Nebulizing a Breathing Treatment Through a BVM

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

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  • BVM
  • Ventilator Elbow
  • “T” Piece
  • Reservoir tubing
  • Oxygen tubing
  • Medication Chamber

STEP ONE

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Connect the “T” piece into the BVM.

STEP TWO

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Connect the reservoir tubing onto the end of the “T” piece.

STEP THREE

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Connect the medication chamber to the bottom of the “T” piece.

STEP FOUR

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Hook up the oxygen tubing to the end of the medication chamber.

STEP FIVE

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Connect your ventilator elbow to the end of your reservoir tubing.

STEP SIX

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Make sure that your ventilator elbow gets capped, as to create a closed circuit.

STEP SEVEN

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Hook up your mask to the ventilator elbow.

STEP EIGHT

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Consider placing a PEEP valve for patients that you believe may need extra pressure support.

THE FINISHED PRODUCT

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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!

4 thoughts on “Nebulizing a Breathing Treatment Through a BVM

    1. CPR Podcast

      Very true, John. For the purpose of the pic against the seat and not enough hands to demonstrate it, it was set up like that, but you are absolutely correct.

      Like

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