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Face Mask Ventilation

how to navigate this space

This space is organized from rapid review to deep dive; bringing you the most essential knowledge first, or you can go directly to a topic by clicking on any link in the navigation tool below. Getting started is as easy as scrolling down. πŸ‘‡

Rapid ReviewDive Deeper
COVID & BVMOptimization
PEEPGuided Practice
Related ContentMasterclass
Rapid Review

World moving too slow for you? Want it in 60 seconds or less? Have some fun and get some high speed hits of essential knowledge with the selection below and prime yourself for the deeper dive that comes next. ⏩

rapid review – the two thumbs down

Two thumbs down with the jaw thrust up is our first go to technique when you want your first attempt to be successful. We give it to you here in 60 seconds.

Why Two Thumbs Down? 🎧

Why do we recommend the two thumbs down technique?. It’s not about one size fits all but about the environment in which your knowledge is deployed. Listen here to find out what we mean.

Things that might make FMV harder

Some patients are harder than others to oxygenate with a BVM. Remember this simple mnemonic, and don’t forget to visit the Anatomically Difficult Airway for more on recognizing difficulty.


dive deeper

Got some time? Slow it down and dive deeper into the material on this topic with the selections below 🀿

first effort BVM – step by step

You want you’re first attempt at face mask ventilation to be successful. This technique is the most likely to get you there. βœ‹

BVM In the age of covid (1:43 min)

Face mask ventilation in the time of COVID19 requires added safety measures. As an aerosolizing procedure, full PPE and the addition of a viral filter as well as maintaining a good mask seal during ventilation are critical. See the set-up here: βœ‹

You don’t always get it right the first time. That’s okay. But you do need to be able to problem-solve in real time to achieve your best effort. We call this the Oxygenation Cycle. Just scroll down to see the essential optimization sequence for the BVM. πŸ‘‡

If you want to take a deeper dive into this concept of the Oxygenation Cycle you can learn more here.

the Airway Adjuncts

Airway obstruction caused by the soft tissues of the oropharynx are a common cause of difficulty with FMV. The OPA and NPA are optimization tools to help bypass those obstructions. Learn how to place them here. βœ‹

listen to what the bag tells you βœ‹

The “bag” of the bag valve mask can give you a lot of critical information that can help you problem-solve in real time. Here is a quick discussion on this topic we think is helpful

Demonstration of PEEP with Emilio

Many BVMs don’t come with an essential piece of equipment attached: the PEEP valve. This important accessory will help you optimize your ability to recruit alveoli in a hypoxic patient. βœ‹

The Effect of PEEP on human lungs in the PAC anatomy lab – Chris Root MD

  1. Look for this tabletop card
  2. Snap the QR code
  3. Begin your practice

If you’re in one of our pop-up learning spaces or a PAC Live!! event, find this care and, use the multimedia tools for a guided practice training experience.

Don’t forget to engage our faculty coaches for real-time expert feedback.

Related Content

Want to continue on this journey. Below is a bundle of related content for you to explore.

Join us as we explore the strange disconnect between this supposedly fundamental skill set and its real world implementation.

A closer look at a BVM will give you a renewed appreciation for it’s design and will make your use of the device better. Let’s take a look πŸ‘‡

THe bigger picture: the BVM is just one of three upper airway lifelines

The BVM doesn’t exist in isolation. It’s one tool to successfully oxygenate your patient. The Vortex Approach is described by its creator as a “high acuity tool” that provides a valuable framework to help you prioritize oxygenation by integrating it with the other airway lifelines. When you’re ready you can take a deeper dive on this concept here.

curated FOAMED

We curate some of the best FOAMed resources so you can dive deeper into this topic and also build your learning network. Follow some of these great educators for great learning. We do!!

The classic #foamed video on BVM

Reuben Strayer is one of our favorites! We think you’ll enjoy his practical insights and dry wit on this one. Then follow him on Twitter to build your learning network.

when you can’t be with us – Online learning

When you can’t be with us in person, you can still access all the same content on this topic. Simply click on the masterclass link below to take you to the online masterclass learning space.