How many of us have attempted to pipe a nebulizer treatment through a BVM? I know the few times I have used them are when I have had a very sick pediatric patient that a CPAP mask doesn’t fit on or an asthma/COPD related arrest. Your stress level is through the roof, and one more fine motor task just adds to it. It feels like you need twenty hands to get all of the pieces to fit properly, and then you always end up missing at least one connecting piece. This is one of those rarely used contraptions that is easy to forget, but when you need it, you typically need it fairly quickly. Here is a quick and pretty easy way to set up a nebulizer through a BVM.
WHAT YOU NEED
- Ventilator Elbow
- “T” Piece
- Reservoir tubing
- Oxygen tubing
- Medication Chamber
Connect the “T” piece into the BVM.
Connect the reservoir tubing onto the end of the “T” piece.
Connect the medication chamber to the bottom of the “T” piece.
Hook up the oxygen tubing to the end of the medication chamber.
Connect your ventilator elbow to the end of your reservoir tubing.
Make sure that your ventilator elbow gets capped, as to create a closed circuit.
Hook up your mask to the ventilator elbow.
Consider placing a PEEP valve for patients that you believe may need extra pressure support.
THE FINISHED PRODUCT
When you’re completed with the assembly, your end product should look something like this. Every service carries their own distinct products, so you may have to tinker around with everything to get the perfect fit, but the majority of this stuff is pretty standard commission. We hope that this was a good review, or an idea starter for those of you that have never used anything like this before!