The Resus Room March 2024; papers of the month
10 snips
Mar 1, 2024 Comparing mechanical ventilation in CPR to hand ventilation, lumbar CSF drain vs. standard care for aneurysmal subarachnoid hemorrhage, decision making in prehospital trauma. Discussing strategies, improvements in emergency care, and complexities of decision making.
AI Snips
Chapters
Transcript
Episode notes
Ventilation Modes During Cardiac Arrest
- Ventilation strategy in cardiac arrest can be synchronous or asynchronous depending on airway device and context.
- The choice may matter operationally but clear evidence of superiority remains lacking.
Real-World Ventilator Challenges During CPR
- Speaker 1 and Speaker 0 described limited real‑world success using ventilators during CPR due to alarms and poor delivered volumes.
- They noted ventilators with dedicated CPR settings are becoming more common and may help in specific scenarios.
Mechanical Vs Hand Ventilation Trial Limitations
- A small RCT compared bag-valve-mask versus mechanical ventilation during ED CPR and found no significant PAO2 difference.
- The study was underpowered and variability in timing limits firm conclusions.