Depth of Anesthesia

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


Listen Later

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 [email protected].

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.

...more
View all episodesView all episodes
Download on the App Store

Depth of AnesthesiaBy David Hao, MD

  • 4.9
  • 4.9
  • 4.9
  • 4.9
  • 4.9

4.9

275 ratings


More shows like Depth of Anesthesia

View all
OpenAnesthesia Multimedia by OpenAnesthesia, sponsored by the IARS

OpenAnesthesia Multimedia

83 Listeners

EMCrit FOAM Feed by Scott D. Weingart, MD FCCM

EMCrit FOAM Feed

1,864 Listeners

Freakonomics Radio by Freakonomics Radio + Stitcher

Freakonomics Radio

32,076 Listeners

Anesthesiology Journal's podcast by Anesthesiology, the journal of the American Society of Anesthesiologists

Anesthesiology Journal's podcast

47 Listeners

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast by Jed Wolpaw

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

1,446 Listeners

White Coat Investor Podcast by Dr. Jim Dahle of the White Coat Investor

White Coat Investor Podcast

2,420 Listeners

The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

3,322 Listeners

Anesthesia Learn On The Go by University of Kentucky Department of Anesthesiology

Anesthesia Learn On The Go

70 Listeners

BJA Education Podcasts by BJA Education

BJA Education Podcasts

7 Listeners

Critical Care Scenarios by Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

Critical Care Scenarios

248 Listeners

Money Meets Medicine by Doctor Podcast Network, Jimmy Turner MD

Money Meets Medicine

217 Listeners

Central Line by American Society of Anesthesiologists - a podcast series for the anesthesia community by American Society of Anesthesiologists

Central Line by American Society of Anesthesiologists - a podcast series for the anesthesia community

19 Listeners

Core Anesthesia by Tanner and Cole

Core Anesthesia

289 Listeners

Anesthesia Patient Safety Podcast by Anesthesia Patient Safety Foundation

Anesthesia Patient Safety Podcast

23 Listeners

Critical Care Time by Critical Care Time Podcast

Critical Care Time

216 Listeners