Bag-mask ventilation in rapid sequence induction

Brown, Jan; Werrett, G.

doi:10.1097/eja.0000000000000262

Cited by 19 publications

(10 citation statements)

References 6 publications

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“…The practice of providing FMV during RSII, termed as modified RSII, is being followed by several anesthesiologists, especially in situations enumerated above. [ 6 7 ]…”

Section: Discussionmentioning

confidence: 99%

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Assessment of effectiveness of cricoid pressure in preventing gastric insufflation during bag and mask ventilation: A randomized controlled trial

et al. 2018

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“…The practice of providing FMV during RSII, termed as modified RSII, is being followed by several anesthesiologists, especially in situations enumerated above. [ 6 7 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 2 4 5 ] Few surveys have shown that a significant number of anesthesiologists provide gentle FMV at some point of time during RSII; this is termed as “modified” RSII. [ 6 7 ]…”

Section: Introductionmentioning

confidence: 99%

Assessment of effectiveness of cricoid pressure in preventing gastric insufflation during bag and mask ventilation: A randomized controlled trial

et al. 2018

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“…Mask ventilation before laryngoscopy has generally been avoided during rapid sequence induction for fear of gastric insufflation and increasing the risk of regurgitation [ 104 ], but this should not occur with correctly applied cricoid pressure and using low peak ventilatory pressures [ 105 , 106 ]. Currently, gentle bag/facemask ventilation (maximal inflation pressure < 20 cmH 2 O) is recommended after administration of induction drugs during rapid sequence induction as it can reduce oxygen desaturation [ 104 ], and may allow an estimation of the likelihood of successful bag–facemask ventilation should it be required during prolonged or failed intubation attempts.…”

Section: The Oaa/das Obstetric Difficult and Failed Intubation Guidelmentioning

confidence: 99%

Obstetric Anaesthetists' Association and Difficult Airway Society guidelines for the management of difficult and failed tracheal intubation in obstetrics

et al. 2015

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The Obstetric Anaesthetists' Association and Difficult Airway Society have developed the first national obstetric guidelines for the safe management of difficult and failed tracheal intubation during general anaesthesia. They comprise four algorithms and two tables. A master algorithm provides an overview. Algorithm 1 gives a framework on how to optimise a safe general anaesthetic technique in the obstetric patient, and emphasises: planning and multidisciplinary communication; how to prevent the rapid oxygen desaturation seen in pregnant women by advocating nasal oxygenation and mask ventilation immediately after induction; limiting intubation attempts to two; and consideration of early release of cricoid pressure if difficulties are encountered. Algorithm 2 summarises the management after declaring failed tracheal intubation with clear decision points, and encourages early insertion of a (preferably second-generation) supraglottic airway device if appropriate. Algorithm 3 covers the management of the ‘can't intubate, can't oxygenate’ situation and emergency front-of-neck airway access, including the necessity for timely perimortem caesarean section if maternal oxygenation cannot be achieved. Table 1 gives a structure for assessing the individual factors relevant in the decision to awaken or proceed should intubation fail, which include: urgency related to maternal or fetal factors; seniority of the anaesthetist; obesity of the patient; surgical complexity; aspiration risk; potential difficulty with provision of alternative anaesthesia; and post-induction airway device and airway patency. This decision should be considered by the team in advance of performing a general anaesthetic to make a provisional plan should failed intubation occur. The table is also intended to be used as a teaching tool to facilitate discussion and learning regarding the complex nature of decision-making when faced with a failed intubation. Table 2 gives practical considerations of how to awaken or proceed with surgery. The background paper covers recommendations on drugs, new equipment, teaching and training.

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“…Face mask ventilation (FMV) is usually avoided before intubation because there is an increased risk of gastric insuf lation, but sometimes it leads to increased risk of patients undergoing hypoxemia if there is an intubation failure or patients suffering from conditions of low functional residual capacity like obesity or COPD (Hagberg and Artime, 2015;Clements et al, 2009;Brown and Werrett, 2009). Furthermore, high airway pressure during mask ventilation can lead to insuf lation of gas into the stomach causing gastric distension which in turn increases the risk of regurgitation and aspiration (Ruben et al, 1961).…”

Section: Introductionmentioning

confidence: 99%

Prospective randomized double blind study for determining the efficacy of Sellick’s maneuver for preventing gastric distension during mask ventilation

T¹,

Yachendra²

2020

ijrps

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Sellick’s maneuver is a technique in which pressure is applied over the cricoid cartilage to occlude the upper part of esophagus which passes behind it. It is used to prevent regurgitation of gastric and esophageal contents and gastric distension during intubation and mask ventilation. This research is conducted to determine the efficacy of Sellick's maneuver in preventing gastric distension during mask ventilation using ultrasound. Sixty patients posted for elective surgery were selected and randomly allocated to a group receiving Sellick's Maneuver (SM) or No Sellick's Maneuver (NSM). Patients of both groups had their gastric antral cross sectional area (CSA) measured using ultrasound before induction of anesthesia and after intubation and mask ventilation. The SM group was intubated after application of Sellick's maneuver. Gastric volume was then calculated from the gastric antral CSA. Changes in gastric volume among SM and NSM group were assessed to determine whether Sellick's maneuver is effective in preventing gastric distension. Changes in gastric antral CSA and gastric volume before anesthesia induction and post-intubation is lower in the SM group as compared to the NSM group. Sellick's Maneuver is effective in preventing gastric distension.

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Bag-mask ventilation in rapid sequence induction

Cited by 19 publications

References 6 publications

Assessment of effectiveness of cricoid pressure in preventing gastric insufflation during bag and mask ventilation: A randomized controlled trial

Assessment of effectiveness of cricoid pressure in preventing gastric insufflation during bag and mask ventilation: A randomized controlled trial

Obstetric Anaesthetists' Association and Difficult Airway Society guidelines for the management of difficult and failed tracheal intubation in obstetrics

Prospective randomized double blind study for determining the efficacy of Sellick’s maneuver for preventing gastric distension during mask ventilation

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