Head position angles to open the upper airway differ less with the head positioned on a support - 08/12/12
, Peter Paal, MD a, Lukas Kuehnelt-Leddhin, MD a, Alexander M. Strasak, PhD b, Günther Putz, MD a, Nikolaus Gravenstein, MD c, Achim von Goedecke, MD, MSc d, Volker Wenzel, MD, MSc aAbstract |
Introduction |
The aim of the study was to assess the effects of positioning the head on a support on “head position angles” to optimally open the upper airway during bag-valve mask ventilation.
Methods |
We ventilated the lungs of anesthetized adults with a bag-valve mask and the head positioned with (n = 30) or without a support (n = 30). In both groups, head position angles and ventilation parameters were measured with the head positioned in (1) neutral position, (2) in a position deemed optimal for ventilation by the investigator, and (3) in maximal extension.
Results |
Between groups (“head with/without a support”) and between head positions within each group, head position angles and ventilation parameters differed (P < .0001, respectively). However, head position angles and ventilation parameters between head positions differed less “with a support” (P < .001), and ventilation parameters improved with a support compared with the head-without-a-support group (P < .001).
Conclusions |
In the head-with-a-support group, when compared with the head-without-a-support group, head position angles differed less, indicating a decreased potential for failure during bag-valve mask ventilation with the head on a support. Moreover, in the head-with-a-support group, ventilation parameters differed less between head positions, and ventilation improved. These findings suggest a potential benefit of positioning the head on a support during bag-valve mask ventilation.
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| ☆ | This study is registered in ClinicalTrials.gov NCT00869648. |
| ☆☆ | Competing interest statement: No author has any financial or personal relationships with other people or organizations that could inappropriately influence this work. |
Vol 31 - N° 1
P. 80-85 - gennaio 2013 Ritorno al numero
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