Comparison of modified chin lift technique with EC technique for mask ventilation in adult apneic patients
Identifieur interne : 000962 ( Main/Exploration ); précédent : 000961; suivant : 000963Comparison of modified chin lift technique with EC technique for mask ventilation in adult apneic patients
Auteurs : Geetha C. Rajappa [Inde] ; Leena Harshad Parate [Inde] ; C. A. Tejesh [Inde] ; P. T. Prathima [Inde]Source :
- Anesthesia, Essays and Researches [ 0259-1162 ] ; 2016.
Abstract
Mask ventilation (MV) is an essential basic life support skill. We used chin lift maneuver for MV and named as modified chin lift technique (MCL). EC technique is most common technique used for MV.
The aim of this study is to compare the efficacy of both techniques for MV in term of expired tidal volume (TV). Secondarily, we also assessed the effect of experience on the performance of these both techniques.
The study area was operation theater of our hospital. This was a prospective, randomized, crossover study.
A total 108 adults undergoing elective surgery under general anesthesia were recruited. In all patients, operators (novice/anesthesiologist) randomly performed both techniques either to start with EC or MCL technique. Expired TV was measured for one minute for each technique.
Paired
The mean TV was significantly higher in MCL group than EC group (528.08 [104.96] ml vs. 483.39 [103] ml;
CTRI/2016/04/006874.
Url:
DOI: 10.4103/0259-1162.191111
PubMed: 27746566
PubMed Central: 5062193
Affiliations:
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Ramaiah Medical College, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesia, M. S. Ramaiah Medical College, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Tejesh, C A" sort="Tejesh, C A" uniqKey="Tejesh C" first="C. A." last="Tejesh">C. A. Tejesh</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesia, M. S. Ramaiah Medical College, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesia, M. S. Ramaiah Medical College, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Prathima, P T" sort="Prathima, P T" uniqKey="Prathima P" first="P. T." last="Prathima">P. T. Prathima</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesia, M. S. Ramaiah Medical College, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesia, M. S. 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Rajappa</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesia, M. S. Ramaiah Medical College, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesia, M. S. Ramaiah Medical College, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Parate, Leena Harshad" sort="Parate, Leena Harshad" uniqKey="Parate L" first="Leena Harshad" last="Parate">Leena Harshad Parate</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesia, M. S. Ramaiah Medical College, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesia, M. S. Ramaiah Medical College, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Tejesh, C A" sort="Tejesh, C A" uniqKey="Tejesh C" first="C. A." last="Tejesh">C. A. Tejesh</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesia, M. S. Ramaiah Medical College, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesia, M. S. Ramaiah Medical College, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Prathima, P T" sort="Prathima, P T" uniqKey="Prathima P" first="P. T." last="Prathima">P. T. Prathima</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesia, M. S. Ramaiah Medical College, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesia, M. S. Ramaiah Medical College, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author></analytic><series><title level="j">Anesthesia, Essays and Researches</title><idno type="ISSN">0259-1162</idno><idno type="eISSN">2229-7685</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>Mask ventilation (MV) is an essential basic life support skill. We used chin lift maneuver for MV and named as modified chin lift technique (MCL). EC technique is most common technique used for MV.</p></sec><sec id="st2"><title>Aims:</title><p>The aim of this study is to compare the efficacy of both techniques for MV in term of expired tidal volume (TV). Secondarily, we also assessed the effect of experience on the performance of these both techniques.</p></sec><sec id="st3"><title>Settings and Design:</title><p>The study area was operation theater of our hospital. This was a prospective, randomized, crossover study.</p></sec><sec id="st4"><title>Methods:</title><p>A total 108 adults undergoing elective surgery under general anesthesia were recruited. In all patients, operators (novice/anesthesiologist) randomly performed both techniques either to start with EC or MCL technique. Expired TV was measured for one minute for each technique.</p></sec><sec id="st5"><title>Statistical Analysis:</title><p>Paired <italic>t</italic>-test was used to compare TV.</p></sec><sec id="st6"><title>Results and Conclusion:</title><p>The mean TV was significantly higher in MCL group than EC group (528.08 [104.96] ml vs. 483.39 [103] ml; <italic>P</italic> < 0.001). The novice (521.89 [117.9] ml vs. 478.70 [130.29] ml; <italic>P</italic> < 0.001) as well as anesthesiologists (534.27 [110.85] ml vs. 488.08 [111.6] ml; <italic>P</italic> < 0.001) was able to generate significantly more TV with MCL technique than EC technique. The TV did not differ significantly between novice and anesthesiologist for EC technique (<italic>P</italic> = 0.474) or MCL technique (<italic>P</italic> = 0.187). Novices as well as anesthesiologist felt MCL technique more satisfactory (70%).</p></sec><sec id="st7"><title>Clinical Trial Registration:</title><p>CTRI/2016/04/006874.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kleinman, Me" uniqKey="Kleinman M">ME Kleinman</name></author><author><name sortKey="Brennan, Ee" uniqKey="Brennan E">EE Brennan</name></author><author><name sortKey="Goldberger, Zd" uniqKey="Goldberger Z">ZD Goldberger</name></author><author><name sortKey="Swor, Ra" uniqKey="Swor R">RA Swor</name></author><author><name sortKey="Terry, M" uniqKey="Terry M">M Terry</name></author><author><name sortKey="Bobrow, Bj" uniqKey="Bobrow B">BJ Bobrow</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Matioc, Aa" uniqKey="Matioc A">AA Matioc</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Joffe, Am" uniqKey="Joffe A">AM 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Rajappa</name></noRegion><name sortKey="Parate, Leena Harshad" sort="Parate, Leena Harshad" uniqKey="Parate L" first="Leena Harshad" last="Parate">Leena Harshad Parate</name><name sortKey="Prathima, P T" sort="Prathima, P T" uniqKey="Prathima P" first="P. T." last="Prathima">P. T. Prathima</name><name sortKey="Tejesh, C A" sort="Tejesh, C A" uniqKey="Tejesh C" first="C. A." last="Tejesh">C. A. Tejesh</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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