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Comparison of three methods in improving bag mask ventilation.

Identifieur interne : 000A10 ( PubMed/Corpus ); précédent : 000A09; suivant : 000A11

Comparison of three methods in improving bag mask ventilation.

Auteurs : Samad Ej Golzari ; Hassan Soleimanpour ; Hamidreza Mehryar ; Shaker Salarilak ; Ata Mahmoodpoor ; Jafar Rahimi Panahi ; Mohammadreza Afhami ; Majid Sabahi ; Zahra Hassani

Source :

RBID : pubmed:24829737

Abstract

Increasedlife expectancy in populations has brought along specific new scenarios in the fields of medicine for the elderly; prevalence of physical complications such as edentulism and patients with dentures is growing. Management of anesthesia and ventilation in this group of patients has turned into a great challenge. Some researchers suggest dentures to be left in place during bag-mask ventilation; yet, no unanimous agreement exists in this regard.

PubMed: 24829737

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pubmed:24829737

Le document en format XML

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<title xml:lang="en">Comparison of three methods in improving bag mask ventilation.</title>
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<name sortKey="Golzari, Samad Ej" sort="Golzari, Samad Ej" uniqKey="Golzari S" first="Samad Ej" last="Golzari">Samad Ej Golzari</name>
<affiliation>
<nlm:affiliation>Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Soleimanpour, Hassan" sort="Soleimanpour, Hassan" uniqKey="Soleimanpour H" first="Hassan" last="Soleimanpour">Hassan Soleimanpour</name>
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<nlm:affiliation>Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.</nlm:affiliation>
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<name sortKey="Mehryar, Hamidreza" sort="Mehryar, Hamidreza" uniqKey="Mehryar H" first="Hamidreza" last="Mehryar">Hamidreza Mehryar</name>
<affiliation>
<nlm:affiliation>Department of Emergency Medicine, Urmia University of Medical Sciences, Urmia, Iran.</nlm:affiliation>
</affiliation>
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<name sortKey="Salarilak, Shaker" sort="Salarilak, Shaker" uniqKey="Salarilak S" first="Shaker" last="Salarilak">Shaker Salarilak</name>
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<nlm:affiliation>Department of Public Health, Faculty of Medicine, Tabriz Branch, Islamic Azad University, Tabriz, Iran.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Mahmoodpoor, Ata" sort="Mahmoodpoor, Ata" uniqKey="Mahmoodpoor A" first="Ata" last="Mahmoodpoor">Ata Mahmoodpoor</name>
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<nlm:affiliation>Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, I.R, Iran.</nlm:affiliation>
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<author>
<name sortKey="Panahi, Jafar Rahimi" sort="Panahi, Jafar Rahimi" uniqKey="Panahi J" first="Jafar Rahimi" last="Panahi">Jafar Rahimi Panahi</name>
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<nlm:affiliation>Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, I.R, Iran.</nlm:affiliation>
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<name sortKey="Afhami, Mohammadreza" sort="Afhami, Mohammadreza" uniqKey="Afhami M" first="Mohammadreza" last="Afhami">Mohammadreza Afhami</name>
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<nlm:affiliation>Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, I.R, Iran.</nlm:affiliation>
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<name sortKey="Sabahi, Majid" sort="Sabahi, Majid" uniqKey="Sabahi M" first="Majid" last="Sabahi">Majid Sabahi</name>
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<nlm:affiliation>Heart and Stroke Foundation of Canada, Tabriz University of Medical Sciences, Tabriz, Iran ; Sunny Brook Hospital, University of Toronto, Tabriz, Iran.</nlm:affiliation>
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<name sortKey="Hassani, Zahra" sort="Hassani, Zahra" uniqKey="Hassani Z" first="Zahra" last="Hassani">Zahra Hassani</name>
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<nlm:affiliation>Students' Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.</nlm:affiliation>
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<name sortKey="Soleimanpour, Hassan" sort="Soleimanpour, Hassan" uniqKey="Soleimanpour H" first="Hassan" last="Soleimanpour">Hassan Soleimanpour</name>
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<name sortKey="Mehryar, Hamidreza" sort="Mehryar, Hamidreza" uniqKey="Mehryar H" first="Hamidreza" last="Mehryar">Hamidreza Mehryar</name>
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<nlm:affiliation>Department of Emergency Medicine, Urmia University of Medical Sciences, Urmia, Iran.</nlm:affiliation>
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<name sortKey="Salarilak, Shaker" sort="Salarilak, Shaker" uniqKey="Salarilak S" first="Shaker" last="Salarilak">Shaker Salarilak</name>
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<nlm:affiliation>Department of Public Health, Faculty of Medicine, Tabriz Branch, Islamic Azad University, Tabriz, Iran.</nlm:affiliation>
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<name sortKey="Mahmoodpoor, Ata" sort="Mahmoodpoor, Ata" uniqKey="Mahmoodpoor A" first="Ata" last="Mahmoodpoor">Ata Mahmoodpoor</name>
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<nlm:affiliation>Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, I.R, Iran.</nlm:affiliation>
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<nlm:affiliation>Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, I.R, Iran.</nlm:affiliation>
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<name sortKey="Afhami, Mohammadreza" sort="Afhami, Mohammadreza" uniqKey="Afhami M" first="Mohammadreza" last="Afhami">Mohammadreza Afhami</name>
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<nlm:affiliation>Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, I.R, Iran.</nlm:affiliation>
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<name sortKey="Sabahi, Majid" sort="Sabahi, Majid" uniqKey="Sabahi M" first="Majid" last="Sabahi">Majid Sabahi</name>
<affiliation>
<nlm:affiliation>Heart and Stroke Foundation of Canada, Tabriz University of Medical Sciences, Tabriz, Iran ; Sunny Brook Hospital, University of Toronto, Tabriz, Iran.</nlm:affiliation>
</affiliation>
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<name sortKey="Hassani, Zahra" sort="Hassani, Zahra" uniqKey="Hassani Z" first="Zahra" last="Hassani">Zahra Hassani</name>
<affiliation>
<nlm:affiliation>Students' Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.</nlm:affiliation>
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<series>
<title level="j">International journal of preventive medicine</title>
<idno type="ISSN">2008-7802</idno>
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<date when="2014" type="published">2014</date>
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<div type="abstract" xml:lang="en">Increasedlife expectancy in populations has brought along specific new scenarios in the fields of medicine for the elderly; prevalence of physical complications such as edentulism and patients with dentures is growing. Management of anesthesia and ventilation in this group of patients has turned into a great challenge. Some researchers suggest dentures to be left in place during bag-mask ventilation; yet, no unanimous agreement exists in this regard.</div>
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<PMID Version="1">24829737</PMID>
<DateCompleted>
<Year>2014</Year>
<Month>05</Month>
<Day>15</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>02</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">2008-7802</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>5</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2014</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>International journal of preventive medicine</Title>
<ISOAbbreviation>Int J Prev Med</ISOAbbreviation>
</Journal>
<ArticleTitle>Comparison of three methods in improving bag mask ventilation.</ArticleTitle>
<Pagination>
<MedlinePgn>489-93</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Increasedlife expectancy in populations has brought along specific new scenarios in the fields of medicine for the elderly; prevalence of physical complications such as edentulism and patients with dentures is growing. Management of anesthesia and ventilation in this group of patients has turned into a great challenge. Some researchers suggest dentures to be left in place during bag-mask ventilation; yet, no unanimous agreement exists in this regard.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">In a single blind randomized clinical trial, we studied 300 patients with ASA class I, II (American Society of Anesthesiologists), Mallampati class (I, II) and aged over 55 years in three groups. After induction of anesthesia, in group G dentures were removed and in each buccal space an eight-layer 10 × 10 cm gauze and an oral airway were placed. In group D, the dentures and an oral airway were left in place. In group C (control), after removing dentures just an appropriate oral airway was placed. Then, each three group underwent bag-mask ventilation. Success of bag-mask ventilation (BMV) was considered as increase in end-tidal carbon dioxide to more than 20 mmHg and back to baseline with fresh gas flow of 3 L/min and adjustable pressure limiting valve pressure of 20 cm H2O. Success rates were evaluated between groups.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Effective BMV was possible in 91 (91%), 64 (64%) and 41 (41%) patients in groups G, D and C respectively. The differences were statistically significant. Successful BMV rate was significantly higher in female patients in group G compared to group C; 43/44 versus 25/46 individuals, P = 0.0001, odds ratio = 0.03, 95% confidence interval (0.00, 0.22).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Leaving dentures in place in edentulous patients after inducing anesthesia improves bag-mask ventilation. However, placing folded compressed gauze in buccal space leads to more significant improvement in BMV compared to leaving dentures in place.</AbstractText>
</Abstract>
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<Author ValidYN="Y">
<LastName>Golzari</LastName>
<ForeName>Samad Ej</ForeName>
<Initials>SE</Initials>
<AffiliationInfo>
<Affiliation>Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.</Affiliation>
</AffiliationInfo>
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<LastName>Soleimanpour</LastName>
<ForeName>Hassan</ForeName>
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<LastName>Mehryar</LastName>
<ForeName>Hamidreza</ForeName>
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<Affiliation>Department of Emergency Medicine, Urmia University of Medical Sciences, Urmia, Iran.</Affiliation>
</AffiliationInfo>
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<LastName>Salarilak</LastName>
<ForeName>Shaker</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Department of Public Health, Faculty of Medicine, Tabriz Branch, Islamic Azad University, Tabriz, Iran.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Mahmoodpoor</LastName>
<ForeName>Ata</ForeName>
<Initials>A</Initials>
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<Affiliation>Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, I.R, Iran.</Affiliation>
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<LastName>Panahi</LastName>
<ForeName>Jafar Rahimi</ForeName>
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<Affiliation>Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, I.R, Iran.</Affiliation>
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<LastName>Afhami</LastName>
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<Initials>M</Initials>
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<Affiliation>Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, I.R, Iran.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Sabahi</LastName>
<ForeName>Majid</ForeName>
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<AffiliationInfo>
<Affiliation>Heart and Stroke Foundation of Canada, Tabriz University of Medical Sciences, Tabriz, Iran ; Sunny Brook Hospital, University of Toronto, Tabriz, Iran.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Hassani</LastName>
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<Initials>Z</Initials>
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</AffiliationInfo>
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<Language>eng</Language>
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<Country>Iran</Country>
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<ISSNLinking>2008-7802</ISSNLinking>
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<CommentsCorrectionsList>
<CommentsCorrections RefType="Cites">
<RefSource>Int J Prev Med. 2013 Sep;4(9):1063-9</RefSource>
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<RefSource>Anesthesiology. 2001 Mar;94(3):545</RefSource>
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</CommentsCorrections>
</CommentsCorrectionsList>
<OtherID Source="NLM">PMC4018598</OtherID>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Bag-mask ventilation</Keyword>
<Keyword MajorTopicYN="N">dentures</Keyword>
<Keyword MajorTopicYN="N">edentulous patients</Keyword>
<Keyword MajorTopicYN="N">end-tidal carbon dioxide</Keyword>
<Keyword MajorTopicYN="N">folded gauze</Keyword>
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<Month>05</Month>
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<Year>2013</Year>
<Month>11</Month>
<Day>04</Day>
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<Year>2014</Year>
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