How much lung ventilation is obtained with only chest-compression CPR?

L A Geddes, A Rundell, M Otlewski, M Pargett
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引用次数: 23

Abstract

The objective of this 14-pig study was designed to determine the amount of lung ventilation obtainable by only rhythmic chest compression (100/min, 100 lbs). Tidal volume (TV), dead space (DS), and respiration rate (R) were measured with normal breathing and with rhythmic chest compression during ventricular fibrillation. The ratio of TV/DS was calculated in both cases. For normal breathing the ratio was 2.54 +/- 0.68; for chest compression breathing the ratio was 0.80 +/- 0.07. Minute alveolar ventilation (TV - DS)R was computed for both cases. With spontaneous breathing, the minute alveolar volume was 5.48 +/- 2.1 l/min. With only chest-compression breathing, the alveolar ventilation was -1.49 +/- 0.64 l/min. The negative minute alveolar volume and fractional ratio reveals that TV was less than the dead space indicating that chest-compression alone does not ventilate the lungs.

单靠胸腔按压心肺复苏术能获得多少肺活量?
这项14头猪研究的目的是确定仅通过有节奏的胸部按压(100次/分钟,100磅)可获得的肺通气量。在心室颤动时,分别在正常呼吸和节律性胸压下测量潮气量(TV)、死亡间隙(DS)和呼吸率(R)。计算了两种情况下TV/DS的比值。正常呼吸时,比值为2.54±0.68;胸压呼吸的比值为0.80±0.07。计算两例患者的分钟肺泡通气(TV - DS)R。自发呼吸时,肺泡分钟容积为5.48±2.1 l/min。仅胸压呼吸时,肺泡通气量为-1.49 +/- 0.64 l/min。肺泡体积和分数比呈负,显示TV小于死腔,表明单靠胸部按压不能使肺部通气。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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