Document Detail


Role of mouth-to-mouth rescue breathing in bystander cardiopulmonary resuscitation for asphyxial cardiac arrest.
MedLine Citation:
PMID:  11098944     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There is increasing evidence that mouth-to-mouth rescue breathing may not be necessary during brief periods of bystander cardiopulmonary resuscitation (CPR) for ventricular fibrillation. In contrast to ventricular fibrillation cardiac arrests, it has been assumed that rescue breathing is essential for treatment of asphyxial cardiac arrests because the cardiac arrests result from inadequate ventilation. This review explores the role of mouth-to-mouth rescue breathing during bystander CPR for asphyxial cardiac arrests. Clinical data suggest that survival from apparent asphyxial cardiac arrest can occur after CPR consisting of chest compressions alone, without rescue breathing. Two randomized, controlled swine investigations using models of bystander CPR for asphyxial cardiac arrest establish the following: a) that prompt initiation of bystander CPR is a crucially important intervention; and b) that chest compressions plus mouth-to-mouth rescue breathing is markedly superior to either technique alone. One of these studies further demonstrates that early in the asphyxial pulseless arrest process doing something (mouth-to-mouth rescue breathing or chest compressions) is better than doing nothing.
Authors:
R A Berg
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Critical care medicine     Volume:  28     ISSN:  0090-3493     ISO Abbreviation:  Crit. Care Med.     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2000-12-01     Completed Date:  2000-12-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  N193-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, Steele Memorial Children's Research Center, University of Arizona Sarver Heart Center, Tucson, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Asphyxia / mortality,  therapy*
Cardiopulmonary Resuscitation / methods*
Heart Arrest / mortality,  therapy*
Heart Massage
Hemodynamics
Respiration, Artificial
Survival Rate
Swine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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