Ventilation during cardiopulmonary resuscitation: A narrative review

被引：7
作者：
van Eijk, Jeroen A. [1 ,3 ]
Doeleman, Lotte C. [2 ,3 ]
Loer, Stephan A. [1 ,3 ]
Koster, Rudolph W. [4 ]
van Schuppen, Hans [2 ,3 ]
Schober, Patrick [1 ,3 ]
机构：
[1] Vrije Univ Amsterdam, Amsterdam UMC Locat, Anesthesiol, Boelelaan 1117, NL-1081HV Amsterdam, Netherlands
[2] Univ Amsterdam, Amsterdam UMC Locat, Anesthesiol, Meibergdreef 9, Amsterdam, Netherlands
[3] Amsterdam Publ Hlth, Qual Care, Amsterdam, Netherlands
[4] Univ Amsterdam, Amsterdam UMC Locat, Cardiol, Meibergdreef 9, Amsterdam, Netherlands
来源：
RESUSCITATION | 2024年 / 203卷
关键词：
Cardiopulmonary resuscitation; Ventilation; Oxygenation; Airway management; Ventilation rate; Tidal volume; PEEP; Mechanical ventilation; BAG-VALVE-MASK; HOSPITAL CARDIAC-ARREST; BASIC LIFE-SUPPORT; ESOPHAGEAL SPHINCTER PRESSURE; SMALLER TIDAL VOLUMES; ARTERIAL-BLOOD-GASES; CHEST COMPRESSIONS; SPONTANEOUS CIRCULATION; ENDOTRACHEAL INTUBATION; ASSISTED VENTILATION;
D O I：
10.1016/j.resuscitation.2024.110366
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Ventilation during cardiopulmonary resuscitation is vital to achieve optimal oxygenation but continues to be a subject of ongoing debate. This narrative review aims to provide an overview of various components and challenges of ventilation during cardiopulmonary resuscitation, highlighting key areas of uncertainty in the current understanding of ventilation management. It addresses the pulmonary pathophysiology during cardiac arrest, the importance of adequate alveolar ventilation, recommendations concerning the maintenance of airway patency, tidal volumes and ventilation rates in both synchronous and asynchronous ventilation. Additionally, it discusses ventilation adjuncts such as the impedance threshold device, the role of positive end-expiratory pressure ventilation, and passive oxygenation. Finally, this review offers directions for future research.
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页数：9
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