Optimising the unprotected airway with a prototype Jaw‐Thrust‐Device – a prospective randomised cross‐over study

Goedecke, Achim von; Mitterschiffthaler, Lukas; Paal, Peter; Mitterlechner, Thomas; Wenzel, Volker; Herff, Holger

doi:10.1111/j.1365-2044.2009.06059.x

Cited by 7 publications

(6 citation statements)

References 17 publications

(16 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If the stomach is full of air, this can put pressure on the diaphragm and cause problems with ventilation. Research conducted on patients and on human corpses have confirmed the importance of reducing the frequency of ventilation and inspiratory pressure so as to minimize the risk of blowing air into the stomach during positive pressure ventilation in patients with unprotected airways [5, 31–33]. Our research showed that the percentage of artificial breaths where air found its way into the stomach did not differ significantly in both methods ( p > 0.05).…”

Section: Discussionsupporting

confidence: 58%

Comparison of standard and over-the-head method of chest compressions during cardiopulmonary resuscitation - a simulation study

et al. 2019

View full text Add to dashboard Cite

BackgroundMaintaining highly effective cardiopulmonary resuscitation (CPR) can be particularly difficult when artificial ventilation using a bag-valve-mask device, combined with chest compression have to be carried out by one person. The aim of the study is to compare the quality of CPR conducted by one paramedic using chest compression from the patient’s side with compression conducted from the ‘over-the-head’ position.MethodsThe subject of the study were two methods of CPR – ‘standard’ (STD) and ‘over-the-head’ (OTH). The STD method consisted of cycles of 30 chest compressions from the patient’s side, and two attempts at artificial ventilation after moving round to behind the patient’s head. In the OTH method, both compressions and ventilations were conducted from behind the patient’s head.ResultsBoth CPR methods were conducted by 38 paramedics working in medical response teams. Statistical analysis was conducted on the data collected, giving the following results: the average time of the interruptions between compression cycles (STD 9.184 s, OTH 7.316 s, p < 0.001); the depth of compression 50–60 mm (STD 50.65%, OTH 60.22%, p < 0.001); the rate of compression 100–120/min. (STD 46.39%, OTH 53.78%, p < 0.001); complete chest wall recoil (STD 84.54%, OTH 91.46%, p < 0.001); correct hand position (STD 99.32%, OTH method 99.66%, p < 0.001). A statistically significant difference was demonstrated in the results to the benefit of the OTH method in the above parameters. The remaining parameters showed no significant differences in comparison to reference values.ConclusionsThe higher quality of CPR in the simulated research using the OTH method by a single person justifies the use of this method in a wider range of emergency interventions.

show abstract

Section: Discussionsupporting

confidence: 58%

Comparison of standard and over-the-head method of chest compressions during cardiopulmonary resuscitation - a simulation study

et al. 2019

View full text Add to dashboard Cite

show abstract

“…If the stomach is full of air, this can put pressure on the diaphragm and cause problems with ventilation. Studies by numerous authors have confirmed the importance of reducing the frequency of ventilation and inspiratory pressure so as to minimize the risk of blowing air into the stomach during positive pressure ventilation in patients with unprotected airways [5,[31][32][33]. Our research showed that the percentage of artificial breaths where air found its way into the stomach did not differ significantly in both methods (p>0.05).…”

Section: Discussionsupporting

confidence: 58%

An alternative method of chest compression from over-the-head during cardiopulmonary resuscitation

Ćwiertnia¹,

Kawecki²,

Ilczak³

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Maintaining highly effective cardiopulmonary resuscitation (CPR) can be particularly difficult when artificial respiration using a bag-valve-mask device, combined with chest compression have to be carried out by one person. The aim of the study is to compare the quality of CPR conducted by one paramedic using chest compression from the patient’s side, with compression carried out from behind the patient’s head. Methods The subject of the study were two methods of CPR – ‘standard’ (STD) and ‘over-the-head’ (OTH). The STD method consisted of 30 chest compressions from the patient’s side, and two attempts at artificial respiration after moving round to behind the patient’s head. In the OTH method, both compression and respiration were conducted from behind the patient’s head. Results Both CPR methods were conducted by 38 paramedics working in medical response teams. The average time of the interruptions between compression cycles (STD 9.184 s, OTH 7.316 s, p<0.001); the depth of compression 50–60 mm (STD 50.65%, OTH 60.22%, p<0.001); the rate of compression 100–120/min. (STD 46.39%, OTH 53.78%, p<0.001); complete chest wall recoil (STD 84.54%, OTH 91.46%, p<0.001); correct hand position (STD 99.32%, OTH method 99.66%, p<0.001). The remaining parameters showed no significant differences in comparison to reference values. Conclusions The demonstrated higher quality of CPR in the simulated research using the OTH method conducted by one person justifies the use of this method in a wider range of emergency interventions than only for CPR conducted in confined spaces.

show abstract

“…If the stomach is full of air, this can put pressure on the diaphragm and cause problems with ventilation. Research conducted on patients and on human corpses have confirmed the importance of reducing the frequency of ventilation and inspiratory pressure so as to minimize the risk of blowing air into the stomach during positive pressure ventilation in patients with unprotected airways [5,[31][32][33]. Our research showed that the percentage of artificial breaths where air found its way into the stomach did not differ significantly in both methods (p > 0.05).…”

Section: Discussionsupporting

confidence: 56%

Comparison of standard and over-the-head method of chest compressions during cardiopulmonary resuscitation - a simulation study

Ćwiertnia

Kawecki

Ilczak

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: Maintaining highly effective cardiopulmonary resuscitation (CPR) can be particularly difficult when artificial ventilation using a bag-valve-mask device, combined with chest compression have to be carried out by one person. The aim of the study is to compare the quality of CPR conducted by one paramedic using chest compression from the patient’s side with compression conducted from the ‘over-the-head’ position. Methods: The subject of the study were two methods of CPR – ‘standard’ (STD) and ‘over-the-head’ (OTH). The STD method consisted of cycles of 30 chest compressions from the patient’s side, and two attempts at artificial ventilation after moving round to behind the patient’s head. In the OTH method, both compressions and ventilations were conducted from behind the patient’s head. Results: Both CPR methods were conducted by 38 paramedics working in medical response teams. Statistical analysis was conducted on the data collected, giving the following results: the average time of the interruptions between compression cycles (STD 9.184 s, OTH 7.316 s, p < 0.001); the depth of compression 50–60 mm (STD 50.65%, OTH 60.22%, p < 0.001); the rate of compression 100–120/min. (STD 46.39%, OTH 53.78%, p < 0.001); complete chest wall recoil (STD 84.54%, OTH 91.46%, p < 0.001); correct hand position (STD 99.32%, OTH method 99.66%, p < 0.001). A statistically significant difference was demonstrated in the results to the benefit of the OTH method in the above parameters. The remaining parameters showed no significant differences in comparison to reference values. Conclusions: The higher quality of CPR in the simulated research using the OTH method by a single person justifies the use of this method in a wider range of emergency interventions.

show abstract

Optimising the unprotected airway with a prototype Jaw‐Thrust‐Device – a prospective randomised cross‐over study

Cited by 7 publications

References 17 publications

Comparison of standard and over-the-head method of chest compressions during cardiopulmonary resuscitation - a simulation study

Comparison of standard and over-the-head method of chest compressions during cardiopulmonary resuscitation - a simulation study

An alternative method of chest compression from over-the-head during cardiopulmonary resuscitation

Comparison of standard and over-the-head method of chest compressions during cardiopulmonary resuscitation - a simulation study

Contact Info

Product

Resources

About