Evaluation of efficacy of two bag-mask ventilation techniques by novice airway providers: Two-handed CE versus dominant-hand CE–non-dominant-hand thenar eminence techniques – A randomised controlled trial
Background and Aims: The conventional CE clamp technique may not effectively provide bag-mask ventilation (BMV) in the hands of inexperienced providers. Hence, we compared the efficacy of two-handed CE versus a hybrid technique. Methods: One hundred thirty-two American Society of Anesthesiologists (...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-11-01
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| Series: | Indian Journal of Anaesthesia |
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| Online Access: | https://journals.lww.com/10.4103/ija.ija_387_23 |
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| author | Neetu Saroye Gurpreeti Kaur Udeyana Singh Anju Grewal Akshita Khanna Rushal Nayyar |
| author_facet | Neetu Saroye Gurpreeti Kaur Udeyana Singh Anju Grewal Akshita Khanna Rushal Nayyar |
| author_sort | Neetu Saroye |
| collection | DOAJ |
| description | Background and Aims:
The conventional CE clamp technique may not effectively provide bag-mask ventilation (BMV) in the hands of inexperienced providers. Hence, we compared the efficacy of two-handed CE versus a hybrid technique.
Methods:
One hundred thirty-two American Society of Anesthesiologists (ASA) I–II adult patients were randomised into groups A and B. After induction of anaesthesia and neuromuscular blockade, Group A received BMV by using the double-handed CE technique. Group B received BMV by using dominant-hand CE and non-dominant-hand thenar eminence (TE) hybrid technique. The primary outcome was two minute (24 breaths) mean exhaled tidal volume. Secondary outcomes were the number of failed breaths and the comfortability level of airway providers using a 5-point Likert scale. Data were analysed using the Mann-Whitney U test, Student t-test, Chi-square test, and Fisher’s exact test.
Results:
The mean exhaled tidal volume and end-tidal carbon dioxide observed in Group A were significantly lower than in Group B (P = 0.001 and P = 0.001, respectively). The number of failed breaths and comfort level of both techniques were comparable in both groups (P = 0.310. and P = 0.584, respectively).
Conclusion:
The dominant-hand CE and non-dominant-hand TE techniques provide higher exhaled tidal volumes with comparable provider comfortability and may be considered an alternate BMV technique. |
| format | Article |
| id | doaj-art-863d1a64edda42249540c95b5f081dba |
| institution | Kabale University |
| issn | 0019-5049 0976-2817 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj-art-863d1a64edda42249540c95b5f081dba2025-01-24T15:13:46ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50490976-28172024-11-0168111010101510.4103/ija.ija_387_23Evaluation of efficacy of two bag-mask ventilation techniques by novice airway providers: Two-handed CE versus dominant-hand CE–non-dominant-hand thenar eminence techniques – A randomised controlled trialNeetu SaroyeGurpreeti KaurUdeyana SinghAnju GrewalAkshita KhannaRushal NayyarBackground and Aims: The conventional CE clamp technique may not effectively provide bag-mask ventilation (BMV) in the hands of inexperienced providers. Hence, we compared the efficacy of two-handed CE versus a hybrid technique. Methods: One hundred thirty-two American Society of Anesthesiologists (ASA) I–II adult patients were randomised into groups A and B. After induction of anaesthesia and neuromuscular blockade, Group A received BMV by using the double-handed CE technique. Group B received BMV by using dominant-hand CE and non-dominant-hand thenar eminence (TE) hybrid technique. The primary outcome was two minute (24 breaths) mean exhaled tidal volume. Secondary outcomes were the number of failed breaths and the comfortability level of airway providers using a 5-point Likert scale. Data were analysed using the Mann-Whitney U test, Student t-test, Chi-square test, and Fisher’s exact test. Results: The mean exhaled tidal volume and end-tidal carbon dioxide observed in Group A were significantly lower than in Group B (P = 0.001 and P = 0.001, respectively). The number of failed breaths and comfort level of both techniques were comparable in both groups (P = 0.310. and P = 0.584, respectively). Conclusion: The dominant-hand CE and non-dominant-hand TE techniques provide higher exhaled tidal volumes with comparable provider comfortability and may be considered an alternate BMV technique.https://journals.lww.com/10.4103/ija.ija_387_23bag-mask ventilationdouble-handed ce techniqueend-tidal carbon dioxideexhaled tidal volumehybrid bag-mask ventilation technique |
| spellingShingle | Neetu Saroye Gurpreeti Kaur Udeyana Singh Anju Grewal Akshita Khanna Rushal Nayyar Evaluation of efficacy of two bag-mask ventilation techniques by novice airway providers: Two-handed CE versus dominant-hand CE–non-dominant-hand thenar eminence techniques – A randomised controlled trial Indian Journal of Anaesthesia bag-mask ventilation double-handed ce technique end-tidal carbon dioxide exhaled tidal volume hybrid bag-mask ventilation technique |
| title | Evaluation of efficacy of two bag-mask ventilation techniques by novice airway providers: Two-handed CE versus dominant-hand CE–non-dominant-hand thenar eminence techniques – A randomised controlled trial |
| title_full | Evaluation of efficacy of two bag-mask ventilation techniques by novice airway providers: Two-handed CE versus dominant-hand CE–non-dominant-hand thenar eminence techniques – A randomised controlled trial |
| title_fullStr | Evaluation of efficacy of two bag-mask ventilation techniques by novice airway providers: Two-handed CE versus dominant-hand CE–non-dominant-hand thenar eminence techniques – A randomised controlled trial |
| title_full_unstemmed | Evaluation of efficacy of two bag-mask ventilation techniques by novice airway providers: Two-handed CE versus dominant-hand CE–non-dominant-hand thenar eminence techniques – A randomised controlled trial |
| title_short | Evaluation of efficacy of two bag-mask ventilation techniques by novice airway providers: Two-handed CE versus dominant-hand CE–non-dominant-hand thenar eminence techniques – A randomised controlled trial |
| title_sort | evaluation of efficacy of two bag mask ventilation techniques by novice airway providers two handed ce versus dominant hand ce non dominant hand thenar eminence techniques a randomised controlled trial |
| topic | bag-mask ventilation double-handed ce technique end-tidal carbon dioxide exhaled tidal volume hybrid bag-mask ventilation technique |
| url | https://journals.lww.com/10.4103/ija.ija_387_23 |
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