Related Experiment Video

Updated: Jan 29, 2026

Pressure Controlled Ventilation to Induce Acute Lung Injury in Mice
07:55

Pressure Controlled Ventilation to Induce Acute Lung Injury in Mice

Published on: May 5, 2011

18.9K

Manual vs pressure-controlled facemask ventilation during the induction of general anesthesia in children: A

Ji-Hyun Lee1, Haesun Jung1, Young-Eun Jang1

  • 1Department of Anaesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.

Paediatric Anaesthesia
|February 5, 2019
PubMed

Insights

Pressure-controlled facemask ventilation significantly reduces gastric insufflation in children compared to manual ventilation. This method offers more stable ventilation during anesthesia induction, improving patient safety.

Area of Science:

  • Pediatric Anesthesiology
  • Respiratory Mechanics
  • Critical Care Medicine

Background:

  • Gastric insufflation is a common complication during facemask ventilation in pediatric patients.
  • Effective airway management is crucial during general anesthesia induction in children.

Purpose of the Study:

  • To compare the incidence of gastric insufflation between pressure-controlled facemask ventilation and manual facemask ventilation.
  • To evaluate ventilation stability during general anesthesia induction in children.

Main Methods:

  • A comparative study involving two groups of children undergoing general anesthesia.
  • Pressure-controlled facemask ventilation (inspiratory pressure 13 cm H2O) versus manual facemask ventilation (attempted 13 cm H2O).
  • Assessment of gastric insufflation via epigastric auscultation and gastric ultrasonography over 90 seconds.

Main Results:

  • Gastric insufflation occurred significantly less with pressure-controlled ventilation (12%) versus manual ventilation (48%).
  • Mean peak airway pressure was lower and more stable in the pressure-controlled group (13.0 cm H2O) compared to the manual group (16.1 cm H2O).
  • Manual ventilation showed wider variations in peak airway pressure and tidal volume.

Conclusions:

  • Pressure-controlled facemask ventilation is more effective in preventing gastric insufflation than manual ventilation in children at 13 cm H2O.
  • Pressure-controlled ventilation provides more stable airway pressures and tidal volumes during pediatric anesthesia induction.
  • This technique may enhance patient safety by reducing a common complication.
Abstract

Keywords:
anesthesiachildrengastric dilatationgeneralhypoventilationpositive-pressure ventilationultrasonography

More Related Videos

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

22.1K
Brain Death Induction in Mice Using Intra-Arterial Blood Pressure Monitoring and Ventilation via Tracheostomy05:03

Brain Death Induction in Mice Using Intra-Arterial Blood Pressure Monitoring and Ventilation via Tracheostomy

Published on: April 17, 2020

5.9K

Related Concept Videos

Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches01:23

Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches

Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
464
Control System Problem01:21

Control System Problem

In an open-loop system, such as a basic thermostat, the poles of the transfer function influence the system's response but do not determine its stability. However, when feedback is introduced to form a closed-loop system, such as an advanced thermostat that adjusts heating based on room temperature, stability is governed by the new poles of the closed-loop transfer function.
When forming a closed-loop system, issues can arise if the poles cross into the unstable region, leading to potential...
427
Combinatorial Gene Control02:33

Combinatorial Gene Control

Combinatorial gene control is the synergistic action of several transcriptional factors to regulate the expression of a single gene. The absence of one or more of these factors may lead to a significant difference in the level of gene expression or repression.
The expression of more than 30,000 genes is controlled by approximately 2000-3000 transcription factors. This is possible because a single transcription factor can recognize more than one regulatory sequence. The specificity in gene...
9.6K
Control Systems01:10

Control Systems

Control systems are everywhere in contemporary society, influencing diverse applications from aerospace to automated manufacturing. These systems can be found naturally within biological processes, such as blood sugar regulation and heart rate adjustment in response to stress, as well as in man-made systems like elevators and automated vehicles. A control system is essentially a network of subsystems and processes that collaboratively convert specific inputs into desired outputs.
At the heart...
1.9K
Controller Configurations01:22

Controller Configurations

Controller configurations are crucial in a car's cruise control system because they manage speed over time to maintain a consistent pace regardless of road conditions, thereby meeting design goals. In traditional control systems, fixed-configuration design involves predetermined controller placement. System performance modifications are known as compensation.
Control-system compensation involves various configurations, most commonly series or cascade compensation, in which the controller...
377
PID Controller01:19

PID Controller

Proportional-Integral-Derivative (PID) controllers are widely used in various control systems to enhance stability and performance. In a thermostat, it adjusts heating or cooling based on the temperature difference between the actual and desired levels. They are often used in automotive speed systems, effectively managing sudden speed changes while maintaining a constant speed under varying conditions. On the other hand, PI controllers, commonly employed in voltage regulation, enhance stability...
701