2: Is it necessary to confirm mask ventilation before paralyzing?

2: Is it necessary to confirm mask ventilation before paralyzing?

We investigate the claim that mask ventilation should be "checked" or "confirmed" before administering paralytics.

My guest is Dr. Daniel Saddawi-Konefka, program director of the Anesthesia Residency Program at Massachusetts General Hospital.

Full show notes available at depthofanesthesia.com.

Connect with us @DepthAnesthesia on Twitter or depthofanesthesia@gmail.com.

Thanks for listening! Please rate us on iTunes and share with your colleagues.

Music by Stephen Campbell, MD.

--

References

Chingmuh Lee, Jonathan S. Jahr, Keith A. Candiotti, Brian Warriner, Mark H. Zornow, Mohamed Naguib; Reversal of Profound Neuromuscular Block by Sugammadex Administered Three Minutes after Rocuronium: A Comparison with Spontaneous Recovery from Succinylcholine. Anesthesiology 2009;110(5):1020-1025. doi: 10.1097/ALN.0b013e31819dabb0.

Drummond GB, Park GR. Arterial oxygen saturation before intubation of the trachea. An assessment of oxygenation techniques. Br J Anaesth 1984; 56:987.

Benjamin J. Dixon, John B. Dixon, Jennifer R. Carden, Anthony J. Burn, Linda M. Schachter, Julie M. Playfair, Cheryl P. Laurie, Paul E. O'Brien; Preoxygenation Is More Effective in the 25° Head-up Position Than in the Supine Position in Severely Obese Patients: A Randomized Controlled Study. Anesthesiology 2005;102(6):1110-1115.

Jense HG, Dubin SA, Silverstein PI, O'Leary-Escolas U. Effect of obesity on duration of apnea in anesthetized humans. Anesth Analg 1991; 72: 89–93.

Min, Se-Hee & Im, Hyunjae & Rim Kim, Bo & Yoon, Susie & Bahk, Jae-Hyon & Seo, Jeong-Hwa. (2019). Randomized Trial Comparing Early and Late Administration of Rocuronium Before and After Checking Mask Ventilation in Patients With Normal Airways. Anesthesia & Analgesia. 1. 10.1213/ANE.0000000000004060.

R. Sirian, Jonathan Wills, Physiology of apnoea and the benefits of preoxygenation, Continuing Education in Anaesthesia Critical Care & Pain, Volume 9, Issue 4, August 2009, Pages 105–108, https://doi.org/10.1093/bjaceaccp/mkp018

Roland Amathieu, Xavier Combes, Widad Abdi, Loutfi El Housseini, Ahmed Rezzoug, Andrei Dinca, Velislav Slavov, Sébastien Bloc, Gilles Dhonneur; An Algorithm for Difficult Airway Management, Modified for Modern Optical Devices (Airtraq Laryngoscope; LMA CTrach ™): A 2-Year Prospective Validation in Patients for Elective Abdominal, Gynecologic, and Thyroid Surgery. Anesthesiology 2011;114(1):25-33. doi: 10.1097/ALN.0b013e318201c44f.

Sachin Kheterpal, Richard Han, Kevin K. Tremper, Amy Shanks, Alan R. Tait, Michael O'Reilly, Thomas A. Ludwig; Incidence and Predictors of Difficult and Impossible Mask Ventilation. Anesthesiology 2006;105(5):885-891.

Sachdeva R Kannan TR Mendonca C Patteril M. Evaluation of changes in tidal volume during mask ventilation following administration of neuromuscular blocking drugs. Anaesthesia 2014; 69: 826–31

__

By listening to this podcast, you agree not to use information as medical advice to treat any medical condition in either yourself or others, including but not limited to patients that you are treating. Opinions expressed are solely those of the host and guests and do not express the views or opinions of Massachusetts General Hospital.

Episoder(41)

41: Do pulmonary artery catheters improve outcomes in cardiac surgery?

41: Do pulmonary artery catheters improve outcomes in cardiac surgery?

Dr. Taylor Thomas and Dr. Matt Vanneman join the podcast to discuss the evidence on whether pulmonary artery catheters improve outcomes in cardiac surgery. Dr. Thomas is a dual obstetric and adult car...

26 Okt 202532min

40: Are peripartum opioids safe for breastfeeding mothers?

40: Are peripartum opioids safe for breastfeeding mothers?

Dr. Gopika Hari and Dr. Lana Joudeh join the podcast to discuss the literature on the safety of peripartum opioid use and its implications for breastfeeding. Dr. Hari is an anesthesia resident in the ...

9 Apr 202541min

39: Should opioid-free anesthesia be implemented? A Pro-Con Debate.

39: Should opioid-free anesthesia be implemented? A Pro-Con Debate.

Dr. Mary Daniels and Dr. Scott Cao join the show to discuss the literature surrounding opioid-free versus opioid-based anesthesia and analgesia techniques. Dr. Scott Cao is currently serving as a chie...

10 Jan 202525min

38: Does remifentanil cause opioid-induced hyperalgesia?

38: Does remifentanil cause opioid-induced hyperalgesia?

Dr. Jess Hawkins joins the show to discuss the literature pertaining to remifentanil and opioid-induced hyperalgesia. Dr. Hawkins is an anesthesia resident at the Massachusetts General Hospital. This ...

23 Sep 202428min

37: Should intraoperative dexamethasone be avoided in patients with diabetes mellitus?

37: Should intraoperative dexamethasone be avoided in patients with diabetes mellitus?

Dr. Caroline Andrew and Dr. David Nathan join the show to discuss the literature pertaining to intraoperative administration of dexamethasone. Dr. Caroline Andrew is an anesthesia resident at the Mass...

1 Mai 202441min

36. Does tranexamic acid increase the risk of thromboembolism?

36. Does tranexamic acid increase the risk of thromboembolism?

Dr. Zach Cost and Dr. Tem Bendapudi join the show to discuss the literature pertaining to tranexamic acid and thromboembolic risk. Dr. Zach Cost is an anesthesia resident at the Massachusetts General ...

6 Des 20231h

35. Does spinal anesthesia decrease the risk of postoperative delirium?

35. Does spinal anesthesia decrease the risk of postoperative delirium?

Dr. Mark Neuman and Dr. Sam Falkson join the show to discuss the literature around risks of regional versus general anesthesia for postoperative delirium. Dr. Neuman is the founding Director of the Ce...

30 Jul 202358min

34. Are double lumen endotracheal tubes superior to bronchial blockers?

34. Are double lumen endotracheal tubes superior to bronchial blockers?

Dr. Nick Kumar and Dr. Andy Siemens from the Massachusetts General Hospital anesthesia residency join the show to discuss the literature comparing double lumen endotracheal tubes and bronchial blocker...

2 Apr 202346min

Populært innen Fakta

fastlegen
dine-penger-pengeradet
relasjonspodden-med-dora-thorhallsdottir-kjersti-idem
rss-strid-de-norske-borgerkrigene
mikkels-paskenotter
foreldreradet
rss-bisarr-historie
treningspodden
jakt-og-fiskepodden
sinnsyn
rss-kunsten-a-leve
hverdagspsyken
ukast
rss-sunn-okonomi
rss-bak-luftfarten
fryktlos
tomprat-med-gunnar-tjomlid
lederskap-nhhs-podkast-om-ledelse
gravid-uke-for-uke
hagespiren-podcast