인 BVM 환기와 킹후두관기도기, 후두마스크 환기에서 각각 $386{\pm}59mL$, $365{\pm}05mL$, $351{\pm}35mL$를 보였다. 기도압에서도 기관내삽관을 통한 BVM 환기에서 가장 높은 기도압(11.67 cm $H_2O$)을 보였다. 결과적으로 기관내삽관을 통한 BVM 환기와 2인 BVM 환기에서 1/3 백 압착법은 적절하였다.

Keywords

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