A fundamental challenge is the location of the one way and expiratory valves, which are typically directly integrated into the bag. Care must be taken to prevent rebreathing of CO 2 due to long hoses.This is a fault condition that should be detected by pressure sensing. Bag should be secured to ventilator to prevent an awake patient from pulling on it or otherwise disengaging the bag from the mechanism.The ventilator must be placed as close to the patient as possible.Some considerations regarding how the patient should be connected to a manual resuscitator-based ventilator include:
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