Efficacy of a new device to optimize positive pressure ventilation via face mask in edentulous patients: a randomized trial
| Autor: | Enrique Arango, Daniel Benitez, María Claudia Niño, Andres Pauwels, Fernando Raffan, David J. Romero |
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| Rok vydání: | 2017 |
| Předmět: |
Biomedical Engineering
Peak Expiratory Flow Rate Peak inspiratory pressure law.invention Positive-Pressure Respiration 03 medical and health sciences 0302 clinical medicine Randomized controlled trial 030202 anesthesiology law Tidal Volume Humans Jaw Edentulous Medicine Anesthesia New device Positive pressure ventilation Tidal volume business.industry Incidence (epidemiology) Masks General Medicine Ventilation (architecture) Surgery business Airway 030217 neurology & neurosurgery |
| Zdroj: | Expert Review of Medical Devices. 14:315-320 |
| ISSN: | 1745-2422 1743-4440 |
| DOI: | 10.1080/17434440.2017.1313702 |
| Popis: | Mask ventilation is routinely performed during anesthesia. Under some circumstances, it might be difficult to perform, such as in edentulous patients, due to inadequate mask seal. We developed a new device called NIPARA and studied its use For ventilation optimization in edentulous patients.This randomized controlled trial included edentulous adults who had no other predictors of difficult airway, scheduled to undergo general anesthesia. Patients were assigned either to the NIPARA device group or to the control group (oral airway only). The primary outcomes were peak inspiratory pressure and tidal volume values of the first 14 breaths. The secondary outcome was the incidence of complications.Data from 37 patients were collected during a one-year period (twenty in the NIPARA device group and 17 in the control group). The difference in mean PIP was not statistically significant. The tidal volume was 1.5 times greater in the NIPARA group than in the control group. One patient from the intervention group had minimal oral trauma.In the administration of face mask ventilation, NIPARA is an effective device that significantly improves the tidal volume administered in edentulous patients. |
| Databáze: | OpenAIRE |
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