关键词: Automatic External Defibrillator (AED) Cardiopulmonary Resuscitation (CPR) Drowning Hypoxia Strategy Ventilation

来  源:   DOI:10.1016/j.resplu.2024.100674   PDF(Pubmed)

Abstract:
UNASSIGNED: The aim of this study was to analyze the feasibility of a new resuscitation strategy in which breaths are provided during automated external defibrillator (AED) rhythm analysis, and to evaluate its impact on chest compressions (CC) quality and the peri-analysis time.
UNASSIGNED: A randomized simulation study, comparing two cardiopulmonary resuscitations strategies, has been conducted: the standard strategy (S1) with strategy involving ventilation during AED analysis (S2). Thirty lifeguards have performed both strategies in a cross-over study design during 10 min of CPR.
UNASSIGNED: The number of ventilations per 10 min increases from 47 (S1) to 72 (S2) (p < 0.001). This results in the delivery of an additional 17.1 L of insufflated air in S2 compared to S1 (p < 0.001). There have been no significant changes in frequency and total number of CC. These findings correspond to a reduction of the non-ventilation period from 176 s (S1) to 48 s (S2).
UNASSIGNED: This simulation study suggests that it is feasible to increase the number of ventilations during resuscitation following drowning, without affecting the quantity and quality of chest compressions. The results of this study may serve as a foundation for further investigation into optimal ventilation strategies in this context.
摘要:
这项研究的目的是分析一种新的复苏策略的可行性,其中在自动体外除颤器(AED)节律分析期间提供呼吸,并评估其对胸部按压(CC)质量和围分析时间的影响。
一项随机模拟研究,比较两种心肺复苏策略,已进行:标准策略(S1)与AED分析期间的通气策略(S2)。在CPR的10分钟内,有30名救生员在交叉研究设计中执行了两种策略。
每10分钟的通风次数从47(S1)增加到72(S2)(p<0.001)。与S1相比,这导致在S2中输送额外的17.1L的吹入空气(p<0.001)。CC的频率和总数没有显着变化。这些发现对应于非通气期从176s(S1)减少到48s(S2)。
这项模拟研究表明,在溺水后的复苏过程中增加通气次数是可行的,而不影响胸部按压的数量和质量。这项研究的结果可以作为进一步研究在这种情况下最佳通风策略的基础。
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