E-O technique is superior to E-C technique in manikins during single person bag mask ventilation performed by novices
| Autor: | Goneppanavar Umesh, Rohith Krishna, Thomas Joseph Tim, Shwethapriya R, Souvik Chaudhuri |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment India Health Informatics Thumb Critical Care and Intensive Care Medicine Manikins Laryngeal Masks Young Adult Double-Blind Method Task Performance and Analysis Intubation Intratracheal Medicine Single person Intubation Humans Cross over Bag mask ventilation business.industry Index finger Middle Aged Respiration Artificial Chin Cardiopulmonary Resuscitation Surgery Chest expansion Anesthesiology and Pain Medicine medicine.anatomical_structure Treatment Outcome Physical therapy Female Clinical Competence business |
| Zdroj: | Journal of clinical monitoring and computing. 28(3) |
| ISSN: | 1573-2614 |
| Popis: | Conventional E-C technique of mask holding is unreliable during single person bag mask ventilation (BMV) due mainly to leak around the mask and inexperience of the persons. In this manikin study, conventional E-C technique was compared with E-O technique during single person BMV both with experienced (n = 50) and novice (n = 50) volunteers. The E-O technique involved encircling the mask neck with the web between thumb and index finger while the other digits provided chin lift. Two independent observers recorded the chest expansion as 1 (nil), 2 (minimal), 3 (moderate) and 4 (good). For analysis ideal and average chest expansion were clubbed as acceptable. E-C technique in experienced volunteers showed acceptable results in 49 (31 + 18) occasions, while with novices acceptable is 39 (17 + 22). With E-O technique, expansion was acceptable in 47 (38 + 9) experienced volunteers, and acceptable in 46 (32 + 14) novices. (P = 0.003). In cross over analysis for experienced volunteers, similar chest expansion was obtained on 30 occasions with both techniques, E-C better than E-O on 8 and E-O better than E-C on 12 occasions. Novices had comparable results on 17 occasions, E-C better than E-O on 8 and E-O better than E-C on 25 occasions (P = 0.016). The conventionally taught E-C technique of single person BMV provides acceptable chest expansion on most occasions with experienced operators than novices. Novices should use E-O technique as the first choice for single person BMV. Both techniques may be used interchangeably when one fails. |
| Databáze: | OpenAIRE |
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