EdenteV2, PascalFrancis, Curation, bibRecord, 000486

Face Mask Ventilation in Edentulous Patients: A Comparison of Mandibular Groove and Lower Lip Placement

Identifieur interne : 000486 ( PascalFrancis/Curation ); précédent : 000485; suivant : 000487

Face Mask Ventilation in Edentulous Patients: A Comparison of Mandibular Groove and Lower Lip Placement

Auteurs : Stéphane X. Racine [France] ; Audrey Solis [France] ; Nora Ait Hamou [France] ; Philippe Letoumelin [France] ; David L. Hepner [États-Unis] ; Sadek Beloucif [France] ; Christophe Baillard [France]

Source :

Anesthesiology : (Philadelphia) [ 0003-3022 ] ; 2010.

RBID : Pascal:10-0235038

Descripteurs français

Pascal (Inist)
- Masque, Homme, Etude comparative, Anesthésie.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Anesthesia, Comparative study, Human, Mask.

Abstract

Background: In edentulous patients, it may be difficult to perform face mask ventilation because of inadequate seal with air leaks. Our aim was to ascertain whether the "lower lip" face mask placement, as a new face mask ventilation method, is more effective at reducing air leaks than the standard face mask placement. Methods: Forty-nine edentulous patients with inadequate seal and air leak during two-hand positive-pressure ventilation using the ventilator circle system were prospectively evaluated. In the presence of air leaks, defined as a difference of at least 33% between inspired and expired tidal volumes, the mask was placed in a lower lip position by repositioning the caudal end of the mask above the lower lip while maintaining the head in extension. The results are expressed as mean ± SD or median (25th-75th percentiles). Results: Patient characteristics included age (71 ± 11 yr) and body mass index (24 ± 4 kg/m²). By using the standard method, the median inspired and expired tidal volumes were 450 ml (400-500 ml) and 0 ml (0-50 ml), respectively, and the median air leak was 400 ml (365-485 ml). After placing the mask in the lower lip position, the median expired tidal volume increased to 400 ml (380-490), and the median air leak decreased to 10 ml (0-20 ml) (P < 0.001 vs. standard method). The lower lip face mask placement with two hands reduced the air leak by 95% (80-100%). Conclusions: In edentulous patients with inadequate face mask ventilation, the lower lip face mask placement with two hands markedly reduced the air leak and improved ventilation.

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A08	`01`	`1`	`ENG`	`@1 Face Mask Ventilation in Edentulous Patients: A Comparison of Mandibular Groove and Lower Lip Placement`
A11	`01`	`1`		`@1 RACINE (Stéphane X.)`
A11	`02`	`1`		`@1 SOLIS (Audrey)`
A11	`03`	`1`		`@1 AIT HAMOU (Nora)`
A11	`04`	`1`		`@1 LETOUMELIN (Philippe)`
A11	`05`	`1`		`@1 HEPNER (David L.)`
A11	`06`	`1`		`@1 BELOUCIF (Sadek)`
A11	`07`	`1`		`@1 BAILLARD (Christophe)`
A14	`01`			`@1 Department of Anesthesiology and Critical Care Medicine, Paris 13 University-Assistance Publique-Hôpitaux de Paris @2 Bobigny @3 FRA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 6 aut. @Z 7 aut.`
A14	`02`			`@1 Public Health Unit, School of Medicine, Avicenne Hospital, Paris 13 University-Assistance Publique-Hôpitaux de Paris @2 Bobigny @3 FRA @Z 4 aut.`
A14	`03`			`@1 Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School @2 Boston, Massachusetts @3 USA @Z 5 aut.`
A20				`@1 1190-1193`
A21				`@1 2010`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 3042 @5 354000189732310200`
A44				`@0 0000 @1 © 2010 INIST-CNRS. All rights reserved.`
A45				`@0 15 ref.`
A47	`01`	`1`		`@0 10-0235038`
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A64	`01`	`1`		`@0 Anesthesiology : (Philadelphia)`
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C01	`01`		`ENG`	@0 Background: In edentulous patients, it may be difficult to perform face mask ventilation because of inadequate seal with air leaks. Our aim was to ascertain whether the "lower lip" face mask placement, as a new face mask ventilation method, is more effective at reducing air leaks than the standard face mask placement. Methods: Forty-nine edentulous patients with inadequate seal and air leak during two-hand positive-pressure ventilation using the ventilator circle system were prospectively evaluated. In the presence of air leaks, defined as a difference of at least 33% between inspired and expired tidal volumes, the mask was placed in a lower lip position by repositioning the caudal end of the mask above the lower lip while maintaining the head in extension. The results are expressed as mean ± SD or median (25th-75th percentiles). Results: Patient characteristics included age (71 ± 11 yr) and body mass index (24 ± 4 kg/m²). By using the standard method, the median inspired and expired tidal volumes were 450 ml (400-500 ml) and 0 ml (0-50 ml), respectively, and the median air leak was 400 ml (365-485 ml). After placing the mask in the lower lip position, the median expired tidal volume increased to 400 ml (380-490), and the median air leak decreased to 10 ml (0-20 ml) (P < 0.001 vs. standard method). The lower lip face mask placement with two hands reduced the air leak by 95% (80-100%). Conclusions: In edentulous patients with inadequate face mask ventilation, the lower lip face mask placement with two hands markedly reduced the air leak and improved ventilation.
C02	`01`	`X`		`@0 002B27A`
C03	`01`	`X`	`FRE`	`@0 Masque @5 09`
C03	`01`	`X`	`ENG`	`@0 Mask @5 09`
C03	`01`	`X`	`SPA`	`@0 Máscara @5 09`
C03	`02`	`X`	`FRE`	`@0 Homme @5 10`
C03	`02`	`X`	`ENG`	`@0 Human @5 10`
C03	`02`	`X`	`SPA`	`@0 Hombre @5 10`
C03	`03`	`X`	`FRE`	`@0 Etude comparative @5 11`
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C03	`03`	`X`	`SPA`	`@0 Estudio comparativo @5 11`
C03	`04`	`X`	`FRE`	`@0 Anesthésie @5 12`
C03	`04`	`X`	`ENG`	`@0 Anesthesia @5 12`
C03	`04`	`X`	`SPA`	`@0 Anestesia @5 12`
N21				`@1 158`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

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Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Face Mask Ventilation in Edentulous Patients: A Comparison of Mandibular Groove and Lower Lip Placement</title>
<author><name sortKey="Racine, Stephane X" sort="Racine, Stephane X" uniqKey="Racine S" first="Stéphane X." last="Racine">Stéphane X. Racine</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Anesthesiology and Critical Care Medicine, Paris 13 University-Assistance Publique-Hôpitaux de Paris</s1>
<s2>Bobigny</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
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<author><name sortKey="Solis, Audrey" sort="Solis, Audrey" uniqKey="Solis A" first="Audrey" last="Solis">Audrey Solis</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Anesthesiology and Critical Care Medicine, Paris 13 University-Assistance Publique-Hôpitaux de Paris</s1>
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<author><name sortKey="Ait Hamou, Nora" sort="Ait Hamou, Nora" uniqKey="Ait Hamou N" first="Nora" last="Ait Hamou">Nora Ait Hamou</name>
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<s3>FRA</s3>
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<sZ>7 aut.</sZ>
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<country>France</country>
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</author>
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<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Anesthesiology and Critical Care Medicine, Paris 13 University-Assistance Publique-Hôpitaux de Paris</s1>
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<front><div type="abstract" xml:lang="en">Background: In edentulous patients, it may be difficult to perform face mask ventilation because of inadequate seal with air leaks. Our aim was to ascertain whether the "lower lip" face mask placement, as a new face mask ventilation method, is more effective at reducing air leaks than the standard face mask placement. Methods: Forty-nine edentulous patients with inadequate seal and air leak during two-hand positive-pressure ventilation using the ventilator circle system were prospectively evaluated. In the presence of air leaks, defined as a difference of at least 33% between inspired and expired tidal volumes, the mask was placed in a lower lip position by repositioning the caudal end of the mask above the lower lip while maintaining the head in extension. The results are expressed as mean ± SD or median (25th-75th percentiles). Results: Patient characteristics included age (71 ± 11 yr) and body mass index (24 ± 4 kg/m<sup>2</sup>
). By using the standard method, the median inspired and expired tidal volumes were 450 ml (400-500 ml) and 0 ml (0-50 ml), respectively, and the median air leak was 400 ml (365-485 ml). After placing the mask in the lower lip position, the median expired tidal volume increased to 400 ml (380-490), and the median air leak decreased to 10 ml (0-20 ml) (P < 0.001 vs. standard method). The lower lip face mask placement with two hands reduced the air leak by 95% (80-100%). Conclusions: In edentulous patients with inadequate face mask ventilation, the lower lip face mask placement with two hands markedly reduced the air leak and improved ventilation.</div>
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<fA08 i1="01" i2="1" l="ENG"><s1>Face Mask Ventilation in Edentulous Patients: A Comparison of Mandibular Groove and Lower Lip Placement</s1>
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<fA11 i1="01" i2="1"><s1>RACINE (Stéphane X.)</s1>
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<fA11 i1="02" i2="1"><s1>SOLIS (Audrey)</s1>
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<fA11 i1="04" i2="1"><s1>LETOUMELIN (Philippe)</s1>
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<fA11 i1="05" i2="1"><s1>HEPNER (David L.)</s1>
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<fA11 i1="06" i2="1"><s1>BELOUCIF (Sadek)</s1>
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<fA11 i1="07" i2="1"><s1>BAILLARD (Christophe)</s1>
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<fA14 i1="01"><s1>Department of Anesthesiology and Critical Care Medicine, Paris 13 University-Assistance Publique-Hôpitaux de Paris</s1>
<s2>Bobigny</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>Public Health Unit, School of Medicine, Avicenne Hospital, Paris 13 University-Assistance Publique-Hôpitaux de Paris</s1>
<s2>Bobigny</s2>
<s3>FRA</s3>
<sZ>4 aut.</sZ>
</fA14>
<fA14 i1="03"><s1>Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School</s1>
<s2>Boston, Massachusetts</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
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<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>Background: In edentulous patients, it may be difficult to perform face mask ventilation because of inadequate seal with air leaks. Our aim was to ascertain whether the "lower lip" face mask placement, as a new face mask ventilation method, is more effective at reducing air leaks than the standard face mask placement. Methods: Forty-nine edentulous patients with inadequate seal and air leak during two-hand positive-pressure ventilation using the ventilator circle system were prospectively evaluated. In the presence of air leaks, defined as a difference of at least 33% between inspired and expired tidal volumes, the mask was placed in a lower lip position by repositioning the caudal end of the mask above the lower lip while maintaining the head in extension. The results are expressed as mean ± SD or median (25th-75th percentiles). Results: Patient characteristics included age (71 ± 11 yr) and body mass index (24 ± 4 kg/m<sup>2</sup>
). By using the standard method, the median inspired and expired tidal volumes were 450 ml (400-500 ml) and 0 ml (0-50 ml), respectively, and the median air leak was 400 ml (365-485 ml). After placing the mask in the lower lip position, the median expired tidal volume increased to 400 ml (380-490), and the median air leak decreased to 10 ml (0-20 ml) (P < 0.001 vs. standard method). The lower lip face mask placement with two hands reduced the air leak by 95% (80-100%). Conclusions: In edentulous patients with inadequate face mask ventilation, the lower lip face mask placement with two hands markedly reduced the air leak and improved ventilation.</s0>
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   |wiki=    Wicri/Santé
   |area=    EdenteV2
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   |type=    RBID
   |clé=     Pascal:10-0235038
   |texte=   Face Mask Ventilation in Edentulous Patients: A Comparison of Mandibular Groove and Lower Lip Placement
}}

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Face Mask Ventilation in Edentulous Patients: A Comparison of Mandibular Groove and Lower Lip Placement

Face Mask Ventilation in Edentulous Patients: A Comparison of Mandibular Groove and Lower Lip Placement

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