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What should be noted about the use of dentures during BVM ventilation?

  1. Always remove them

  2. Leave them in unless loose

  3. Replace them with a smaller size

  4. Check for proper fit

The correct answer is: Leave them in unless loose

During bag-valve-mask (BVM) ventilation, it is generally advisable to leave dentures in place unless they are loose. This recommendation is rooted in the physiological considerations of maintaining an effective seal and ensuring that the airway remains open. When dentures are removed, the patient's jaw may collapse, leading to a compromised airway and making it more difficult to achieve ventilation. Valuably, intact dentures can help keep the oral cavity in a position that promotes better airflow and ensures that the mask fits appropriately. Therefore, maintaining dentures, unless they pose a risk of obstruction or are loose, enhances the ability to ventilate the patient effectively and safely. Other options like removing them completely, replacing them, or merely checking for proper fit introduce complexities that may hinder effective ventilation. It’s essential to consider the overall ability to create a tight seal and manage the airway when determining whether to keep dentures in during BVM ventilation.