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airway management

Airway Management

The rescuer team should use mouth to mouth, mouth to mask or bag mask ventilation until an advanced airway is inserted.

An advanced airway ( laryngeal mask airway or endotracheal tube) provides a more stable way of providing breaths and should therefore be inserted as early as possible in a resuscitation effort.

The compression to breath ratio to be maintained in both cases is discussed below:-

Compression to Breath Ratio Table:

Mouth to Mouth Rescue Breathing

When a pocket mask or bag mask is not available it may be necessary to give mouth to mouth breaths during CPR. It is very effective in delivering oxygen into the person’s lungs without putting the rescuer at a high level of risk. The rescuer’s exhaled air contains approximately 17% oxygen and 4 % carbon dioxide. This is not the same as oxygen available in room air ( 21%) or 100% oxygen level as provided with ventilation.

For Adults and Older Children...

Do not administer mouth to mouth breathing too rapidly or forcefully. This may cause the air to be forced into the stomach resulting in less room for lung expansion. Do the following steps:

  1. Open the airway using the head-tilt/chin-lift maneuver.
  2. Pinch to closed the person’s nose with your hand.
  3. Create a seal when using your lips to surround the person’s mouth.
  4. Blow into the person’s mouth for 1 full second and watch for chest to rise. Tilt his head further back if the chest does not rise.
  5. Give an additional breath for over a second.
  6. If the chest does not rise in 2 breaths continue to give chest compressions.

Mouth-To-Mouth/Nose for Infants..

 Do the following steps for giving mouth to mouth/nose to infants:

  1. Open the airway using the head-tilt/chin-lift maneuver. Aim for a neutral neck position and ensure not to hyper extend the neck.
  2. Create a seal when using your lips to surround the person’s mouth.
  3. Gently blow into the infant’s nose and mouth for 1 full second and watch for chest to rise. The infant’s lungs are smaller in size and need a lesser volume of air. 
  4. Readjust the tilt of their head if the chest does not rise.
  5. Give an additional breath and watch for chest to rise.

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