Lung volume recruitment bags: An ACPRC technical standard

Introduction

Lung volume recruitment (LVR) is a technique used to reach maximum inspiratory capacity (MIC). Within the United Kingdom, LVR self-inflating bags have been distributed historically by two manufacturers (Intersurgical and Breas). The LVR bags are currently unavailable for purchase as a complete kit, but competent clinicians can assemble the component parts.
Aims

The aim of this technical standard is to support clinicians using LVR bags and considers assembly, usage, governance and patient information.

Content

An overview of LVR is given. A list of component parts required and a step-by-step assembly guide with accompanying figures are provided. Quality control and governance are also considered. Usage instructions include: indications, contraindications,considerations and prescription. Maintenance is advised upon. Staff training, as well as patient and carer training, are discussed.

Conclusion

This technical standard is not meant to serve as a guideline, but rather as support for addressing a clinical problem. Clinicians are responsible for their own practice and should apply clinical reasoning when implementing LVR.