Application of DOPS Checklists in Assessing the Skills of Emergency Bag Mask Ventilation and Endotracheal Tube Intubation

Yadav, Manoj Kumar; Pal, Anusmriti; Pant, Chiranjibi; Bhattarai, Madhur Dev

doi:10.37080/nmj.208

Cited by 1 publication

(1 citation statement)

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“…7 Another study conducted by Gurung PK (Apr 2019) among 100 ASA I /II patient incidence of difficult intubation was 6% where ULBT had specificity of 98.9% and accuracy of 95 %, however there was no difference in sensitivity and negative predictive value when compared to MMC. 8 In a study conducted by 11 Maximum number of intubation that should be tried is 3 or 4 attempts in children to prevent airway edema, while duration should not exceed more than 30 sec, in such condition flexible fibro-optic bronchoscope is first line while choledochoscope can be second line for airway management. [12][13] In case of failed intubation or in low resource setting one continue to do bag and mask ventilation.…”

Section: Resultsmentioning

confidence: 99%

Difficult airway management in an emergency in Nepal

Das

Mahato²

2022

jgpeman

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Introduction: Health care provider often face challenges in managing airway in-patients in emergency department having respiratory compromise. Here in this review, we have discussed advances in management of difficult airway in emergency setting in Nepal. Method: Articles available n google scholar with key word “ airway management’’, “difficult airway” , “ emergency” , “failed intubation”, “ Nepal” were retrieved. Amongst which 14 articles were retrieved for the discussion. Result: MMT was better for predicting difficult laryngoscopy when compared to measurement of sternomental, thyromental and inter-incisor distances and grading of mandibular protrusion. Similarly when comparing upper lip bite test to MMT, ULBT has better sensitivity and specificity. laryngoscopic view with 5 cm of head elevation had a better visualization. Conclusion: The available evidence recommend using upper lip bite test in emergency setting with comparison to modified / mallampati classification. Different tests can be used in accordance to urgency of intervention. Similarly, head elevation of 5 cm can be routinely practiced for better visualization during laryngoscopy.

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Section: Resultsmentioning

confidence: 99%