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Optimalisasi Penggunaan Portable Ventilator Dalam Penanganan Pasien Covid-19

 

02 Agustus 2021
Optimalkan Penggunaan Portable Ventilator 

Dalam acara Qatar Health Forum 2020 yang telah berlangsung dari tanggal 16 - 18 Januari 2020 dimana pada saat itu belum terjadi pandemi Covid-19 dimana di lokasi acara berlangsung pada saat bersamaan juga ada pameran tentang peralatan kesehatan yang terbaru dan canggih dan salah satunya adalah Portable Ventilator yang bisa digunakan untuk manajemen pemberian oksigenisasi kepada pasien yang kritis oleh EMS dan setelah tejadinya pandemi Covid-19 dengan kekurangnya stok ventilator, portable ventilator bisa dioptimalkan digunakan untuk membantu pernafasan pasien Covid-19 yang mempunyai gejala yang cukup parah dan berikut salah satu artikel yang bisa di baca buat pengetahuan Nakes 
Abstract

Background: Different face mask designs can influence bag-valve-mask (BVM) ventilation performance during resuscitation. We compared a single-use, air-cushioned face mask (AM) with a reusable silicone face mask (SM) for quality of BVM ventilation on a manikin simulating cardiac arrest.

Methods: Thirty-two physicians were recruited, and a prospective, randomized, crossover observational study was conducted after an American Heart Association-accredited basic life support provider course and standardized practice time were completed. Participants performed 12 cycles of BVM ventilation with both the AM and SM on a SmartMan lung simulator.

Results: Mean tidal volume was significantly higher in ventilations performed using the AM vs. the SM (548 ± 159 ml vs. 439 ± 163 ml, P < 0.01). In addition, the proportion of low-volume ventilation was significantly lower with the AM than the SM [6/12 (2-11) vs. 9/12 (5-12), P = 0.03]. Bag-valve-AM ventilation volume was not affected by the physical characteristics of the rescuers, except for sex. In contrast, bag-valve-SM ventilation volume was affected by most of the characteristics tested, including sex, height, weight, hand width, hand length, and grip power.

Conclusion: The AM seems to be a more efficient face mask than the SM at delivering sufficient ventilation volumes. The performance of the AM did not seem to be associated with the physical characteristics of the rescuers, whereas that of the SM was affected by these factors. The SM may not be an appropriate face mask for performing one-person BVM ventilation during resuscitation for rescuers who are smaller in stature, have a smaller hand size, or have weaker grip power.

Influence of face mask design on bag-valve-mask ventilation performance: a randomized simulation study


Photo credit : Nurudin 

Patients with severe pneumonia "need to use ECMO machines for weeks at a time, but there aren't many units," a university physician said. The study found that Japan has 1,412 ECMO systems, of which 1,255 were available for use.Nikkei Asia 


Photo credit : Nikkei Asia 





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