Available ventilation monitoring methods during pre-hospital cardiopulmonary resuscitation.
Resuscitation
; 71(1): 10-8, 2006 Oct.
Article
em En
| MEDLINE
| ID: mdl-16949719
ABSTRACT
High quality cardiopulmonary resuscitation (CPR) in the pre-hospital setting has been associated with improved survival rates during cardiopulmonary arrest (CPA). Recent documentation of hyperventilation associated deterioration in hemodynamics during CPR, suggests that guided or controlled ventilation strategies may contribute to improved hemodynamics and increased survival. This article briefly reviews the mechanical methods, advantages, and disadvantages of the available ventilation monitoring methods currently available for clinical use, with an emphasis on pre-hospital implementation. We recommend that more objective measurement of ventilation during CPR be performed, with emphasis on a strategy for measuring both attempted ventilation frequency (f) and delivered tidal volume (VT). The use of improved thoracic impedance pneumography and capnography are appealing for such monitoring because of the widespread availability, but modifications to existing software and clinical data compared to a clinical standard would be required before general acceptance is possible. Other methods listed may offer advantages over these in select circumstances.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fenômenos Fisiológicos Respiratórios
/
Reanimação Cardiopulmonar
/
Serviços Médicos de Emergência
/
Monitorização Fisiológica
Limite:
Humans
Idioma:
En
Ano de publicação:
2006
Tipo de documento:
Article