Manual vs pressure-controlled facemask ventilation during the induction of general anesthesia in children: A prospective randomized controlled study
| Autor: | Jin-Tae Kim, Hee-Soo Kim, H. C. Jung, In Kyung Song, Young Eun Jang, Ji Hyun Lee, Eun Hee Kim |
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| Rok vydání: | 2018 |
| Předmět: |
Gastric Dilatation
Stomach Diseases Anesthesia General Laryngeal Masks law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial 030202 anesthesiology law 030225 pediatrics medicine Tidal Volume Humans Prospective Studies Intraoperative Complications Tidal volume Ultrasonography medicine.diagnostic_test business.industry Stomach Infant Insufflation Auscultation Respiration Artificial Confidence interval Hypoventilation Anesthesiology and Pain Medicine Anesthesia Child Preschool Pediatrics Perinatology and Child Health Ventilation (architecture) medicine.symptom Airway business |
| Zdroj: | Paediatric anaesthesia. 29(4) |
| ISSN: | 1460-9592 |
| Popis: | BACKGROUND Gastric insufflation frequently occurs during facemask ventilation in children. In the present study, we compared the incidence of gastric insufflation between pressure-controlled facemask ventilation and manual facemask ventilation during general anesthesia induction in children. METHODS Children in the pressure-controlled ventilation group (n = 76) received pressure-controlled facemask ventilation at an inspiratory pressure of 13 cm H2 O. In the manual ventilation group (n = 75), facemask ventilation was manually performed by anesthesiologists, who tried to maintain an inspiratory pressure of 13 cm H2 O. The adjustable pressure limiting valve was set at 13 cm H2 O. The incidence of gastric insufflation during 90 seconds after the initiation of ventilation was assessed using epigastric auscultation and gastric ultrasonography. RESULTS The incidence of gastric insufflation was significantly higher in the manual facemask ventilation group than in the pressure-controlled ventilation group (48% vs 12%, respectively; odds ratio 7.78, 95% confidence interval [CI] 3.38-17.9; P |
| Databáze: | OpenAIRE |
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