Is It Time to Abandon Routine Mask Ventilation Before Intubation?

Min, Kevin J; Rabinowitz, Anna; Hess, C.

doi:10.1213/ane.0000000000005723

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…The scale recently proposed by Lim and Nielsen 26 was used in 1.5% of hospital charts. It grades BMV by an objective outcome: the best capnograph achieved (grade A: plateau present; grade B: no plateau, end-tidal carbon dioxide (CO 2 ) ≥10 mmHg; grade C: no plateau, end-tidal CO 2 <10 mmHg; grade D: no end-tidal CO 2 ).…”

Section: Discussionmentioning

confidence: 99%

“…Optimal mask ventilation achieves substantial tidal volumes and a capnograph with a plateau at lower pressures, whereas marginal ventilation may require high pressures and result in leak, low tidal volumes, or gastric insufflation. 28,29 BMV failure may be associated with absent capnography and total airway obstruction. Grading 'difficulty' by operator interventions (such as the use of two hands) does not distinguish between these clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

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What airway management information do anaesthetic charts prompt for? An audit of charts from 132 hospitals across Australia and New Zealand

Lim

Nielsen

Piekarski

et al. 2022

Anaesth Intensive Care

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Anaesthetists can make safer airway plans if they know which airway techniques worked previously and which ones did not. Anaesthetic charts do not always capture this information, however, and guidelines from the Australian and New Zealand College of Anaesthetists do not specify what details on airway management they should include. To assess how anaesthetic charts support airway documentation, we audited the airway management section of blank charts from 132 hospitals accredited for training by the Australian and New Zealand College of Anaesthetists. We evaluated charts for the presence of 17 clinically important data fields describing tracheal intubation, supraglottic airway use and bag-mask ventilation. Our audit revealed that data fields on anaesthetic charts focus more on tracheal intubation than bag-mask ventilation or supraglottic airway use. Nearly all charts (99%) had prompts for intubation and most had prompts for both operator technique and patient outcome. For supraglottic airway use, 95% of charts had at least one data field, but few had prompts for difficulty or outcome. For bag-mask ventilation, 58% of charts had a data field for difficulty but most of these were subjective; few (1.5%) included any outcome measures. Data fields describing bag-mask ventilation and supraglottic airway use were also inconsistent. In summary, data fields on Australian and New Zealand anaesthetic charts focus on tracheal intubation with consistent prompts for both operator method and outcome. The inclusion of fields for outcome and difficulty of bag-mask ventilation and supraglottic airway use could help clinicians make better records of airway management.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

What airway management information do anaesthetic charts prompt for? An audit of charts from 132 hospitals across Australia and New Zealand

Lim

Nielsen

Piekarski

et al. 2022

Anaesth Intensive Care

View full text Add to dashboard Cite

show abstract

“…it also showed that 28% of patients, despite observation of the preoperative fasting, arrive at the surgery with a high gastric volume, which is a risk for gastric content aspiration. 5 lung aspiration of gastric contents can cause various consequences, the nature and severity of which depend on the type of material aspirated and its quantity. large food fragments cause bronchial obstruction.…”

Section: Aspiration Of Gastric Content: Past Actuality Physiopatholog...mentioning

confidence: 99%

Rapid sequence induction of anesthesia: works in progress and steps forward with focus to oxygenation and monitoring techniques

DEL SANTO,

DI FILIPPO,

ROMAGNOLI

2024

Minerva Anestesiol

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The description of the main scientifically consolidated innovations in recent years on Rapid Sequence Induction have been the subject of this narrative review. Data sources were PubMed, eMBase, Web of science, the cochrane central register of controlled trials, and clinicatrials.gov, searched up to March 21 st , 2023; rapid sequence induction and anesthesia were used as key word for the research. In recent years at least three significant innovations which have improved the procedure: firstly the possibility of using drugs which rapidly reverse the action of the myorelaxants and which have made it possible to give up the use of succinylcholine, replaced by rocuronium; secondly, the possibility of using much more effective pre-oxygenation methods than in the past, also through apneic oxygenation techniques which allow longer apnea time, and finally new monitoring systems much more effective than pulse oximetry in identifying and predicting periprocedural hypoxemia and indicating the need for ventilation in patients at risk of hypoxemia and preventing it. the description of three main scientifically consolidated innovations in recent years, in pharmacology, oxygen method of administration and monitoring, have been the subject of this narrative review.

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Evaluation of adequacy of ventilation and gastric insufflation at three levels of inspiratory pressure for facemask ventilation during induction of anaesthesia: A randomised controlled trial

Gamal

Mostafa

Farrag

et al. 2022

Anaesthesia Critical Care & Pain Medicine

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Is It Time to Abandon Routine Mask Ventilation Before Intubation?

Cited by 4 publications

References 20 publications

What airway management information do anaesthetic charts prompt for? An audit of charts from 132 hospitals across Australia and New Zealand

What airway management information do anaesthetic charts prompt for? An audit of charts from 132 hospitals across Australia and New Zealand

Rapid sequence induction of anesthesia: works in progress and steps forward with focus to oxygenation and monitoring techniques

Evaluation of adequacy of ventilation and gastric insufflation at three levels of inspiratory pressure for facemask ventilation during induction of anaesthesia: A randomised controlled trial

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