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Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults

Paziente / Popolazione Intervento / Esposizione Confronto Esito

In 401 critically ill adults undergoing tracheal intubation, bag-mask ventilation between induction and laryngoscopy reduced severe hypoxaemia versus no ventilation.

N
401
Disegno
Multicentre RCT, US ICUs
Esito
Lowest SpO₂ during intubation
Rilevanza
3
RisultatoMedian SpO₂ 96% vs 93% (Δ +3.9; p=0.01). Severe hypoxaemia (<80%) 10.9% vs 22.8%.
Casey JD, et al. N Engl J Med. 2019;380(9):811-821. 10.1056/NEJMoa1812405
Discussione e critica

Broke the dogma of no bag-mask before intubation; aspiration risk did not rise.