Hook technique novel bag-mask ventilation technique good for prolonged use without fatigue
Iran: Bag-mask ventilation (BMV) is an important skill for the management of emergency airway situations and inducing general anaesthesia. Ensuring proficient execution of BMV is imperative for healthcare providers. There exist several techniques for performing BMV.
Hassan Soleimanpour, Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran, and colleagues aimed to compare the quality of ventilation achieved using the Thenar Eminence (T/E) technique, the E/C technique and a novel approach known as the hook technique that involves a chin lift manoeuvre while securely fitting the mask. Their goal was to identify the most effective single-person BMV method.
The study, published in BMC Anesthesiology, found that the hook method achieved a notably higher success rate in ventilation compared to the E/C and T/E methods. This implies that the hook method could serve as a novel BMV technique, particularly for resuscitation with small hands for prolonged use without finger discomfort and fatigue.
"The success rate of bag-mask ventilation by hook method in manikins was 93.7%," the researchers reported. "In the study on patients, the success rate of BMV by hook technique was 93.9 vs. 87.2% compared to the E/C technique."
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