Patients with cardiac arrest are ventilated two times faster than guidelines recommend: An observational prehospital study using tracheal pressure measurement
Abstract Aim To measure ventilation rate using tracheal airway pressures in prehospitally intubated patients with and without cardiac arrest. Methods Prospective observational study. In 98 patients (57 with and 41 without cardiac arrest) an air-filled catheter was inserted into the endotracheal tube...
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Published in | Resuscitation Vol. 84; no. 7; pp. 921 - 926 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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Elsevier Ireland Ltd
01.07.2013
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Abstract | Abstract Aim To measure ventilation rate using tracheal airway pressures in prehospitally intubated patients with and without cardiac arrest. Methods Prospective observational study. In 98 patients (57 with and 41 without cardiac arrest) an air-filled catheter was inserted into the endotracheal tube and connected to a custom-made portable device allowing tracheal airway pressure recording and subsequent calculation of ventilation rate. Results In manually ventilated patients with cardiac arrest 39/43 (90%) had median ventilation rates higher than 10/min (overall median 20, min 4, max 74). During mechanical ventilation, 35/38 (92%) had ventilation rates higher than 10/min. The ventilation rate in patients with cardiac arrest was higher than in patients without cardiac arrest, both for manual and mechanical ventilation. Subanalysis comparing episodes with and without compression in cardiac arrest patients showed no clinically significant difference in ventilation rate after compressions were terminated. Conclusion Cardiac arrest patients were ventilated two times faster than recommended by the guidelines. Tracheal airway pressure measurement is feasible during resuscitation and may be developed further to provide real-time feedback on airway pressure and ventilation rate during resuscitation. |
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AbstractList | To measure ventilation rate using tracheal airway pressures in prehospitally intubated patients with and without cardiac arrest.
Prospective observational study. In 98 patients (57 with and 41 without cardiac arrest) an air-filled catheter was inserted into the endotracheal tube and connected to a custom-made portable device allowing tracheal airway pressure recording and subsequent calculation of ventilation rate.
In manually ventilated patients with cardiac arrest 39/43 (90%) had median ventilation rates higher than 10/min (overall median 20, min 4, max 74). During mechanical ventilation, 35/38 (92%) had ventilation rates higher than 10/min. The ventilation rate in patients with cardiac arrest was higher than in patients without cardiac arrest, both for manual and mechanical ventilation. Subanalysis comparing episodes with and without compression in cardiac arrest patients showed no clinically significant difference in ventilation rate after compressions were terminated.
Cardiac arrest patients were ventilated two times faster than recommended by the guidelines. Tracheal airway pressure measurement is feasible during resuscitation and may be developed further to provide real-time feedback on airway pressure and ventilation rate during resuscitation. Abstract Aim To measure ventilation rate using tracheal airway pressures in prehospitally intubated patients with and without cardiac arrest. Methods Prospective observational study. In 98 patients (57 with and 41 without cardiac arrest) an air-filled catheter was inserted into the endotracheal tube and connected to a custom-made portable device allowing tracheal airway pressure recording and subsequent calculation of ventilation rate. Results In manually ventilated patients with cardiac arrest 39/43 (90%) had median ventilation rates higher than 10/min (overall median 20, min 4, max 74). During mechanical ventilation, 35/38 (92%) had ventilation rates higher than 10/min. The ventilation rate in patients with cardiac arrest was higher than in patients without cardiac arrest, both for manual and mechanical ventilation. Subanalysis comparing episodes with and without compression in cardiac arrest patients showed no clinically significant difference in ventilation rate after compressions were terminated. Conclusion Cardiac arrest patients were ventilated two times faster than recommended by the guidelines. Tracheal airway pressure measurement is feasible during resuscitation and may be developed further to provide real-time feedback on airway pressure and ventilation rate during resuscitation. AIMTo measure ventilation rate using tracheal airway pressures in prehospitally intubated patients with and without cardiac arrest.METHODSProspective observational study. In 98 patients (57 with and 41 without cardiac arrest) an air-filled catheter was inserted into the endotracheal tube and connected to a custom-made portable device allowing tracheal airway pressure recording and subsequent calculation of ventilation rate.RESULTSIn manually ventilated patients with cardiac arrest 39/43 (90%) had median ventilation rates higher than 10/min (overall median 20, min 4, max 74). During mechanical ventilation, 35/38 (92%) had ventilation rates higher than 10/min. The ventilation rate in patients with cardiac arrest was higher than in patients without cardiac arrest, both for manual and mechanical ventilation. Subanalysis comparing episodes with and without compression in cardiac arrest patients showed no clinically significant difference in ventilation rate after compressions were terminated.CONCLUSIONCardiac arrest patients were ventilated two times faster than recommended by the guidelines. Tracheal airway pressure measurement is feasible during resuscitation and may be developed further to provide real-time feedback on airway pressure and ventilation rate during resuscitation. |
Author | Huybrechts, Sofie A.M Monsieurs, Koenraad G Maertens, Vicky L De Smedt, Lieven E.G Lemoyne, Sabine Kalmar, Alain F Wouters, Kristien |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23178868$$D View this record in MEDLINE/PubMed |
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volume: 106 start-page: 535 year: 2008 ident: 10.1016/j.resuscitation.2012.11.015_bib0100 article-title: Minimizing stomach inflation versus optimizing chest compressions publication-title: Anesth Analg doi: 10.1213/ane.0b013e3181605543 contributor: fullname: Herff – volume: 81 start-page: 1219 year: 2010 ident: 10.1016/j.resuscitation.2012.11.015_bib0005 article-title: European Resuscitation Council guidelines for resuscitation publication-title: Resuscitation doi: 10.1016/j.resuscitation.2010.08.021 contributor: fullname: Nolan – volume: 83 start-page: 1462 year: 2012 ident: 10.1016/j.resuscitation.2012.11.015_bib0060 article-title: Ability of code leaders to recall CPR quality errors during the resuscitation of older children and adolescents publication-title: Resuscitation doi: 10.1016/j.resuscitation.2012.05.010 contributor: fullname: McInnes – volume: 81 start-page: 1544 year: 2010 ident: 10.1016/j.resuscitation.2012.11.015_bib0080 article-title: Does change in thoracic impedance measured via defibrillator electrode pads accurately detect ventilation breaths in children? publication-title: Resuscitation doi: 10.1016/j.resuscitation.2010.07.010 contributor: fullname: Roberts – volume: 34 start-page: 2399 year: 2006 ident: 10.1016/j.resuscitation.2012.11.015_bib0075 article-title: Thoracic impedance changes measured via defibrillator pads can monitor ventilation in critically ill patients and during cardiopulmonary resuscitation publication-title: Crit Care Med doi: 10.1097/01.CCM.0000235666.40378.60 contributor: fullname: Losert – volume: 81 start-page: 93 year: 2010 ident: 10.1016/j.resuscitation.2012.11.015_bib0010 article-title: Part 8. Advanced life support: 2010 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations publication-title: Resuscitation doi: 10.1016/j.resuscitation.2010.08.027 contributor: fullname: Deakin – volume: 73 start-page: 82 year: 2007 ident: 10.1016/j.resuscitation.2012.11.015_bib0025 article-title: Do we hyperventilate cardiac arrest patients? publication-title: Resuscitation doi: 10.1016/j.resuscitation.2006.09.012 contributor: fullname: O’Neill – volume: 71 start-page: 10 year: 2006 ident: 10.1016/j.resuscitation.2012.11.015_bib0030 article-title: Available ventilation monitoring methods during pre-hospital cardiopulmonary resuscitation publication-title: Resuscitation doi: 10.1016/j.resuscitation.2006.02.019 contributor: fullname: Terndrup – volume: 73 start-page: 54 year: 2007 ident: 10.1016/j.resuscitation.2012.11.015_bib0040 article-title: CPR quality improvement during in-hospital cardiac arrest using a real-time audiovisual feedback system publication-title: Resuscitation doi: 10.1016/j.resuscitation.2006.10.027 contributor: fullname: Abella – volume: 66 start-page: 563 year: 2011 ident: 10.1016/j.resuscitation.2012.11.015_bib0105 article-title: Comparison of the Mapleson C system and adult and paediatric self-inflating bags for delivering guideline-consistent ventilation during simulated adult cardiopulmonary resuscitation publication-title: Anaesthesia doi: 10.1111/j.1365-2044.2011.06695.x contributor: fullname: Sherren |
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Snippet | Abstract Aim To measure ventilation rate using tracheal airway pressures in prehospitally intubated patients with and without cardiac arrest. Methods... To measure ventilation rate using tracheal airway pressures in prehospitally intubated patients with and without cardiac arrest. Prospective observational... AIMTo measure ventilation rate using tracheal airway pressures in prehospitally intubated patients with and without cardiac arrest.METHODSProspective... |
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SubjectTerms | Adult Advanced life support Aged Aged, 80 and over Airway pressure Cardiopulmonary Resuscitation Emergency Emergency Medical Services Humans Intubation, Intratracheal Middle Aged Out-of-Hospital Cardiac Arrest - therapy Practice Guidelines as Topic Prospective Studies Respiration, Artificial - statistics & numerical data Tracheal pressure Ventilation rate |
Title | Patients with cardiac arrest are ventilated two times faster than guidelines recommend: An observational prehospital study using tracheal pressure measurement |
URI | https://www.clinicalkey.es/playcontent/1-s2.0-S030095721200901X https://dx.doi.org/10.1016/j.resuscitation.2012.11.015 https://www.ncbi.nlm.nih.gov/pubmed/23178868 https://search.proquest.com/docview/1366579412 |
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