دوشنبه 1 آبان 1396
به پورتال جامع کنگره ها - سمینارها و همایشهای دانشگاه علوم پزشکی تبریز خوش آمدید
   October 23, 2017
   
   
     
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عنوان Comparison of Four techniques on facility of Two-Hand Bag-Mask-Ventilation: E-C ،Thenar Eminence،Thenar Eminence (Dominent hand)-E-C(Non-Dominant hand) and Thenar Eminence (Non-Dominent hand) – E-C (Dominant hand)
نویسندگان Hassan Soleimanpour, Farzad Rahmani , Alireza Ala, Hamid Reza Morteza bagi , Ata Mahmoodpoor , Samad EJ Golzari, Fatemeh Zahmatyar, Robab Mehdizadeh Esfanjani, Maryam Soleimanpour
چکیده Introduction: Bag-valve-mask (BVM) ventilation is the first and important part of the airway management. Although, BMV seems to be easy to perform, its proper application could be challenging, especially with less experienced medical staff. In the most broadly used technique, E-C clamp technique, the applicant holds and fixed the mask on the face using one hand and ventilation is achieved through pressing the bag with the other hand. The aim of present study was to evaluate the quality of four different BVM ventilation techniques (E-C, Thenar Eminence, Thenar Eminence (Dominant hand)-E-C (Non dominant hand), and Thenar Eminence (Non dominant hand)-E-C (Dominant hand)) among two novice and experienced groups. Methods: In a case-control and mannequin based study that was conducted in Tabriz University of medical sciences, 120 volunteers were recruited and divided into two groups. 60 participants in experienced and other 60 as novice group who observed bag and mask ventilation but hadn’t practical experience about BMV. Every participant in both groups performed 4 bag - mask ventilation techniques under the supervision of an experienced assessor. Quality of mannequin chest expansion was recorded by two other experienced assessors who were blind to ventilation process. The data were analyzed with SPSS 17.0. Results: In novice group, when evaluating each technique performance, they did Thenar Eminence (non-dominant hand) - E-C (dominant hand) technique much better than the others (p<0.0001).But in the experienced group, there was no meaningful difference between the all four techniques (p=0.102) Conclusion: We finally concluded that experienced group performed all 4 techniques at the same level of proficiency and no statistical significant difference was observed between the techniques. All obtained results from experienced group were acceptable. On the contrary, novice group did Thenar eminence (non-dominant hand)-E-C (dominant hand) much better than the others. As Thenar Eminence (Non-dominant hand)/E-C (dominant hand) technique was performed with the highest efficacy in novice participants, this novel combined method is suggested to be used throughout the education of the less experienced medical staff.
لغات کلیدی Bag-mask ventilation, Airway management, Two hand bag-mask ventilation
 
     
     
 
 
     
     
 
 
     
     
 

برنامه اتوماسیون اداری
 
     
     
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