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Statements

Subject Item
n2:RIV%2F00216208%3A11110%2F14%3A10286803%21RIV15-MSM-11110___
rdf:type
skos:Concept n19:Vysledek
rdfs:seeAlso
http://dx.doi.org/10.1155/2014/376871
dcterms:description
Recently published evidence has challenged some protocols related to oxygenation, ventilation, and airway management for out-of-hospital cardiac arrest. Interrupting chest compressions to attempt airway intervention in the early stages of OHCA in adults may worsen patient outcomes. The change of BLS algorithms from ABC to CAB was recommended by the AHA in 2010. Passive insufflation of oxygen into a patent airway may provide oxygenation in the early stages of cardiac arrest. Various alternatives to tracheal intubation or bag-mask ventilation have been trialled for prehospital airway management. Simple methods of airway management are associated with similar outcomes as tracheal intubation in patients with OHCA. The insertion of a laryngeal mask airway is probably associated with worse neurologically intact survival rates in comparison with other methods of airway management. Hyperoxemia following OHCA may have a deleterious effect on the neurological recovery of patients. Extracorporeal oxygenation techniques have been utilized by specialized centers, though their use in OHCA remains controversial. Chest hyperinflation and positive airway pressure may have a negative impact on hemodynamics during resuscitation and should be avoided. Dyscarbia in the postresuscitation period is relatively common, mainly in association with therapeutic hypothermia, and may worsen neurological outcome. Recently published evidence has challenged some protocols related to oxygenation, ventilation, and airway management for out-of-hospital cardiac arrest. Interrupting chest compressions to attempt airway intervention in the early stages of OHCA in adults may worsen patient outcomes. The change of BLS algorithms from ABC to CAB was recommended by the AHA in 2010. Passive insufflation of oxygen into a patent airway may provide oxygenation in the early stages of cardiac arrest. Various alternatives to tracheal intubation or bag-mask ventilation have been trialled for prehospital airway management. Simple methods of airway management are associated with similar outcomes as tracheal intubation in patients with OHCA. The insertion of a laryngeal mask airway is probably associated with worse neurologically intact survival rates in comparison with other methods of airway management. Hyperoxemia following OHCA may have a deleterious effect on the neurological recovery of patients. Extracorporeal oxygenation techniques have been utilized by specialized centers, though their use in OHCA remains controversial. Chest hyperinflation and positive airway pressure may have a negative impact on hemodynamics during resuscitation and should be avoided. Dyscarbia in the postresuscitation period is relatively common, mainly in association with therapeutic hypothermia, and may worsen neurological outcome.
dcterms:title
Oxygenation, Ventilation, and Airway Management in Out-of-Hospital Cardiac Arrest: A Review Oxygenation, Ventilation, and Airway Management in Out-of-Hospital Cardiac Arrest: A Review
skos:prefLabel
Oxygenation, Ventilation, and Airway Management in Out-of-Hospital Cardiac Arrest: A Review Oxygenation, Ventilation, and Airway Management in Out-of-Hospital Cardiac Arrest: A Review
skos:notation
RIV/00216208:11110/14:10286803!RIV15-MSM-11110___
n3:aktivita
n18:V n18:P
n3:aktivity
P(OFUVN20130002), V
n3:cisloPeriodika
March
n3:dodaniDat
n4:2015
n3:domaciTvurceVysledku
n13:2499711 n13:8709378 n13:1104691 n13:6913369
n3:druhVysledku
n20:J
n3:duvernostUdaju
n16:S
n3:entitaPredkladatele
n9:predkladatel
n3:idSjednocenehoVysledku
35545
n3:idVysledku
RIV/00216208:11110/14:10286803
n3:jazykVysledku
n10:eng
n3:klicovaSlova
arterial carbon-dioxide; constant-flow insufflation; laryngeal mask airway; heart-association guidelines; emergency cardiovascular care; extracorporeal life-support; decompression cardiopulmonary-resuscitation; impedance threshold device
n3:klicoveSlovo
n7:decompression%20cardiopulmonary-resuscitation n7:arterial%20carbon-dioxide n7:impedance%20threshold%20device n7:constant-flow%20insufflation n7:laryngeal%20mask%20airway n7:heart-association%20guidelines n7:emergency%20cardiovascular%20care n7:extracorporeal%20life-support
n3:kodStatuVydavatele
US - Spojené státy americké
n3:kontrolniKodProRIV
[8018B83B27DE]
n3:nazevZdroje
BioMed Research International
n3:obor
n12:FP
n3:pocetDomacichTvurcuVysledku
4
n3:pocetTvurcuVysledku
5
n3:projekt
n8:OFUVN20130002
n3:rokUplatneniVysledku
n4:2014
n3:svazekPeriodika
2014
n3:tvurceVysledku
Hinds, John D. Michálek, Pavel Dobiáš, Miloš Henlín, Tomáš Tyll, Tomáš
n3:wos
000332878900001
s:issn
2314-6133
s:numberOfPages
11
n15:doi
10.1155/2014/376871
n5:organizacniJednotka
11110