Peak airway pressure is lower during pressure-controlled than during manual facemask ventilation for induction of anesthesia in pediatric patients-a randomized, clinical crossover trial.

Abstract:

PURPOSE:Facemask ventilation during the induction of general anesthesia in paediatric patients remains a challenge as it may result in hypoxic conditions and gastric insufflation with subsequent regurgitation and aspiration. So far, it is unclear if pressure-controlled or manual facemask ventilation is preferable in children. We hypothesized that pressure-controlled ventilation in apnoeic children results in lower peak airway pressure and flow rates compared to manual ventilation at comparable respiratory rates and tidal volumes. METHODS:Sixty-two lung-healthy children undergoing scheduled ear-nose-throat surgery were included in the study. After the induction of anesthesia, the patient's lungs were consecutively ventilated via a facemask in either manual or pressure-controlled mode, in randomized order. The primary outcome measure was peak airway pressure. Secondary outcome measures included positive end-expiratory pressure, airway compliance, tidal volume and airway flow. RESULTS:Data of 52 patients could be analyzed. Pressure-controlled ventilation resulted in a lower mean and peak inspiratory pressure (both p < 0.001), airway pressure amplitude (p = 0.01) and inspiratory peak flow rate (p = 0.005) compared to manual ventilation. The ratio of inspiration to expiration time was lower in pressure-controlled ventilation compared to manual ventilation (p < 0.001). CONCLUSION:Pressure-controlled facemask ventilation during induction of anesthesia in pediatric patients results in lower airway pressure, and lower flow rates compared to manual ventilation, at comparable tidal and minute volumes.

journal_name

J Anesth

journal_title

Journal of anesthesia

authors

Goebel U,Schumann S,Wirth S

doi

10.1007/s00540-018-2580-y

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

33-39

issue

1

eissn

0913-8668

issn

1438-8359

pii

10.1007/s00540-018-2580-y

journal_volume

33

pub_type

杂志文章,随机对照试验
  • A short period of fasting before surgery conserves basal metabolism and suppresses catabolism according to indirect calorimetry performed under general anesthesia.

    abstract::It is recommended that the period of fasting before elective surgery should be shortened to facilitate a rapid recovery by preventing catabolism. We examined the effects of a short period of fasting on metabolism by performing indirect calorimetry (IC) under general anesthesia. A prospective observational study involv...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-014-1950-3

    authors: Yoshimura S,Fujita Y,Hirate H,Kusama N,Azami T,Sobue K

    更新日期:2015-06-01 00:00:00

  • Tsunami lung.

    abstract::We encountered three cases of lung disorders caused by drowning in the recent large tsunami that struck following the Great East Japan Earthquake. All three were females, and two of them were old elderly. All segments of both lungs were involved in all the three patients, necessitating ICU admission and endotracheal i...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-011-1273-6

    authors: Inoue Y,Fujino Y,Onodera M,Kikuchi S,Shozushima T,Ogino N,Mori K,Oikawa H,Koeda Y,Ueda H,Takahashi T,Terui K,Nakadate T,Aoki H,Endo S

    更新日期:2012-04-01 00:00:00

  • A novel method for SLIPA™ size selection, for adult patients, on the basis of chamber length.

    abstract:PURPOSE:Nowadays the size of the streamlined liner of the pharynx airway (SLIPA™) is selected by matching the width of the thyroid cartilage of the patient to the widest dimension of the SLIPA™. The objective of this work was to improve the method of selection by matching the distance between the otobasion inferius and...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-013-1571-2

    authors: Li Y,Xie Y,Wei X

    更新日期:2013-08-01 00:00:00

  • Chronic hyperglycemia with elevated glycated hemoglobin level and its association with postoperative acute kidney injury after a major laparoscopic abdominal surgery in diabetes patients.

    abstract:BACKGROUND:The relationship between preoperative hyperglycemia and postoperative acute kidney injury (AKI) occurrence in non-cardiac surgery including laparoscopic surgery remains unclear. This study aimed to assess the relationship between preoperative chronic hyperglycemia and postoperative AKI occurrence after a maj...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-018-2551-3

    authors: Oh TK,Han S,Oh AY,Kim S,Ryu JH

    更新日期:2018-10-01 00:00:00

  • Cervical spinal cord compression after thyroidectomy under general anesthesia.

    abstract::Cervical spinal cord injury is a rare but serious complication after general anesthesia. The risk factors include traumatic cervical injury, cervical spine instability, and difficult airway management. It has also occurred in the absence of cervical instability. Here we report a patient who had a history of intermitte...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-013-1667-8

    authors: Yao W,Qiu J,Zhou Z,Zhang L,Zhang C

    更新日期:2014-02-01 00:00:00

  • Outcomes of physician patients after non-cardiac surgery: a registry analysis.

    abstract:OBJECTIVES:When physicians become patients, they may expect special privileges, extra attention from caregivers, and non-routine treatments. Consequently, physician patients may not be treated per routine-which possibly worsens care rather than improving it. We thus tested the primary hypothesis that in-hospital mortal...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-016-2273-3

    authors: Panjasawatwong K,Lin P,Karimi N,You J,Sessler DI

    更新日期:2017-02-01 00:00:00

  • Comparison of the effects of sevoflurane and isoflurane anesthesia on the maternal-fetal unit in sheep.

    abstract:PURPOSE:The aim of this study was to determine the hemodynamic and blood gas effects of inhalational anesthetics on the maternal-fetal sheep unit. The principal hypothesis, tested in chronically instrumented near-term pregnant ewes, was that sevoflurane anesthesia may be safe and useful for the mother and fetus during ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-009-0763-2

    authors: Okutomi T,Whittington RA,Stein DJ,Morishima HO

    更新日期:2009-01-01 00:00:00

  • Effectiveness of preanesthetic administration of gabapentin on sedative action during intravenous sedation with propofol.

    abstract:PURPOSE:There are no sufficient evidences for the sedative effect of gabapentin during anesthesia, especially intravenous sedation (IVS). The purpose of this study was to evaluate the sedative effect of gabapentin as preanesthetic medication during the IVS with propofol. METHODS:10 volunteer subjects joined this study...

    journal_title:Journal of anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00540-018-2559-8

    authors: Hosokawa R,Ito S,Hirokawa J,Oshima Y,Yokoyama T

    更新日期:2018-12-01 00:00:00

  • Prophylactic sivelestat for esophagectomy and in-hospital mortality: a propensity score-matched analysis of claims database.

    abstract:PURPOSE:Transthoracic esophagectomy is an invasive surgery, and the excessive surgical stress produces inflammatory cytokines, which provoke acute respiratory distress syndrome (ARDS). Sivelestat sodium hydrate-a selective neutrophil elastase inhibitor-is used to treat or prevent ARDS in patients undergoing esophagecto...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-018-2602-9

    authors: Takeda C,Takeuchi M,Kawasaki Y,Yonekura H,Nahara I,Kuwauchi A,Yoshida S,Tanaka S,Kawakami K

    更新日期:2019-04-01 00:00:00

  • Right ventricular performance during hypotension induced by prostaglandin E1, nicardipine HCl, glycerine trinitrate, and isosorbide dinitrate.

    abstract::This study investigated right ventricular (RV) performance during hypotensive anesthesia and compared the effect of the vasodilators prostaglandin E1 (PGE1), nicardipine HCl (Nic), glycerin trinitrate (GTN), and isosorbide dinitrate (ISDN) on RV function. Fifty patients were allocated into four groups [PGE1 (n=20), Ni...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/BF02480070

    authors: Watoh Y,Tanaka A

    更新日期:1997-06-01 00:00:00

  • A survey of anesthetic preference and preoperative anxiety in hip and knee arthroplasty patients: the utility of the outpatient preoperative anesthesia appointment.

    abstract:PURPOSE:The general public's perceptions of anesthesia and the risks associated with it may be skewed. The outpatient preoperative appointment with an anesthesiologist allows for patient education regarding different anesthetic options and counseling regarding anxiety related to anesthesia and surgery. This study inves...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-018-02608-y

    authors: Raghavan G,Shyam V,Murdoch JAC

    更新日期:2019-04-01 00:00:00

  • Enzyme inhibition by analgesic and hypnotic agents on anaerobic dehalogenation of halothane.

    abstract::Enzyme inhibition on anaerobic dehalogenation of halothane by various analgesic or hypnotic agents was investigated in vitro using rat liver microsomal fraction. The production rate of chloro-difluoro-ethylene (CDE) and chloro-trifluoro-ethane (CTE), anaerobic metabolites of halothane, was measured when various concen...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054010050331

    authors: Yamanoue T,Kikuchi H,Fujii K,Yuge O,Kawahara M,Morio M

    更新日期:1991-10-01 00:00:00

  • Venodilator effects of adenosine triphosphate and sodium nitroprusside; comparisons during controlled hypotension.

    abstract::Adenosine triphosphate as well as sodium nitroprusside has been used for hypotensive anesthesia. The purpose of this study was to examine the possibility that two hypotensive drugs may exert different effects on venous capacitance during controlled hypotension. In rats anesthetized with ketamine, mean arterial pressur...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054070010143

    authors: Hoka S,Takeshita A,Aishima K,Higashi H,Takahashi S,Yoshitake J

    更新日期:1987-09-01 00:00:00

  • Postoperative cognitive dysfunction after noncardiac surgery: effects of metabolic syndrome.

    abstract:PURPOSE:Vascular risk factors, including metabolic syndrome, are known to contribute to the development of cognitive dysfunction. We tested the hypothesis that patients with metabolic syndrome are more likely to develop cognitive dysfunction after noncardiac surgery. METHODS:Age- and education-balanced patients (n = 6...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-011-1137-0

    authors: Hudetz JA,Patterson KM,Amole O,Riley AV,Pagel PS

    更新日期:2011-06-01 00:00:00

  • Local cortical cerebral blood flow and response to carbon dioxide during anesthesia in patients with moyamoya disease.

    abstract:PURPOSE:The CO(2) reactivity of cortical cerebral vessels and local cortical blood flow (l-CoBF) were evaluated during anesthesia in patients with moyamoya disease who were undergoing revascularization surgery. METHODS:Using laser-Doppler flowmetry, the CO(2) reactivity of cortical cerebral vessels and l-CoBF were mea...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s005400050043

    authors: Yusa T,Yamashiro K

    更新日期:1999-01-01 00:00:00

  • Risk and protective factors for chronic pain following inguinal hernia repair: a retrospective study.

    abstract:PURPOSE:A large proportion of patients experience chronic post-surgical pain (CPSP) following inguinal hernia repair surgery. The aim of this study was to investigate the predictive risk factors and protective factors for CPSP following inguinal hernia surgery. METHODS:After institutional ethics approval was obtained,...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-020-02743-5

    authors: Liu Y,Zhou M,Zhu X,Gu X,Ma Z,Zhang W

    更新日期:2020-06-01 00:00:00

  • Effects of traditional "Juci" (contralateral acupuncture) on orofacial nociceptive behavior in the rat.

    abstract:PURPOSE:"Juci", one of the traditional acupuncture techniques, means contralateral acupuncture; i.e., implanting a needle into an acupoint to treat a given disease or disorder, but on the side of the body opposite to the diseased side. The aim of this study was: (1) to assess acupuncture effects on formalin-induced noc...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-006-0443-4

    authors: Miura K,Ohara T,Zeredo JL,Okada Y,Toda K,Sumikawa K

    更新日期:2007-01-01 00:00:00

  • Incidence and associated risk factors for limb amputation among sepsis survivors in South Korea.

    abstract:PURPOSE:Peripheral gangrene (PG) is a known complication requiring limb amputation among sepsis survivors; however, its incidence and associated risk factors remain controversial. We aimed to examine the incidence of limb amputation among sepsis survivors, and to investigate factors independently associated with limb a...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-020-02858-9

    authors: Oh TK,Song IA

    更新日期:2021-02-01 00:00:00

  • Recovery of postural stability following conscious sedation with midazolam in the elderly.

    abstract:PURPOSE:To investigate the differences in recovery of postural stability, after obtaining similar intravenous sedation levels with midazolam, in elderly and younger patients undergoing dental surgery. METHODS:We studied 15 elderly patients (>65 years) and 15 younger patients (<55 years) after intravenous sedation. Mid...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s005400200024

    authors: Fujisawa T,Suzuki S,Tanaka K,Kamekura N,Fukushima K,Kemmotsu O

    更新日期:2002-01-01 00:00:00

  • Lingual traction to facilitate fiber-optic intubation of difficult airways: a single-anesthesiologist randomized trial.

    abstract:PURPOSE:Flexible fiber-optic bronchoscope-guided orotracheal intubation is a valuable technique with demonstrated benefits in the management of difficult airways. Despite its popularity with anesthesia providers, the technique is not fail-safe and airway-related complications secondary to failed intubation attempts rem...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-014-1920-9

    authors: Ching YH,Karlnoski RA,Chen H,Camporesi EM,Shah VV,Padhya TA,Mangar D

    更新日期:2015-04-01 00:00:00

  • Accuracy of a point-of-care blood gas analyzer in gastric tonometry measurements of intramucosal pH (pHi) and P(CO2) gap.

    abstract:PURPOSE:We assessed the accuracy of a point-of-care blood gas analyzer in providing data from saline samples obtained by gastrointestinal tonometry (Tonometrics Catheter; Tonometrics Division, Instrumentarium, Helsinki, Finland) for the calculation of intramucosal pH (pHi) and the P(CO)(2) gap (intramucosal P(CO)(2) - ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-003-0209-1

    authors: Dohgomori H,Arikawa K,Kanmura Y

    更新日期:2004-01-01 00:00:00

  • Protective multimodal analgesia with etoricoxib and spinal anesthesia in inguinal hernia repair: a randomized controlled trial.

    abstract:BACKGROUND:Inguinal hernia repair is a common procedure, and can be performed under spinal anesthesia. Although adequate analgesia is crucial to postoperative recovery, the optimal protective analgesic regimen remains to be established. PURPOSE:To investigate the effects of preoperative etoricoxib within a protective ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-017-2368-5

    authors: Somri M,Hawash N,Hadjittofi C,Ghantous-Toukan M,Tome R,Yodashkin M,Matter I

    更新日期:2017-10-01 00:00:00

  • Acute postoperative pain exacerbates neuroinflammation and related delirium-like cognitive dysfunction in rats.

    abstract::The acute neuroinflammatory response to surgery may play a key pathogenic role in postoperative delirium (POD). Here, we investigated the contribution of acute postoperative pain to neuroinflammation and related delirium-like behaviors after surgery in adult and aged rats. Animals were assigned into four groups: contr...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-019-02635-3

    authors: Koyama T,Kawano T,Iwata H,Aoyama B,Eguchi S,Nishigaki A,Yamanaka D,Tateiwa H,Shigematsu-Locatelli M,Locatelli FM,Yokoyama M

    更新日期:2019-06-01 00:00:00

  • Effects of dexmedetomidine on hemodynamics and respiration in intubated, spontaneously breathing patients after endoscopic submucosal dissection for cervical esophageal or pharyngeal cancer.

    abstract:PURPOSE:We evaluated the hemodynamic and respiratory effects of dexmedetomidine in intubated, spontaneously breathing patients after endoscopic submucosal dissection (ESD) for cervical esophageal or pharyngeal cancer. METHODS:This retrospective study included 129 patients aged 66.5 ± 8.3 years, who underwent ESD under...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-016-2175-4

    authors: Ishibashi C,Hayashida M,Sugasawa Y,Yamaguchi K,Tomita N,Kajiyama Y,Inada E

    更新日期:2016-08-01 00:00:00

  • The use of the laryngeal mask airway in pediatric anesthesia.

    abstract::Laryngeal mask airway (LMA) insertion was tried in 120 pediatric cases, from 2 months to 12 years of age. Initial indications for LMA were the same as for a face mask, except for two additional conditions; anticipation of difficulty with intubation and difficulty in management by a face mask. Size 2 LMA was used in th...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054010050160

    authors: Miyasaka K,Suzuki Y,Kondo Y,Sakai H,Nakagawa S,Asahara S

    更新日期:1991-04-01 00:00:00

  • Safety and efficacy of oral rehydration therapy until 2 h before surgery: a multicenter randomized controlled trial.

    abstract:PURPOSE:In many countries, patients are generally allowed to have clear fluids until 2-3 h before surgery. In Japan, long preoperative fasting is still common practice. To shorten the preoperative fasting period in Japan, we tested the safety and efficacy of oral rehydration therapy until 2 h before surgery. METHODS:T...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00540-011-1261-x

    authors: Itou K,Fukuyama T,Sasabuchi Y,Yasuda H,Suzuki N,Hinenoya H,Kim C,Sanui M,Taniguchi H,Miyao H,Seo N,Takeuchi M,Iwao Y,Sakamoto A,Fujita Y,Suzuki T

    更新日期:2012-02-01 00:00:00

  • Comparison of Laryngeal Mask Supreme® and Soft Seal® for airway management in several positions.

    abstract:PURPOSE:In emergency situations, rescuers occasionally must secure the airway while the patient is in a position other than the ideal supine position. We hypothesized that the laryngeal mask airway Supreme(®) (Supreme) may be useful for emergent airway management in several positions and compared the utility of the Sup...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-011-1145-0

    authors: Komasawa N,Ueki R,Fujii A,Samma A,Nakagawa M,Nishi SI,Kaminoh Y

    更新日期:2011-08-01 00:00:00

  • The volatile anesthetics halothane and isoflurane differentially modulate proinflammatory cytokine-induced p38 mitogen-activated protein kinase activation.

    abstract:PURPOSE:Volatile anesthetics affect the cardiovascular and immune systems. Toward a better understanding of the molecular mechanisms behind the modulation exerted by these agents, we focused on the effects of halothane and isoflurane on the activation of p38 mitogen-activated protein kinase (MAPK), which plays a critic...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-004-0237-5

    authors: Itoh T,Hirota K,Hisano T,Namba T,Fukuda K

    更新日期:2004-01-01 00:00:00

  • Lack of the mechanoreceptor influences on ventilatory control during halothane anesthesia in humans.

    abstract::Mechanical influences independent of chemoreceptor function on ventilatory control were studied in halothane-anesthetized, artificially ventilated patients using the technique reported by Altose et al. (Respir Physiol 66: 171-180, 1986). Contribution of mechanical factor was indirectly assessed by comparing the values...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054020060387

    authors: Kochi T,Ide T,Isono S,Mizuguchi T

    更新日期:1992-10-01 00:00:00

  • Risk factors for postoperative mortality and morbidities in emergency surgeries.

    abstract:BACKGROUND:Emergency surgery itself induces high risk for postoperative mortality and morbidities; however, it remains unknown which concomitant pathological conditions of emergency surgeries are causative factors of deteriorating outcomes. This study examined the causal factors of postoperative mortality and morbidity...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-013-1639-z

    authors: Matsuyama T,Iranami H,Fujii K,Inoue M,Nakagawa R,Kawashima K

    更新日期:2013-12-01 00:00:00