Nikolla Dhimitri, Lewandowski Tyler, Carlson Jestin
Department of Emergency Medicine, Allegheny Health Network Saint Vincent Hospital, Erie, PA.
Department of Emergency Medicine, UPMC Hamot Hospital, Erie, PA.
Am J Emerg Med. 2016 Mar;34(3):643-6. doi: 10.1016/j.ajem.2015.11.070. Epub 2015 Dec 4.
Although multiple airway management and ventilation strategies have been proposed during cardiac arrest, the ideal strategy is unknown. Current strategies call for advanced airways, such as endotracheal intubation and supraglottic airways. These may facilitate hyperventilation which is known to adversely affect cardiopulmonary physiology. We provide a summary of conceptual models linking hyperventilation to patient outcomes and identify methods for mitigating hyperventilation during cardiac arrest.
尽管在心脏骤停期间已经提出了多种气道管理和通气策略，但理想的策略尚不清楚。目前的策略要求采用高级气道，如气管插管和声门上气道。这些可能会促进过度通气，而过度通气已知会对心肺生理产生不利影响。我们总结了将过度通气与患者结局联系起来的概念模型，并确定了在心脏骤停期间减轻过度通气的方法。
