Nondepolarizing muscle relaxant improves direct laryngoscopy view with no effect on face mask ventilation.pdfVIP

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Nondepolarizing muscle relaxant improves direct laryngoscopy view with no effect on face mask ventilation.pdf

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Nondepolarizing muscle relaxant improves direct laryngoscopy view with no effect on face mask ventilation.pdf

+Model BJANE-800; No. of Pages 5 ARTICLE IN PRESS Rev Bras Anestesiol. 2016;xxx(xx):xxxxxx REVISTA BRASILEIRA DE ANESTESIOLOGIA Publica??o O?cial da Sociedade Brasileira de Anestesiologia .br SCIENTIFIC ARTICLE Nondepolarizing muscle relaxant improves direct laryngoscopy view with no effect on face mask ventilation Marwan S. Rizk a, Salah M. Zeineldine b, Mohamad F. El-Khatib a, Vanda G. Yazbeck-Karam c, Sophie D. Ayoub a, Pierre K. Bou-Khalil b, Elie Abi-Nader c, Marc M. Ghabach d, Chakib M. Ayoub a,? a American University of Beirut Medical Center, Department of Anesthesiology Pain Management, Beirut, Lebanon b American University of Beirut Medical Center, Department of Pulmonary and Critical Care, Beirut, Lebanon c Lebanese American University, Department of Anesthesiology, Beirut, Lebanon d American University of Beirut, Department of Biology, Beirut, Lebanon Received 14 March 2016; accepted 28 July 2016 KEYWORDS Nondepolarizing muscle relaxants; Laryngoscopy view; Face mask ventilation Abstract Background: Dif?cult or impossible face mask ventilation complicated with dif?cult tracheal intubation during anesthesia induction occurs in 0.4% of adult anesthesia cases, possibly leading to life-threatening complications. Because of such catastrophes, muscle relaxants have been recommended to be administered after con?rming adequate face mask ventilation without a solid scienti?c validation of this principal. Methods: In this observational study, the ease of ventilation and the scores of direct laryngoscopy views before and after administration of cisatracurium were assessed in ninety young healthy adults, without anesthetic risks and without foreseen dif?cult intubation and who were scheduled for general elective surgeries. Results: Before muscle relaxation, 43 patients (48%) were Cormack Grade I, while the remaining 47 patients (52%) were either Cormack Grade II (28 patients, 31%) or Cormack Grade II (19 patients, 21%). Following muscle relaxation with cisatracuri