医学资料-Airway techniques and ventilation strategies.pdfVIP

Airway techniques and ventilation strategies Jerry P. Nolana and Jasmeet Soarb aRoyal United Hospital, Bath and bSouthmead Purpose of review Hospital, Bristol, UK To discuss the advantages and disadvantages of various methods of airway Correspondence to Jerry P. Nolan, FRCA, FCEM, management during cardiopulmonary resuscitation. The role of ventilation during Consultant in Anaesthesia and Intensive Care Medicine, Royal United Hospital, Combe Park, out-of-hospital cardiopulmonary resuscitation is also discussed. Bath BA1 3NG, UK Recent findings Tel: +44 1225 825056; e-mail: Jerry.nolan@ruh.nhs.uk Prehospital studies fail to show any benefit from tracheal intubation during cardiopulmonary resuscitation and many show harm. Use of a supraglottic airway device may be preferable for rescuers who are not highly skilled in tracheal intubation. Current Opinion in Critical Care 2008, 14:279– 286 Bystander cardiopulmonary resuscitation increases survival rates from out-of-hospital cardiac arrest. Following a witnessed, sudden collapse, survival rates achieved when bystanders deliver compression-only cardiopulmonary resuscitation are at least the same as those achieved with cardiopulmonary resuscitation that includes mouth-to- mouth ventilation (rescue breathing). Some investigators have reported higher survival rates following the introduction of cardiocerebral resuscitation – a strategy that de-