Your Cart ()
cload

GUARANTEED SAFE & SECURE CHECKOUT

Spend $x to Unlock Free Shipping to  

Trick of the trade: Face mask ventilation in edentulous patients

By Michelle Lin, MD October 20, 2010 0 comments

EdentulousMouthCan you imagine trying to bag-valve-mask ventilating this patient without teeth?

Edentulous patients can cause BVM problems because air tends to leak out the sides of the mouth, because the cheeks don’t contact the mask as well. You can do a jaw-thrust and/or place an oropharyngeal airway to help. What else can you do?

Trick of the trade

“Lower lip” face mask repositioning

Reposition the mask more superiorly to improve the BVM seal. Normally the inferior edge of the mask sites between the lower lip and chin alveolar ridge. Move the mask a 2-3 cm more superiorly.

BVMplacementIn an Anesthesiology publication, the authors prospectively studied 49 edentulous patients in the OR who had a BVM seal leak. The provider then repositioned the face mask more superiorly so that the inferior border of the mask sits just below the lower lip.

Median air leak volume:

  • Traditional BVM technique: 400 cc leak
  • Lower lip face-mask technique: 10 cc leak

It’s important to use the 2-handed (instead of 1-handed) BVM technique to supplement the lower-lip face mask repositioning trick.

Thanks to Chris at Life In The Fast Lane for letting me know about this cool trick just published!

 

Reference
Racine SX, Solis A, Hamou NA, Letoumelin P, Hepner DL, Beloucif S, & Baillard C (2010). Face mask ventilation in edentulous patients: a comparison of mandibular groove and lower lip placement. Anesthesiology, 112 (5), 1190-3 PMID: 20395823.

 

Author information

Michelle Lin, MD

ALiEM Founder and CEO
Professor and Digital Innovation Lab Director
Department of Emergency Medicine
University of California, San Francisco

The post Trick of the trade: Face mask ventilation in edentulous patients appeared first on ALiEM.


Older Post Newer Post

Newsletter

I agree to subscribe to updates from Shoptimized™

Categories

B. Dupont Purchased 1 minute ago from Los Angeles, CA
2
C. Santos Purchased 2 minutes ago from Chicago, IL
5.11 FLEX TacMed Pouch
D. Kim Purchased 1 minute ago from Houston, TX
5.11 FLEX Tourniquet Pouch
E. García Purchased 2 minutes ago from Phoenix, AZ
5.11 UCR TacReady Headrest Pouch
F. Müller Purchased 1 minute ago from Philadelphia, PA
Abdominal Aortic and Junctional Tourniquet-Stabilized (AAJT-S)
G. Rossi Purchased 2 minutes ago from San Antonio, TX
Adjustable Flange Nasopharyngeal Airway
H. Martinez Purchased 1 minute ago from San Diego, CA
Adult Bag Valve Mask
J. López Purchased 1 minute ago from Dallas, TX
Altama OTB Maritime Assault Boot - Low Height
K. Nowak Purchased 2 minutes ago from San Jose, CA
Altama OTB Maritime Assault Boot - Mid Height
L. Müller Purchased 2 minutes ago from Austin, TX
AMBU Perfit ACE Adjustable Cervical Extrication Collar
M. Ivanova Purchased 1 minute ago from Jacksonville, FL
Amphibious Trauma Kit
N. Andersen Purchased 2 minutes ago from Fort Worth, TX
Army CLS Resupply Kit (CLS™)
O. Fischer Purchased 2 minutes ago from Columbus, OH
Backpack Accessory Pouch Kit - 4 Color
P. Bernard Purchased 2 minutes ago from Charlotte, NC
Ballistic Soft Panel for Plate Carrier
S. Schmidt Purchased 1 minute ago from San Francisco, CA
Bandage Fill Kit
T. Kowalski Purchased 1 minute ago from Indianapolis, IN
Bandage Shears
X. Martinez Purchased 1 minute ago from Seattle, WA
Bard-Parker Safety Scalpel #10
Y. Ahmed Purchased 1 minute ago from Denver, CO
Basic Field Surgical Airway Kit w/ET Tube
Z. Khan Purchased 1 minute ago from Washington, DC
Beacon Chest Seal - Occlusive/Non-Vented
A. Ali Purchased 1 minute ago from Boston, MA