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Fire Sci. Eng. > Volume 28(6); 2014 > Article
Fire Science and Engineering 2014;28(6):76-81.
DOI: https://doi.org/10.7731/KIFSE.2014.28.6.076    Published online December 31, 2014.
RespiTrainer를 활용한 백-밸브마스크 환기에서 일회호흡량과 기도압 비교 연구
신소연, 이재국, 노상균
1강원대학교 산업과학대학원
2선문대학교 응급구조학과
3선문대학교 응급구조학과
Comparative Analysis of Tidal Volume and Airway Pressure with a Bag-valve Mask using RespiTrainer
Shin So-Yeon, Lee Jae-Gook, Roh Sang-Gyun
1Graduate School of Industry & Science, Kangwon National Univ.
2Dept. of Emergency Medical Services, Sunmoon Univ.
3Dept. of Emergency Medical Services, Sunmoon Univ.
요약
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.
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.
Key Words: Tidal volume, RespiTrainer, Airway pressure, BVM ventilation
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