A COMPARISON OF BAG MASK AND MOUTH MASK VENTILATION IN ANESTHETIZED PATIENTS

被引:8
作者
THOMAS, AN
OSULLIVAN, K
HYATT, J
BARKER, SJ
机构
[1] Department of Anaesthesiology, University of California Medical Centre Irvine, Orange, CA 92613
关键词
ARTIFICIAL RESPIRATION; MOUTH MASK VENTILATION; BAG VALVE MASK VENTILATION; RESUSCITATION;
D O I
10.1016/0300-9572(93)90158-M
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Anaesthetic residents used bag valve mask (BVM) or mouth mask (MM) ventilation, both with an 02 flow of 15 1 min-1 to ventilate 30 ASA I or II anaesthetised patients for 4 min prior to endotracheal intubation. Mean nasopharangeal 02 was higher with BVM (BVM 95% (S.D. 3%) MM 54% (S.D. 12%)). End tidal CO2 (ETCO2) was similar in both groups (ETCO2% at 4 min: BVM 4.65 (S.D. 0.84) MM 4.53 (S.D. 0.54)) but respiratory rate was faster with BVM (BVM 17 min-1 (S.D. 5) MM 12 min-1 (S.D. 4)). Peak (Paw) and mean (Paw)BAR airway pressures were higher with MM and MM produced significant expiratory pressure [cmH2O: BVM Paw 16.7 (S.D. 5.3) PawBAR 4.2 (S.D. 2.1) MM: Paw 20.9 (S.D. 5.2) PawBAR 7.8 (S.D. 2.1)) minimum expiratory pressure: MM 2.4 (S.D. 1.1) BVM 0.2 (S.D. 0.4). Gastric insufflation was detected in two MM and two BVM patients. This tended to be more severe with MM ventilation. Although MM ventilation has some important disadvantages it can be used effectively by resuscitators with little or no experience in its use.
引用
收藏
页码:13 / 21
页数:9
相关论文
共 11 条
[1]  
Lawrence, Sivaneswaren, Ventilation during cardiopulmonary resuscitation which method?, Med J Aust, pp. 443-446, (1985)
[2]  
Harrison, Maull, Keenan, Bogan, Mouth to mask ventilation: a superior method of rescue breathing, Ann Emerg Med, 11, pp. 74-76, (1982)
[3]  
Seidelin, Stolarek, Littlewood, Comparison of six methods of emergency ventilation, Lancet, 1, pp. 1274-1275, (1986)
[4]  
American Society of Anaesthesiologists, New classification of physical status, Anaesthesiology, 24, (1963)
[5]  
Mallampati, Gah, Gugino, Desai, Waraksa, Freiberger, Liv, A clinical sign to predict difficult tracheal intubation: a prospective study, Can J Anaesth, 32, pp. 429-434, (1985)
[6]  
Standards and guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiac care (ECC), J Am Med Assoc, 255, pp. 2841-3044, (1986)
[7]  
Grounds, Twigley, Carlif, Whitwam, Morgan, The haemodynamic effects of intravenous induction. Comparison of the effects of thiopentone and propofol, Anaesthesia, 40, pp. 735-740, (1985)
[8]  
Thomas, Chen, Hyatt, Barker, The Laerdal pocket mask: effect of supplemental oxygen flow, Anaesthesia, 47, pp. 967-971, (1992)
[9]  
Thomas, Bergesto, Hyatt, Barker, Mouth mask ventilation use of a Pall Ultipor breathing system filter and effect of mask design, BJA: British Journal of Anaesthesia, 69, pp. 527P-528P, (1992)
[10]  
Nikki, Tahvanainan, Rasanen, Makalainen, Ventilatory pattern in respiratory failure arising from acute myocardial infarction, Crit Care Med, 10, pp. 75-78, (1982)