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Exploration of strategies to reduce aerosol-spread during chest compressions: A simulation and cadaver model.

Abstract：

OBJECTIVE:To evaluate the effect of strategies to reduce the spread of simulated aerosol during chest compressions on manikin and cadaver experimental models. METHODS:To evaluate aerosol-spread we nebulized ultraviolet sensitive detergents into the artificial airway of a resuscitation dummy and performed CPR. The spread of the visualized aerosol was documented by a camera. In a further approach we applied nebulized detergents into the airways of human cadavers and detected the simulated spread on the same way. Among others we did recordings with undergoing compression-only-CPR, with a surgical mask or an oxygen mask on the patients face and with an inserted supraglottic airway device with and without a connected airway filter. RESULTS:Most aerosol-spread at the direction of the provider was visualized during compression-only-CPR. The use of a surgical mask and of an oxygen mask on the patient's face deflected the spread. Inserting a supraglottic airway device connected to an airway filter lead to a remarkable reduction of aerosol-spread. CONCLUSION:The early insertion of a supraglottic airway device connected to an airway filter before starting chest compression may be beneficial for staff protection during CPR.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Ott M,Milazzo A,Liebau S,Jaki C,Schilling T,Krohn A,Heymer J

doi

10.1016/j.resuscitation.2020.05.012

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

192-198

eissn

0300-9572

issn

1873-1570

pii

S0300-9572(20)30191-X

journal_volume

152

pub_type

杂志文章

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