在心肺复苏过程中自动机械通风与手动袋通风:试点随机控制试验
Jonghwan Shin1, Hui Jai Lee2, Kwang Nam Jin3
1Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, South Korea; Department of Emergency Medicine, Seoul National University Seoul Metropolitan Government Boramae Medical Center, Seoul, South Korea.
Chest
|February 19, 2024
概括
机械通风 (MV) 是心肺复苏 (CPR) 期间手动袋通风 (BV) 的可行的替代方案. 这项试点研究发现,在非医院心脏骤停患者中,MV和BV方法之间的自发循环回归 (ROSC) 没有显著差异.
科学领域:
- 紧急医疗 紧急医疗
- 关键护理医学 关键护理医学
- 心肺复苏心肺复苏的使用方法
背景情况:
- 关于机械通风 (MV) 作为心肺复苏 (CPR) 期间手动通风的替代品的证据有限.
- 医院外心脏骤停 (OHCA) 需要有效的通风策略.
研究的目的:
- 评估机械通风 (MV) 与手动袋通风 (BV) 在CPR过程中的可行性和可比性.
- 评估MV和BV对OHCA患者关键生理参数的影响.
主要方法:
- 一项试点随机对照试验比较了成人OHCA患者在心肺复苏期间的MV和BV. 患者被随机分配到MV或BV组.
- 主要结局是恢复自发循环 (ROSC). 其次结果包括动脉血液气体分析,潮体积,分钟体积和气道峰值压力.
主要成果:
- 在MV (56.7%) 和BV (43.3%) 组之间的ROSC率没有显著差异 (P = .439).
- 动脉血液气体参数 (pH,Pco2,Po2,二碳酸盐,乳酸盐) 在心肺复苏过程中没有显示群体之间的显著差异.
- 与BV组相比,MV组表现出明显较低的潮体积 (P < .001) 和分钟体积 (P = .009).
结论:
- 机械通风 (MV) 是OHCA患者心肺复苏期间手动袋通风 (BV) 的可行的替代方案.
- 需要进行更多的多中心随机对照试验,以确定在心肺复苏过程中通风指南的最终证据.
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