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Bag-Valve-Mask Ventilation

Updated : December 12, 2025


Bag Valve Mask (BVM) Ventilation is an emergency procedure. This technique ensures supply of oxygen and ventilation until a definitive airway is established.

In hospitals, emergency medical technicians use basic BVM ventilation for airway management.

It is indicated as prehospital airway support in children. Bag is collapsible, self-expanding and made of silicone.

BVM valve system enables one-way airflow. Mask is placed over nose and mouth which forms an airtight seal.

Bag Valve Mask (BVM) Ventilation is an emergency procedure. This technique ensures supply of oxygen and ventilation until a definitive airway is established.

In hospitals, emergency medical technicians use basic BVM ventilation for airway management.

It is indicated as prehospital airway support in children. Bag is collapsible, self-expanding and made of silicone.

BVM valve system enables one-way airflow. Mask is placed over nose and mouth which forms an airtight seal.

This ventilation technique is used for patients with respiratory failure, failure of ventilation or both.

BVM ventilation is used in patients who are not able to breathe spontaneously.

BVM ventilation is indicated for various medical emergencies situations. e.g. cardiac arrest, respiratory failure

If mask is not placed fit on the patient’s face, then this technique may not deliver enough oxygen supply.

Manage airway very carefully in patients with unstable cervical spine injuries to avoid movement.

If this ventilation procedure fails due to any reason, then surgeons should consider alternative airway management methods for good results.

This procedure stabilize normal CO2 levels, hence prevents respiratory acidosis.

BVM ventilation stabilizes respiratory status in distressed patients which prevents deterioration.

CPR with oxygenation and ventilation increases successful resuscitation and improves outcomes.

Adequate BVM ventilation lowers hypoxia risk and organ dysfunction complications.

  • Bag Valve Mask Device
  • Face Mask
  • Oxygen Tubing
  • Reservoir Bag
  • Nasopharyngeal Airway
  • Oropharyngeal Airway

Patient Positioning:

Place patient supine, with head slightly extended and neck supported.

Step 1: Placement of airway

Keep patient’s airway clear and use head-tilt, chin lift or jaw thrust for removing any obstructions.

Step 2: Positioning of mask

Select the correct mask size according to the patient’s face parameters and cover their nose and mouth with a mask. Then connect to the bag.

Step 3: Ventilation supply

During CPR, give breaths at 6 to 7 mL/kg. Ventilate at 10 to 12 breaths per minute with perfusing rhythm.

Surgeons should check for any leakage and stomach swelling during this period.

The improper masks placement can increase the risk of inhaling oral fluids inside lungs.

Major complications of BVM ventilation as follows:

  • Hypoventilation
  • Hypoxemia
  • Stomach inflation
  • Hyperventilation

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