Reference: 2025 American Heart Association Guidelines for CPR and ECC
Ventilation Fundamentals
2025 AHA Guidelines: Recommend delivering each breath over one second. Audiovisual feedback devices have been shown to improve ROSC and survival to discharge from cardiac arrest.
- Delivering a breath over 1 second underscores that effective ventilation depends not only on volume but also on how that volume is delivered, through controlled flow and proper timing across inspiration. (ΔTime = ΔVolume / Flow)
- Sotair operates as a “forcing function” that physically guides performance in real time. Through integrated auditory, visual, and haptic cues, Sotair ensures each breath is delivered safely, with performance close to a mechanical ventilator.
- SotairIQ – a manual ventilation training tool – extends this approach by gamifying the process and visualizing key parameters (flow, inspiratory time, pressure, rate, and volume) to build muscle memory and help prevent over-pressurization, hyperventilation and underventilation through consistent, real-time feedback.
Preventing Over- and Under-Ventilation
2025 AHA Guidelines: Excessive ventilation can cause gastric insufflation, regurgitation, and decreased cardiac output, while too little ventilation decreases survival. The AHA also cites an in-hospital study showing that hypocapnia (too much ventilation), severe hypercapnia (too little ventilation), and swings between the two (inconsistent ventilation) were associated with higher rates of unfavorable 1-month neurological outcomes compared with mild hypercapnia.
- Training on SotairIQ and use of Sotair with capnography devices will help providers deliver safe and optimal ventilation, and help with increasing neurologically intact survival rates for the community.
- By limiting inspiratory flow and enforcing proper timing, Sotair functions as a mechanical guardrail, maintaining safe pressures and encouraging adequate volumes.
- SotairIQ reinforces these principles through gamified, real-time training that builds lasting muscle memory for controlled ventilation.
Bag Size and Patient Needs
2025 AHA Guidelines: Cite articles that report pediatric and small adult (1000 ml) bags often fail to provide adequate tidal volumes for adult patients.
- SotairIQ data confirm this limitation, especially during mask ventilation.
- Larger bags are often required when facing poor mask seals, and high volume demands.
- SotairIQ helps providers master the bag, seamlessly adapting their technique to each patient’s physiology
Rapid Intervention for Apnea
2025 AHA Guidelines: Within 90 seconds of apnea, oxygen levels can fall dangerously low, risking brain and heart injury.
- Sotair, pre-attached to the BVM, enables immediate, controlled ventilation—ensuring the first breaths are effective and protective.
- Station-based SotairIQ training builds confidence and muscle memory, improving the speed and precision of those first and subsequent ventilations.
Training and Skill Retention
2025 AHA Guidelines: Recommend feedback learning, spaced learning, and gamified training to improve skill retention.
- SotairIQ integrates all three, delivering continuous, low-cost, data-driven reinforcement in a portable format without complex manikin setups.
Cognitive Aids and Human Factors
2025 AHA Guidelines: In high-stress resuscitation, cognitive overload is common.
- Sotair acts as a forcing function and an embedded cognitive aid, guiding flow and timing through tactile feedback so providers can maintain focus on the patient while delivering consistent, guideline-compliant ventilation—enhancing both safety and performance.
Airway Management
2025 AHA Guidelines: Cricoid pressure is ineffective and not recommended.
- Sotair safely minimizes gastric insufflation without impeding airflow—offering a superior, evidence-based alternative for airway management.
Learn More:
Sotair: https://safebvm.com/sotair/
SotarIQ: https://safebvm.com/sotair-iq/
Our next flow control manual ventilation workshop registration:
https://us06web.zoom.us/webinar/register/1617630618279/WN_mu4byV1sQkGeXz6ldLCoJg=
