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Continuous chest compressions with a simultaneous triggered ventilator in the Munich Emergency Medical Services: a case series

Abstract:
Background: Mechanical chest compression devices are commonly used providing a constant force and frequency of chest compression during cardiopulmonary resuscitation. However, there are currently no recommendations on ventilation during cardiopulmonary resuscitation with a mechanical chest compression device using continuous mode. An effective method for ventilation in such scenarios might be a triggered oxygen-powered resuscitator. Methods: We report seven cardiopulmonary resuscitation cases from the Munich Emergency Medical Service where mechanical chest compression devices in continuous mode were used with an oxygen-powered resuscitator. In each case, the resuscitator (Oxylator®) was running in automatic mode delivering a breath during the decompression phase of the chest compressions at a frequency of 100 per minute. End-tidal carbon dioxide and pulse oximetry were measured. Additional data was collected from the resuscitation protocol of each patient. Results: End-tidal carbon dioxide was available in all cases while oxygen saturation only in four. Five patients had a return of spontaneous circulation. Based on the end-tidal carbon dioxide values of each of the cases, the resuscitator did not seem to cause hyperventilation and suggests that good-quality cardiopulmonary resuscitation was delivered. Conclusions: Continuous chest compressions using a mechanical chest compression device and simultaneous synchronized ventilation using an oxygen-powered resuscitator in an automatic triggering mode might be feasible during cardiopulmonary resuscitation.
Author Listing: Stefan J. Schaller;Sonja Altmann;Annalise Unsworth;Gerhard Schneider;Viktoria Bogner-Flatz;Thomas Paul;Petra Hoppmann;Karl-Georg Kanz
Volume: 17
Pages: None
DOI: 10.3205/000272
Language: English
Journal: GMS German Medical Science

GMS German Medical Science

影响因子:0.0
是否综述期刊:否
是否OA:否
是否预警:不在预警名单内
发行时间:-
ISSN:1612-3174
发刊频率:-
收录数据库:Scopus收录/DOAJ开放期刊
出版国家/地区:Germany
出版社:Association of the Scientific Medical Societies

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自引率 0.0%
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平均审稿周期 11 Weeks
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偏重研究方向 Medicine-Medicine (all)
期刊官网 https://www.egms.de/dynamic/en/journals/gms/index.htm
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2025年03月发布的2025版 不在预警名单中
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2020年12月发布的2020版 不在预警名单中

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