Glass holding technique for bag and mask ventilation: An alt
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Anesthetizing pediatric patients is a challenge owing to differences in anatomy, physiology and body composition compared to adult patients, among other features. One of the main areas of concern is managing the airway. The airway of a neonate specifically, has some characteristic differences such as a large occiput, large tongue, floppy epiglottis, and an anteriorly placed and angled glottis.

Authors propose an alternate technique of mask holding in infants and neonates for the purpose of maintenance of anaesthesia for short procedures, as well as bag and mask ventilation prior to intubation. It involves using the index finger and thumb to form a seal with the mask in a way similar to classical EC clamp technique, but using the other three fingers and rest of the palmer surface of the hand to engulf the under-surface of the chin or the mandible, very much like holding a glass. The eyes as a protocol are covered and protected with soft padding to avoid inadvertent pressure while holding the mask. Because of the generalized grip, there is no undue pressure on the underlying soft tissue below the chin, which might interfere with the maintenance of a patent airway. In addition, neck extension can be adjusted by gentle movement at the wrist...

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