Solevåg AL, Lee TF, Lu M, Schmölzer GM, Cheung PY. Tidal volume delivery during continuous chest compressions and sustained inflation.
Arch Dis Child Fetal Neonatal Ed 2017;
102:F85-F87. [PMID:
27566670 DOI:
10.1136/archdischild-2016-311043]
[Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2016] [Revised: 07/27/2016] [Accepted: 08/05/2016] [Indexed: 11/03/2022]
Abstract
OBJECTIVE
To determine the distending pressure needed to achieve sufficient tidal volume (VT) delivery during continuous chest compressions (CC) superimposed by sustained inflation (SI) (CC+SI).
DESIGN
Randomised animal/manikin trial.
SETTING
University laboratory.
SUBJECTS
Cadaver piglets/manikin.
INTERVENTIONS
SI distending pressures of 5, 10, 15, 20, 25 and 30 cm H2O were delivered in random order during CC+SI for 2 min each.
MAIN OUTCOME MEASURES
VT, gas flow and airway pressure. Spearman's r for distending pressure and VT.
RESULTS
Distending pressure and VT correlated in cadaver piglets (r=0.83, p<0.001), manikin (r=0.98, p<0.001) and combined data (r=0.49, p<0.001). VT was delivered during chest recoil during CC in both models. In cadaver piglets, a distending pressure ∼25 cm H2O was needed to achieve an adequate VT.
CONCLUSIONS
Chest recoil generates VT depending on an adequate distending pressure. This has previously been demonstrated in adult animals. A pressure of ∼25 cm H2O is needed to achieve an adequate VT delivery.
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