Evaluation of adequacy of ventilation and gastric insufflation at three levels of inspiratory pressure for facemask ventilation during induction of anaesthesia: A randomised controlled trial.
Facemask ventilation
Gastric insufflation
Paralysed patients
Ultrasonography
Journal
Anaesthesia, critical care & pain medicine
ISSN: 2352-5568
Titre abrégé: Anaesth Crit Care Pain Med
Pays: France
ID NLM: 101652401
Informations de publication
Date de publication:
10 2022
10 2022
Historique:
received:
29
03
2022
revised:
20
05
2022
accepted:
21
05
2022
pubmed:
29
7
2022
medline:
15
9
2022
entrez:
28
7
2022
Statut:
ppublish
Résumé
In this study, we aimed to compare three inspiratory pressures during facemask ventilation in paralysed patients regarding the subsequent incidence of gastric insufflation and the adequacy of lung ventilation. In this randomised controlled trial, we included adult patients undergoing elective surgery under general anaesthesia. The patients were randomly allocated to receive positive inspiratory pressure (PIP) of 10, 15, or 20 cmH We analysed data from 36 patients in each group. The number of patients with gastric insufflation was the lowest in the PIP 10 group (0/36 [0%]) in comparison with PIP 15 (2/36 [19%] and PIP 20 36/36 [100%] groups (P-values of 0.019 and < 0.001, respectively). The probability of adequate ventilation at any time point was the highest in PIP 10, followed by PIP 15, and was the lowest in the PIP 20 group. An inspiratory pressure of 10 cmH
Sections du résumé
BACKGROUND
In this study, we aimed to compare three inspiratory pressures during facemask ventilation in paralysed patients regarding the subsequent incidence of gastric insufflation and the adequacy of lung ventilation.
METHODS
In this randomised controlled trial, we included adult patients undergoing elective surgery under general anaesthesia. The patients were randomly allocated to receive positive inspiratory pressure (PIP) of 10, 15, or 20 cmH
RESULTS
We analysed data from 36 patients in each group. The number of patients with gastric insufflation was the lowest in the PIP 10 group (0/36 [0%]) in comparison with PIP 15 (2/36 [19%] and PIP 20 36/36 [100%] groups (P-values of 0.019 and < 0.001, respectively). The probability of adequate ventilation at any time point was the highest in PIP 10, followed by PIP 15, and was the lowest in the PIP 20 group.
CONCLUSION
An inspiratory pressure of 10 cmH
Identifiants
pubmed: 35901954
pii: S2352-5568(22)00113-8
doi: 10.1016/j.accpm.2022.101132
pii:
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
101132Informations de copyright
Copyright © 2022 Société française d'anesthésie et de réanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.