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.