-
Abstract: After cardiac arrest, the ventilation strategy is used during cardiopulmonary resuscitation (CPR).The optimal ventilation strategy is uncertain.Current guidelines are predominantly based on evidence from observational studies and expert consensus;recent randomized controlled trials should provide further information.This study describes the current evidence during of ventilation strategy CPR.Current evidence supports a stepwise approach to airway management based on patient factors, rescuer skills and the stage of resuscitation.In the absence of evidence to favour a specific technique, rescuers should use the airway technique they are most proficient in during CPR and give the maximum feasible inspired oxygen concentration.
-
Key words:
- airway /
- ventilation /
- cardiac arrest /
- cardiopulmonary resuscitation
-
[1] Benjamin EJ, Blaha MJ, Chiuve SE, et al.Heart Disease and Stroke Statistics-2017 Update:A Report From the American Heart Association[J].Circulation, 2017, 135 (10):e146-e603.
[2] Hameed SM, Aird WC, Cohn SM.Oxygen delivery[J].Crit Care Med, 2003, 31 (12 Suppl):S658-S667.
[3] Berg RA, Hemphill R, Abella BS, et al.Part 5:adult basic life support:2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care[J].Circulation, 2010, 122 (18 Suppl 3):S685-S705.
[4] Link MS, Berkow LC, Kudenchuk PJ, et al.Part 7:Adult Advanced Cardiovascular Life Support[J].Circulation, 2015, 132 (18suppl 2):S444-S464.
[5] Neumar RW.Optimal oxygenation during and after cardiopulmonary resuscitation[J].Curr Opin Crit Care, 2011, 17 (3):236-240.
[6] Soar J, Nolan JP, Böttiger BW, et al.European Resuscitation Council Guidelines for Resuscitation 2015:Section 3.Adult advanced life support[J].Resuscitation, 2015, 95:100-147.
[7] Spindelboeck W, Gemes G, Strasser C, et al.Arterial blood gases during and their dynamic changes after cardiopulmonary resuscitation:aprospective clinical study[J].Resuscitation, 2016, 106 (1):24-29.
[8] Yu H, Qing H, Min Y.Continuous passive oxygen insufflation for out-of-hospital cardiac arrest:A systemic review of clinical studies[J].Resuscitation, 2013, 84 (1):e9-e10.
[9] Kleinman ME, Brennan EE, Goldberger ZD, et al.Part5:Adult Basic Life Support and Cardiopulmonary Resuscitation Quality:2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care[J].Circulation, 2015, 132 (18 Suppl 2):S414-S435.
[10] Kitamura T, Kiyohara K, Nishiyama C, et al.Chest compression-only versus conventional cardiopulmonary resuscitation for bystander-witnessed out-of-hospital cardiac arrest of medical origin:A propensity score-matched cohort from 143, 500patients[J].Resuscitation, 2018, 126:29-35.
[11] Naim MY, Burke RV, McNally BF, et al.Association of bystander cardiopulmonary resuscitation with overall and neurologically favorable survival after pediatric out-of-hospital cardiac arrest in the united states:A report from the cardiac arrest registry to enhance survival surveillance registry[J].JAMA Pediatrics, 2017, 171 (2):133-141.
[12] Zhang X, Zhang W, Wang C, et al.Conventional versus chest-compression-only cardiopulmonary resuscitation by bystanders for children with out-of-hospital cardiac arrest[J].Resuscitation, 2018, 122:126.
[13] Wang S, Li C, Ji X, et al.Effect of continuous compressions and 30:2cardiopulmonary resuscitation on global ventilation/perfusion values during resuscitation in a porcine model[J].Crit Care Med, 2010, 38 (10):2024-2030.
[14] Branditz FK, Kern KB, Campbell SC.Continuous transtracheal oxygen delivery during cardiopulmonary resuscitation.An alternative method of ventilation in a canine model[J].Chest, 1989, 95 (2):441-448.
[15] Hayes MM, Ewy GA, Anavy ND, et al.Continuous passive oxygen insufflation results in a similar outcome to positive pressure ventilation in a swine model of out-of-hospital ventricular fibrillation[J].Resuscitation, 2007, 74 (2):357-365.
[16] Deakin CD, O'Neill JF, Tabor T.Does compressiononly cardiopulmonary resuscitation generate adequate passive ventilation during cardiac arrest?[J].Resuscitation, 2007, 75 (1):53-59.
[17] Bobrow BJ, Zuercher M, Ewy GA, et al.Gasping during cardiac arrest in humans is frequent and associated with improved survival[J].Circulation, 2008, 118 (24):2550-2554.
[18] Vaillancourt C, Verma A, Trickett J, et al.Evaluating the effectiveness of dispatch-assisted cardiopulmonary resuscitation instructions[J].Acad Emerg Med, 2007, 14 (10):877-883.
[19] Akahane M, Ogawa T, Tanabe S, et al.Impact of telephone dispatcher assistance on the outcomes of pediatric out-of-hospital cardiac arrest[J].Crit Care Med, 2012, 40 (5):1410-1416.
[20] Culley LL, Clark JJ, Eisenberg MS, et al.Dispatcherassisted telephone CPR:common delays and time standards for delivery[J].Ann Emerg Med, 1991, 20 (4):362-366.
[21] Nichol G, Leroux B, Wang H, et al.Trial of Continuous or Interrupted Chest Compressions during CPR[J].N Engl J Med, 2015, 373 (23):2203-2214.
[22] SaïSsy JM, Boussignac G, Cheptel E, et al.Efficacy of Continuous Insufflation of Oxygen Combined with Active Cardiac Compression-Decompression during Out-of-hospital Cardiorespiratory Arrest[J].Anesthesiology, 2000, 92 (6):1523-1530.
[23] Bertrand C, Hemery F, Carli P, et al.Constant flow insufflation of oxygen as the sole mode of ventilation during out-of-hospital cardiac arrest[J].Intensive Care Med, 2006, 32 (6):843-851.
[24] Bobrow BJ, Ewy GA, Clark L, et al.Passive oxygen insufflation is superior to bag-valve-mask ventilation for witnessed ventricular fibrillation out-of-hospital cardiac arrest[J].Ann Emerg Med, 2009, 54 (5):656-662.e1.
[25] Stone BJ, Chantler PJ, Baskett PJ.The incidence of regurgitation during cardiopulmonary resuscitation:a comparison between the bag valve mask and laryngeal mask airway[J].Resuscitation, 1998, 38 (1):3-6.
[26] Newell C, Grier S, Soar J.Airway and ventilation management during cardiopulmonary resuscitation and after successful resuscitation[J].Crit Care, 2018, 22 (1):190.
[27] Benoit JL, Gerecht RB, Steuerwald MT, et al.Endotracheal intubation versus supraglottic airway placement in out-of-hospital cardiac arrest:A meta-analysis[J].Resuscitation, 2015, 93:20-26.
[28] Fouche PF, Simpson PM, Bendall J, et al.Airways in out-of-hospital cardiac arrest:systematic review and meta-analysis[J].Prehosp Emerg Care, 2014, 18 (2):244-256.
[29] Jabre P, Penaloza A, Pinero D, et al.Effect of bagmask ventilation vs endotracheal intubation during cardiopulmonary resuscitation on neurological outcome after out-of-hospital cardiorespiratory arrest:a randomized clinical trial[J].JAMA, 2018, 319 (8):779-787.
[30] Andersen LW, Granfeldt A, Callaway CW, et al.Association between tracheal intubation during adult inhospital cardiac arrest and survival[J].JAMA, 2017, 317 (5):494-506.
[31] Benger J, Coates D, Davies S, et al.Randomised comparison of the effectiveness of the laryngeal mask airway supreme, i-gel and current practice in the initial airway management of out of hospital cardiac arrest:a feasibility study[J].Br J Anaesth, 2016, 116 (2):262-268.
[32] Wang HE, Simeone SJ, Weaver MD, et al.Interruptions in cardiopulmonary resuscitation from paramedic endotracheal intubation[J].Ann Emerg Med, 2009, 54 (5):645-652.e1.
[33] Jarman AF, Hopkins CL, Hansen JN, et al.Advanced Airway Type and Its Association with Chest Compression Interruptions During Out-of-Hospital Cardiac Arrest Resuscitation Attempts[J].Prehosp Emerg Care, 2017, 21 (5):628-635.
[34] Kurz MC, Prince DK, Christenson J, et al.Association of advanced airway device with chest compression fraction during out-of-hospital cardiopulmonary arrest[J].Resuscitation, 2016, 98:35-40.
[35] Wang HE, Prince DK, Stephens SW, et al.Design and implementation of the Resuscitation Outcomes ConsortiumPragmaticAirwayResuscitationTrial (PART)[J].Resuscitation, 2016, 101:57-64.
计量
- 文章访问数: 209
- PDF下载数: 194
- 施引文献: 0