Recorded 19th Jun 2023
Full video livestream of all Airwaves Podcasts is available on the Safe Airway Society YouTube channel.
In this episode we go back to basics to discuss the what is arguably the most important and difficult upper airway technique to master - facemask ventilation.
Host Nicholas Chrimes is joined by Pierre Bradley & Joanna Simpson to discuss why facemask ventilation is important, how to optimise it, how to document it and much more.
Useful Resources:
Facemask Ventilation article by Pierre Bradley in BJA Education: https://www.bjaed.org/article/S2058-5349(21)00126-8/pdf
Facemask Optimisations from the Vortex Approach: http://vortexapproach.org/lifelines#fmv
ANZCA Airway Assessment document: https://libguides.anzca.edu.au/ld.php?content_id=48533093
Articles on test facemark ventilation before giving muscle relaxants:
- Evaluation of changes in tidal volume during mask ventilation following administration of neuromuscular blocking drugs https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.12677
- Could ‘safe practice’ be compromising safe practice? https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/j.1365-2044.2007.05429.x
- Face-mask ventilation: the neglected essentials? https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.14703
- Facemask ventilation before or after neuromuscular blocking drugs: where are we now? https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.12792
- Checking mask ventilation before neuromuscular block: A nation-wide survey of anaesthetists’ attitudes and thinking. https://onlinelibrary.wiley.com/doi/abs/10.1111/aas.13426
Difficult Airway Alert Form: https://www.safercare.vic.gov.au/sites/default/files/2023-02/Victorian%20difficult%20airway%20alert%20and%20support%20document.pdf
Grading systems for outcome of facemask ventilation:
- Concord Scale - capnography grading scale for objective description of mask ventilation: https://www.sciencedirect.com/science/article/pii/S0007091217372094?pes=vorhttps://www.sciencedirect.com/science/article/pii/S0007091217372094?pes=vor
- Han Scale: https://pubs.asahq.org/anesthesiology/article/101/1/267/8519/Grading-Scale-for-Mask-Ventilation
Join SAS: https://www.SafeAirwaySociety.org/join
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