Application of laryngeal mask artificial respiration support in prehospital emergency cardiopulmonary resuscitation in emergency department(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2019年第8期
- Page:
- 985-988
- Research Field:
- 医学生物物理
- Publishing date:
Info
- Title:
- Application of laryngeal mask artificial respiration support in prehospital emergency cardiopulmonary resuscitation in emergency department
- Author(s):
- ZHOU Shihui; ZHAI Guilan; MA Xue
- Department of Emergency, the First Affiliated Hospital of Jinzhou Medical University, Jinzhou 121000, China
- Keywords:
- ; Keywords: laryngeal mask; face mask; tracheal intubation; prehospital emergency; cardiopulmonary resuscitation
- PACS:
- R459.7
- DOI:
- DOI:10.3969/j.issn.1005-202X.2019.08.023
- Abstract:
- Abstract: Objective To explore the application effects of laryngeal mask artificial respiration support on prehospital emergency cardiopulmonary resuscitation (CPR) in emergency department. Methods Sixty patients who underwent prehospital emergency CPR were enrolled in the study and divided into observation group (laryngeal mask artificial respiration support) and control group (tracheal intubation after assisted respiration with face mask ventilation) according to different CPR methods, with 30 cases in each group. The indicators related to CPR were recorded and compared between two groups. The pH, blood oxygen saturation (SpO2) and partial pressure of oxygen (PaO2) were measured before CPR and at 2 h and 6 h after successful CPR. The mortality rate and the incidence rate of adverse reactions were recorded and compared between two groups. Results The time required for intubation, effective airway opening time, rise time of SpO2 and pupil contraction time in observation group were significantly shorter than those in control group, and the success rate of CPR and the success rate of the first attempt at intubation were significantly higher than those in control group (P<0.05). Compared with those before CPR, the pH in control group was increased significantly at 2 h and 6 h after successful CPR (P<0.05), and there was no significant difference in SpO2 and PaO2 (P>0.05). However, the SpO2 and PaO2 in observation group at 2 h and 6 h after successful CPR were significantly higher than those before CPR (P<0.05), and no significant difference was found in pH (P>0.05). The mortality rate and the incidence rate of adverse reactions in observation group were significantly lower than those in control group (P<0.05). Conclusion Laryngeal mask artificial respiration support, with simple operation and high safety, not only can help patients to recover spontaneous breathing and spontaneous circulation as soon as possible, but also has little impact on the cardiovascular system of patients. In summary, laryngeal mask artificial respiration support has obvious application advantages in prehospital emergency.
Last Update: 2019-08-27