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Impact of Real-Time Feedback Devices on Paramedic Bag-Valve-Mask Ventilation Performance
Julian Lasik1, Tomasz Kłosiewicz1, Mateusz Puślecki1
1Chair of Emergency Medicine, Department of Medical Rescue, Poznan University of Medical Sciences, Poznan, Poland.
Prehospital Emergency Care
|August 26, 2025
Summary
A real-time ventilation feedback device (VFD) reduced tidal volume and ventilation rate during bag-valve-mask (BVM) ventilation. However, it modestly improved adherence to European Resuscitation Council (ERC) guidelines, though clinical impact remains unclear.
Area of Science:
- Emergency Medicine
- Respiratory Care
- Medical Simulation
Background:
- Bag-valve-mask (BVM) ventilation presents challenges for healthcare professionals.
- Several devices aim to enhance BVM ventilation quality.
- Real-time feedback devices (VFDs) are one such innovation.
Purpose of the Study:
- To evaluate the influence of a VFD on the quality of manual BVM ventilation.
- To assess changes in key ventilation parameters with VFD use.
Main Methods:
- One hundred paramedics performed BVM ventilation on a high-fidelity manikin.
- Ventilation was conducted twice, with and without a VFD.
- Tidal volume, ventilation rate, and minute ventilation were recorded.
Main Results:
- Ventilation without a VFD showed higher mean tidal volume (390.1 mL vs 373.9 mL) and rate (8.9 bpm vs 8.1 bpm).
- Minute ventilation was significantly greater without the VFD (3504.0 mL vs 3118.8 mL).
- VFD use increased adherence to European Resuscitation Council (ERC) guidelines from 1% to 3%.
Conclusions:
- VFD use decreased tidal volume and ventilation rate but slightly improved ERC guideline compliance.
- The clinical significance of the VFD requires further investigation.
- Novel strategies are needed to enhance adherence to ventilatory parameters.
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