Abstract:
BACKGROUND:The number of chest compressions required for optimal generation of coronary perfusion pressure remains unknown although studies examining compression-to-ventilation ratios higher than 15:2 (C:V) in animals have reported higher C:V to be superior for return of spontaneous circulation and neurologic outcome. We examined human performance of two-rescuer CPR using various C:V. METHODS:Thirty six EMT-Basic students in their final week of training performed two-rescuer CPR using C:V of 15:2, 30:2, 40:2, 50:2, and 60:2 on a recording resuscitation manikin. Compression and ventilation variables were recorded by computer while the number of pauses for ventilations and the hands-off time (time not spent performing chest compressions) were abstracted by hand. Data were analyzed by ANOVA and significant differences from the standard treatment of C:V = 15:2 were assessed by Tukey's HSD post hoc test. FINDINGS:The number of compressions delivered per minute increased with increasing C:V while the hands-off time and pauses for ventilations decreased. All comparisons were significantly different from C:V = 15:2 (P < 0.001). The ventilation numbers decreased with increasing C:V although mean minute volume exceeded 1l for all C:V. INTERPRETATION:A 15:2 compression-to-ventilation ratio when performed during two-rescuer CPR results in 26s of hands off time each minute while only delivering 60 compressions. Alternative C:V ratios of 30:2, 40:2, 50:2, and 60:2 all exceed the AHA recommended 80 compressions/min while still delivering a minute volume in excess of 1l.
journal_name
Resuscitationjournal_title
Resuscitationauthors
Hostler D,Guimond G,Callaway Cdoi
10.1016/j.resuscitation.2004.11.026keywords:
subject
Has Abstractpub_date
2005-06-01 00:00:00pages
325-8issue
3eissn
0300-9572issn
1873-1570pii
S0300-9572(04)00509-Xjournal_volume
65pub_type
杂志文章相关文献
RESUSCITATION文献大全abstract:BACKGROUND:Patients undergoing orthopedic surgery are at risk of post-operative complications and needing Medical Emergency Team (MET) review. We assessed the frequency of, and associations with MET calls in orthopedic patients, and whether this was associated with increased in-hospital morbidity and mortality. METHOD...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2020.12.006
更新日期:2020-12-24 00:00:00
abstract::In acute cerebrovascular accidents the uptake of lactate by the brain tissue is enhanced, possibly in an attempt to buffer the increased local lactic acidosis. In this paper the results obtained by the administration of the lactate in 78 cases of hyperventilatory syndromes secondary to acute brain injuries, and the bi...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/0300-9572(78)90009-6
更新日期:1978-01-01 00:00:00
abstract:BACKGROUND:No previous study has investigated the safety of hand position during chest compression determined by the inter-nipple line, in which the heel of one hand is positioned on the centre of the chest between the nipples, from the standpoint of prevention of organ injury. METHODS:We measured the distance from th...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2009.06.030
更新日期:2009-10-01 00:00:00
abstract:CONTEXT:Extracorporeal cardiopulmonary resuscitation (ECPR) refers to emergent percutaneous veno-arterial cardiopulmonary bypass to stabilize and provide temporary support of patients who suffer cardiopulmonary arrest. Initiation of ECPR by emergency physicians with meaningful long-term patient survival has not been de...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2012.01.027
更新日期:2012-08-01 00:00:00
abstract:AIM:Post-cardiac arrest syndrome (PCAS) is characterized by a sepsis-like inflammatory response and hemodynamic instability. We investigated the associations between systemic inflammation, endothelial damage and hemodynamic parameters including vasopressor support in patients with out-of-hospital cardiac arrest (OHCA)....
journal_title:Resuscitation
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.resuscitation.2017.09.019
更新日期:2017-12-01 00:00:00
abstract:PURPOSE:Arterial hyperoxia after resuscitation has been associated with increased mortality in adults. The aim of this study was to test the hypothesis that post-resuscitation hyperoxia and hypocapnia are associated with increased mortality after resuscitation in pediatric patients. METHODS:We performed a prospective ...
journal_title:Resuscitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.resuscitation.2012.07.019
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:Cardiac arrest is an important cause of mortality. Cardiopulmonary resuscitation (CPR) improves survival, however, delivery of effective CPR can be challenging and combining effective chest compressions with ventilation, while avoiding over-ventilation is difficult. We hypothesized that ventilation with a pn...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2013.02.017
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:The outcome among patients who are hospitalised alive after out-of-hospital cardiac arrest is still relatively poor. At present, there are no clear guidelines specifying how they should be treated. The aim of this survey was to describe the outcome for initial survivors of out-of-hospital cardiac arrest when...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2006.08.018
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:The Utstein population is defined by non-traumatic, bystander-witnessed out-of-hospital cardiac arrest (OHCA) presenting with ventricular fibrillation (VF). It is used to compare resuscitation performance across emergency medical services (EMS) systems. We hypothesized a system-specific survival correlation ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2020.10.041
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Measuring survival from sudden out-of-hospital cardiac arrest (OOH-CA) is often used as a benchmark of the quality of a community's emergency medical service (EMS) system. The definition of OOH-CA survival rates depends both upon the numerator (surviving cases) and the denominator (all cases). PURPOSE:The p...
journal_title:Resuscitation
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/j.resuscitation.2004.02.007
更新日期:2004-07-01 00:00:00
abstract::Recent experimental and clinical studies of cardiac arrest, suggesting a brain damage ameliorating effect of thiopental loading, stimulated the development of an international randomized clinical trial of brain resuscitation. Twelve collaborating hospitals in 9 countries are testing the efficacy of post-cardiac arrest...
journal_title:Resuscitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0300-9572(82)90022-3
更新日期:1982-06-01 00:00:00
abstract:AIM:To examine the epidemiology of cardiac arrest (CA) in New South Wales (NSW), Australia, and a large teaching hospital in Sydney and to identify predictors of survival. METHODS:Data from the 1996/97 NSW inpatient statistics collection were analysed. Logistic regression was used to determine predictors of mortality ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/s0300-9572(01)00501-9
更新日期:2002-04-01 00:00:00
abstract:INTRODUCTION:Reliable, non-invasive detection of return of spontaneous circulation (ROSC) with minimal interruptions to chest compressions would be valuable for high-quality cardiopulmonary resuscitation (CPR). We investigated the potential of photoplethysmography (PPG) to detect the presence of a spontaneous pulse dur...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2013.07.019
更新日期:2013-11-01 00:00:00
abstract:AIM OF THE STUDY:The role of supralaryngeal devices in airway management in out-of-hospital cardiac arrests (OHCA) remains controversial. The aim of this prospective observational trial was to evaluate the feasibility and effectiveness of intubating laryngeal mask airway (ILMA) when used by trained prehospital emergenc...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2013.11.006
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:Due to higher transthoracic impedance, obese patients may be less likely to be successfully defibrillated from ventricular tachycardia or ventricular fibrillation (VT/VF) arrest. However, the association between patient body mass index (BMI), defibrillation success, and survival outcomes of VT/VF arrest are ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2016.05.028
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVE:The placement of defibrillation pads at ideal anatomical sites is one of the major determinants of transthoracic defibrillation success. However, the optimal pads position for ventricular defibrillation is still undetermined. In the present study, we compared the effects of two different pads positions on def...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2011.12.010
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:For prolonged VF, perfusion of the myocardium by pre-shock chest compressions can improve myocardial readiness for successful defibrillation. Characteristics of the VF waveform correlate with the duration of VF when there is no structural heart disease. A "smart" automated external defibrillator (AED) could ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2005.10.017
更新日期:2006-06-01 00:00:00
abstract:BACKGROUND:Health-related quality of life (HRQoL) has been reported for out-hospital (OHCA) and in-hospital cardiac arrest (IHCA) separately, but potential differences between the two groups are unknown. The aim of this study is therefore to describe and compare HRQoL in patients surviving OHCA and IHCA. METHODS:Patie...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2020.04.002
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:This study was designed to test the effects of active compression-decompression (ACD) versus standard (STD) cardiopulmonary resuscitation (CPR) on hemodynamics after prolonged cardiac arrest (CA). METHODS AND RESULTS:After nontraumatic prehospital CA, 21 patients were resuscitated in a prospective nonblinde...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/0300-9572(95)00934-5
更新日期:1996-06-01 00:00:00
abstract:BACKGROUND:Family presence during resuscitation and invasive procedures (FPDRAIP) has been a frequent topic of debate among healthcare personnel worldwide. This paper determines the knowledge, experiences and views of Greek physicians and nurses on FPDRAIP and examines possible correlations and factors promoting or lim...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2011.02.011
更新日期:2011-06-01 00:00:00
abstract:INTRODUCTION:Advanced age is reported to be associated with lower survival after out-of-hospital cardiac arrest (OHCA). We aimed to establish survival rate and neurological outcome at hospital discharge after OHCA in older patients and evaluated whether pre-OHCA comorbidity was associated with favorable neurologic outc...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2015.06.017
更新日期:2015-09-01 00:00:00
abstract::This case report describes the first reported successful UK pre-hospital thoracotomy performed outside the London HEMS system. Continuous ECG monitoring during the procedure has allowed presentation of sequential ECGs recorded during the procedure. ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2007.05.026
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:The incidence of ventricular fibrillation (VF) as the presenting rhythm in out-of-hospital cardiac arrest (OHCA) is declining, whereas pulseless electrical activity (PEA) is increasing. This changing epidemiology has occurred concomitant with an increase in beta-blocker use. AIMS:The aim of this study was t...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2007.08.022
更新日期:2008-03-01 00:00:00
abstract::The effective use of diazepam for narcosis in cases of injury requiring painful manipulations is dependent on adequate dosage, titrated for each patient. Protection against the risk of occasional respiratory depression from this regime is consistently given by the use of intravenous doxapram, which also gives varying ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/0300-9572(75)90032-5
更新日期:1975-01-01 00:00:00
abstract:OBJECTIVE:To determine the error of measurement in pulse oximetry with a decreased arterial perfusion and to identify a systolic pressure threshold for (1) initial detection and (2) a reliable reading of oxygen saturation. DESIGN:An experimental clinical prospective study. The study was approved by the local ethics co...
journal_title:Resuscitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.resuscitation.2004.10.006
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:Global cerebral ischaemia after cardiac arrest (CA) leads to programmed cell death (PCD) with characteristic signs of apoptosis in selectively vulnerable areas of the brain. The activation of caspase-3, an executioner caspase, plays a key role in the apoptotic cascade. We, therefore, studied the effects of t...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2008.02.010
更新日期:2008-07-01 00:00:00
abstract:AIM:To investigate in-hospital cardiac arrests (IHCAs) according to the Ustein template in hospitals with mature systems utilizing rapid response teams (RRTs), with a special reference to preceding RRT factors and factors associated with a favourable neurological outcome (cerebral performance category (CPC) 1-2) at hos...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2020.02.022
更新日期:2020-04-01 00:00:00
abstract::In 9 dogs the first 240 min of experimental Mendelson's syndrome were studied. To minimise hemodynamic alterations, the PaCO2 and pH were kept within the normal range. An increase in pulmonary artery pressure, Qs/Qt and a decrease in PaO2 were demonstrated. Diminution of heart rate and cardiac index were associated wi...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/0300-9572(84)90038-8
更新日期:1984-02-01 00:00:00
abstract::The efficacy of 'basic' airway control without equipment, using the combination of backward tilt of the head, forward displacement of the mandible, and separation of lips and teeth (i.e. the triple airway maneuver) has been well established. Direct mouth-to-mouth and mouth-to-nose ventilation must continue to be taugh...
journal_title:Resuscitation
pub_type: 杂志文章,评审
doi:10.1016/0300-9572(95)00937-x
更新日期:1996-07-01 00:00:00
abstract:AIMS:Out of Hospital Cardiac Arrest (OHCA) is frequently attributed to coronary artery disease, thus guidelines recommend coronary angiography (CAG) for survivors of OHCA. However, the real-world application of these guidelines is unknown, and we sought to evaluate CAG practices in the contemporary OHCA population. ME...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2018.10.007
更新日期:2018-12-01 00:00:00