Novel Technique for Face Mask Ventilation
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- tidal volume
研究概览
简要总结
This study is being done to see if we can improve the way we manage patients' airways. In some instances patients who have a beard, who do not have teeth or have breathing problems during sleep present a challenge to the anesthesiologist. In such patients, it is sometimes difficult to provide air/oxygen for breathing using a mask. The study doctors would like to investigate a new method for holding a mask on the face of those patients. They are interested in comparing a new method against two older methods. They believe the new method will deliver a larger amount of air to the lungs. This information may help doctors provide better care for patients who have beards, no teeth, or breathing problems during sleep.
详细描述
Goal: To demonstrate that a modified submandibular hand position can overcome shortcomings to the traditional E-C mask grip during difficult bag mask ventilation by a single practitioner.
Introduction:
Mask Ventilation is a vital skill that needs to be mastered by virtually all medical personnel. Whether in an acute care setting or a remote field situation, caregivers well trained in mask ventilation have the capacity to save lives. Therefore, any advances in this technique will have widespread and profound impact on morbidity and mortality outcomes.
Traditionally there are two main styles of mask ventilation, one-handed and two handed mask grips. After the initiation of one-handed mask ventilation, if the provider experiences difficulty, a switch is made to a two-handed grip. The two-handed grip has the disadvantage of requiring a second caregiver to provide tidal volumes to the patient in distress.
The traditional one-handed grip is taught using the "E" and "C" method. The most usual reason for failure to ventilate with this method is air leak on the side opposite the stabilizing hand.
研究设计
- 研究类型
- Observational
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •undergoing general anesthesia
- •no longer have your own teeth
- •have a beard
- •have obstructive sleep apnea
- •ASA score of 1, 2,3
- •Mallampati I, II. II or IV -(nil per os) Nothing taken orally for 8 hours-
排除标准
- •Morbidly obese >45
- •Loose teeth
- •cervical neck instability
- •history of difficult airway
- •Pregnancy
结局指标
主要结局
tidal volume
时间窗: at induction
The primary aim of this study is to determine if using the novel one hand approach provides better ventilation as demonstrated by the tidal volumes.
次要结局
- ventilation technique(at induction)