What is critical to ensure successful BVM ventilation?

Maintaining a proper seal at the mask is crucial for successful bag-valve-mask (BVM) ventilation. A good seal ensures that the air being delivered from the bag to the lungs does not escape, which is essential for effective ventilation. If there is a leak around the edges of the mask, the air will not flow into the airway, and the patient will not receive the necessary oxygen. Achieving a tight seal is often done by using both hands to hold the mask while simultaneously using a third hand to squeeze the bag, especially for patients with different facial shapes or injuries that could affect the fit of the mask.

In contrast, stopping chest compressions is not typically advised in an emergency setting because continuous circulation is important for delivering oxygen to vital organs. Monitoring the patient’s heart rate, while important, does not directly impact the effectiveness of the ventilation through the BVM. Using only one hand to hold the mask can compromise the seal, thereby making ventilation ineffective since it won’t create the necessary airtight fit to deliver breaths efficiently. In this context, the proper technique that includes maintaining an effective seal directly correlates with the success of the BVM ventilation process.