Gender difference in mask ventilation training of anesthesia residents.

Abstract:

STUDY OBJECTIVE:To investigate whether gender difference has an effect on an anesthesia resident's ability to perform successful mask ventilation. DESIGN:Cohort study. SETTING:Surgical operation theater of a university-affiliated hospital. PATIENTS:839 ASA physical status I, II, and III patients undergoing general anesthesia performed by residents. INTERVENTION:Mask ventilation was performed by 21 different anesthesia residents. MEASUREMENTS:Difficult mask ventilation was defined as the inability of an unassisted resident to maintain oxygen saturation, significant gas flow leakage beneath the face mask, need to increase gas flow, no perceptible chest movement, assistance required using a two-handed mask ventilation technique, or use of the oxygen flush valve more than twice. MAIN RESULTS:Instances of difficult mask ventilation were observed in 210 patients (25.0%), though all were adequately ventilated with a face mask. Difficult mask ventilation was observed significantly more often with female (29.8%) than male (20.0%) residents. Residents' gender was shown to be an independent risk factor for difficult mask ventilation. CONCLUSIONS:Gender difference has an effect on the mask ventilation learning process, as it was more difficult for female residents to provide a tight air seal in the early stage of training.

journal_name

J Clin Anesth

authors

Koga T,Kawamoto M

doi

10.1016/j.jclinane.2008.06.037

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

178-82

issue

3

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(09)00075-0

journal_volume

21

pub_type

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