THE NEED FOR VENTILATORY SUPPORT DURING BYSTANDER CPR

被引：110
作者：
BERG, RA
WILCOXSON, D
HILWIG, RW
KERN, KB
SANDERS, AB
OTTO, CW
EKLUND, DK
EWY, GA
机构：
来源：
ANNALS OF EMERGENCY MEDICINE | 1995年 / 26卷 / 03期
关键词：
D O I：
10.1016/S0196-0644(95)70084-6
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Study objective: To compare CPR with chest compressions plus ventilatory support (CC+V) and chest compressions alone (CC). Design: Prospective, randomized study. Setting: Research laboratory. Interventions: After 2 minutes of ventricular fibrillation, 18 domestic swine (20 to 35 kg) were treated first with CC or CC+V for 10 minutes, then with standard advanced cardiac life support. Results: Hemodynamics, survival, and neurologic outcome were determined. All 8 swine subjected to CC+V and all 10 subjected to CC showed return of spontaneous circulation. One ani mal in each group died within 1 hour. Seven of 8 animals in the CC+V group survived for 24 and 48 hours, compared with 9 of 18 CC animals at 24 hours and 8 of 10 at 48 hours. All 48-hour survivors were neurologically normal. Conclusion: In this experimental model of bystander CPR, we could not detect a difference in hemodynamics, 48-hour survival, or neurologic outcome when CPR was applied with and without ventilatory support.
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页码：342 / 350
页数：9
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