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Defining the Efficiency of Manual Ventilation: A Comprehensive Systematic Review
Julian Lasik1, Tomasz Kłosiewicz1, Mateusz Puślecki1
1Department of Medical Rescue, Chair of Emergency Medicine, Poznan University of Medical Sciences, Poznan, Poland.
Emergency Medicine International
|February 26, 2025
Summary
Effective manual ventilation is crucial for healthcare professionals. This review found varied definitions of "effective ventilation" and suggests a comprehensive approach considering extrinsic and intrinsic factors for improved patient safety.
Area of Science:
- Emergency Medicine
- Respiratory Care
- Clinical Skills Training
Background:
- Manual ventilation is a critical skill for healthcare providers during emergencies.
- Improper technique can lead to severe complications like lung injury and inadequate oxygenation.
- Standardized assessment methods for manual ventilation quality are lacking.
Purpose of the Study:
- To analyze definitions and methods for assessing manual ventilation efficiency in recent literature.
- To identify gaps and inconsistencies in current assessment practices.
- To propose a more comprehensive framework for evaluating manual ventilation quality.
Main Methods:
- Systematic database search of studies published between 2014 and 2023.
- Inclusion criterion: assessment of manual ventilation quality in adult patients.
- Review of eight selected studies out of 47 identified.
Main Results:
- Most studies focused on tidal volume and ventilation rate.
- Significant variability exists in the definition of "effective ventilation".
- No single standardized method for assessing manual ventilation quality was consistently applied.
Conclusions:
- A comprehensive approach to assessing manual ventilation quality, incorporating both extrinsic and intrinsic factors, is recommended.
- This approach may lead to more consistent and effective practices.
- Improved assessment frameworks are needed to enhance patient safety during manual ventilation.
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