Benefits of Manometer in Non-Invasive Ventilatory Support

Benefits of Manometer in Non-Invasive Ventilatory Support

Author Lacerda, Rodrigo Silva Google Scholar
Anastacio de Lima, Fernando Cesar Google Scholar
Bastos, Leonardo Pereira Google Scholar
Vinco, Anderson Fardin Google Scholar
Azevedo Schneider, Felipe Britto Google Scholar
Coelho, Yves Luduvico Google Scholar
Costa Fernandes, Heitor Gomes Google Scholar
Ramos Bacalhau, Joao Marcus Google Scholar
Simonelli Bermudes, Igor Matheus Google Scholar
da Silva, Claudinei Ferreira Google Scholar
da Silva, Luiza Paterlini Google Scholar
Pezato, Rogerio Autor UNIFESP Google Scholar
Abstract Introduction: Effective ventilation during cardiopulmonary resuscitation (CPR) is essential to reduce morbidity and mortality rates in cardiac arrest. Hyperventilation during CPR reduces the efficiency of compressions and coronary perfusion. Problem: How could ventilation in CPR be optimized? The objective of this study was to evaluate non-invasive ventilator support using different devices. Methods: The study compares the regularity and intensity of non-invasive ventilation during simulated, conventional CPR and ventilatory support using three distinct ventilation devices: a standard manual resuscitator, with and without airway pressure manometer, and an automatic transport ventilator. Student's t-test was used to evaluate statistical differences between groups. P values < .05 were regarded as significant. Results: Peak inspiratory pressure during ventilatory support and CPR was significantly increased in the group with manual resuscitator without manometer when compared with the manual resuscitator with manometer support (MS) group or automatic ventilator (AV) group. Conclusion: The study recommends for ventilatory support the use of a manual resuscitator equipped with MS or AVs, due to the risk of reduction in coronary perfusion pressure and iatrogenic thoracic injury during hyperventilation found using manual resuscitator without manometer.
Keywords airway
cardiac arrest
ventilatory support
xmlui.dri2xhtml.METS-1.0.item-coverage New York
Language English
Date 2017
Published in Prehospital And Disaster Medicine. New York, v. 32, n. 6, p. 615-620, 2017.
ISSN 1049-023X (Sherpa/Romeo, impact factor)
Publisher Cambridge Univ Press
Extent 615-620
Origin http://dx.doi.org/10.1017/S1049023X17006719
Access rights Closed access
Type Article
Web of Science ID WOS:000417138200006
URI https://repositorio.unifesp.br/handle/11600/58100

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