Ventilator versus manual resuscitation bag as the method for delivering hyperoxygenation before endotracheal suctioning

AACN Clin Issues Crit Care Nurs. 1990 Aug;1(2):289-99. doi: 10.4037/15597768-1990-2007.


A critical review and analysis of the current research on the efficacy of the ventilator versus the manual resuscitation bag (MRB) as the method of delivering hyperoxygenation/hyperinflation breaths before, during, and/or after endotracheal suctioning (ETS) is presented. Current research findings indicate that hyperoxygenation/hyperinflation breaths at 100% oxygen (O2) delivered via the ventilator have resulted in elevated blood-O2 levels which are either superior or equivalent to the MRB in preventing suction-induced hypoxemia. Delivery of hyperoxygenation/hyperinflation breaths using the MRB results in increased airway pressure, and increased hemodynamic consequences. Guidelines of clinical practice, based on current research findings, are presented. Areas for further research are identified.

MeSH terms

  • Adult
  • Clinical Protocols
  • Humans
  • Intubation, Intratracheal / nursing*
  • Oxygen Inhalation Therapy / methods*
  • Oxygen Inhalation Therapy / nursing
  • Research
  • Respiration, Artificial / methods*
  • Respiration, Artificial / nursing
  • Resuscitation / methods*
  • Resuscitation / nursing
  • Suction / nursing*