JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (1)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Conlon, N. P.
Right arrow Articles by Buggy, D. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Conlon, N. P.
Right arrow Articles by Buggy, D. J.
Related Collections
Right arrow Ambulatory
Right arrow Airway

Anesth Analg 2007;105:370-373
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000267257.45752.31

AMBULATORY ANESTHESIOLOGY

The Effect of Leaving Dentures in Place on Bag-Mask Ventilation at Induction of General Anesthesia

Niamh P. Conlon, FCARCSI*{dagger}, Richard P. Sullivan, MBChB*, Peter G. Herbison, MSc*, Mathew Zacharias, PhD*, and Donal J. Buggy, MD{dagger}{ddagger}

From the *Department of Anesthesia, Dunedin Hospital, Dunedin, New Zealand; {dagger}Department of Anesthesia, Mater Misericordiae University Hospital, Dublin, Ireland; and {ddagger}Outcomes Research Institute, Cleveland Clinic, Cleveland, Ohio.

Address correspondence and reprint requests to Niamh Conlon, FCARCSI, Department of Anesthesia, Mater Misericordiae University Hospital, Eccles St., Dublin 7, Ireland. Address e-mail to tallniamh{at}hotmail.com.

Abstract

BACKGROUND: The optimum timing for denture removal in edentulous patients before anesthesia and surgery is uncertain.

METHODS: We conducted a prospective, randomized, controlled trial to evaluate the effect of leaving dentures in during bag-mask ventilation at induction of general anesthesia. One hundred sixty-six edentulous patients were randomized to two groups. The Dentures-In group was bag-mask ventilated after induction of anesthesia with dentures left in place. The Dentures-Out group patients had their dentures removed before bag-mask ventilation. The degree of difficulty of bag-mask ventilation was assessed by the anesthesiologist.

RESULTS: Successful bag-mask ventilation, as defined by a increase in ETco2 to 20 mm Hg and back to baseline with 3 L/min fresh gas flow and the adjustable pressure limiting valve at 20 cm H2O, was achieved in 61 of 84 (73%) of the Dentures-In patients compared with 40 of 81 (49%) of the Dentures-Out patients (odds ratio 0.37, 95% CI = 0.19–0.70, P = 0.002).

CONCLUSION: We conclude that bag-mask ventilation is easier in edentulate patients when their dentures are left in situ during induction of general anesthesia.




This article has been cited by other articles:


Home page
 NEJMHome page
L. J. Caruso, M. Sungur, S. Kheterpal, K. K. Tremper, G. A. Mashour, A. Torri, R. Ortega, A. K. Mehio, and A. Woo
Bag and Mask Ventilation
N. Engl. J. Med., November 15, 2007; 357(20): 2090 - 2092.
[Full Text] [PDF]

Home page
 JWatch Emergency Med.Home page
Dentures Improve Effectiveness of Bag-Mask Ventilation
Journal Watch Emergency Medicine, August 3, 2007; 2007(803): 4 - 4.
[Full Text]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.