Quantification of ventilation volumes produced by compressions during emergency department cardiopulmonary resuscitation

The American Journal of Emergency Medicine
Robyn McDannoldTyler Vadeboncoeur

Abstract

Clinical investigations have shown improved outcomes with primary compression cardiopulmonary resuscitation strategies. It is unclear whether this is a result of passive ventilation via chest compressions, a low requirement for any ventilation during the early aspect of resuscitation or avoidance of inadvertent over-ventilation. To quantify whether chest compressions with guideline-compliant depth (>2 in) produce measurable and substantial ventilation volumes during emergency department resuscitation of out-of-hospital cardiac arrest. This was a prospective, convenience sampling of adult non-traumatic out-of-hospital cardiac arrest patients receiving on-going cardiopulmonary resuscitation in an academic emergency department from June 1, 2011 to July 30, 2013. Cardiopulmonary resuscitation quality files were analyzed using R-Series defibrillator/monitors (ZOLL Medical) and ventilation data were measured using a Non-Invasive Cardiac Output monitor (Philips/Respironics, Wallingford, CT). cardiopulmonary resuscitation quality data were analyzed from 21 patients (17 males, median age 59). The median compression depth was 2.2 in (IQR = 1.9, 2.5) and the median chest compression fraction was 88.4% (IQR = 82.2, 94.1). We were able to d...Continue Reading

Citations

Dec 12, 2018·Current Opinion in Critical Care·Ricardo L CordioliDominique Savary
Feb 6, 2020·PloS One·Jose Julio GutiérrezMohamud Ramzan Daya
Oct 2, 2020·Journal of the American College of Emergency Physicians Open·Matthew R NethMohamud R Daya
Oct 7, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Matthew R NethJason McMullan
Mar 21, 2021·Best Practice & Research. Clinical Anaesthesiology·Hans van SchuppenMarkus W Hollmann
May 22, 2019·Resuscitation·Mary P ChangAhamed H Idris
Jul 27, 2021·Intensive Care Medicine Experimental·Yosef LevenbrownThomas H Shaffer

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