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Devices for Expired Air Resuscitation

Published online by Cambridge University Press:  28 June 2012

Rolando Rossi ,
Karl Heinz Lindner  and
Friedrich Wilhelm Ahnefeld
Rolando Rossi*
Affiliation:
Clinic of Anaesthesiology, Ulm University, Ulm, Germany
Karl Heinz Lindner
Affiliation:
Clinic of Anaesthesiology, Ulm University, Ulm, Germany
Friedrich Wilhelm Ahnefeld
Affiliation:
Clinic of Anaesthesiology, Ulm University, Ulm, Germany Director, Clinic of Anaesthesiology, Ulm University, Ulm, Germany
*
Clinic of Anaesthesiology, Ulm University, Prittwitzstrasse 43, D-7900 Ulm, Germany
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Abstract

Objectives:

Expired air resuscitation is an essential part of first-aid and cannot be replaced by other measures. Because of the risk of transmitting infectious diseases, the use of devices is recommended. Three types are available—masks, tubes, and foils.

Participants:

Six masks (Air-Vita Bi-Protect, Laerdal Pocket-mask, Dräger Hivita Mask E, Rescue-Med De-vice, Resuscitator, SealEasy Resuscitation Kit), five tube instruments (Dr. Brook Airway, Dual-Aid, Goettinger Tubus, Lifeway, Sussex Valve Airway), and two foils (Ambu Life-Key, Laerdal ResusdFace Shield) were studied.

Measurements:

Inspiratory and expiratory resistance, valve leakage, ability to protect against infection transmission, and practicability (e.g., possibility of training on standard mannequins, seal) were measured and tested in the laboratory.

Results:

Only a few of the mask and tube devices had low inspiratory and expiratory resistances. Some of the one-way valves failed. There were definite risks of provoking complications (vomiting, lacerations) when using tube instruments.

Conclusions:

Devices consisting of a foil have definite advantages, and seem to be more appropriate for the use by first-aiders [first responders].

Keywords

expired airfoilsinfection riskmask instrumentsone-way valvespharyngeal tubesresistanceresuscitation-devicestrainingtube instrumentsventilation devices ventilation-masks
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 8 , Issue 2 , June 1993 , pp. 123 - 126
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1993

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References

1. Cullen, SC: Mouth-to-airway. Anesthesiology 1957;18:905–908.Google Scholar
2. Elam, JO, Brown, ES, Elder, JD: Artificial respiration by mouth-to-mask ventilation. N EnglJ Med 1954;250:749–752.CrossRefGoogle Scholar
3. Ferko, JG: Airtight advice. Emergency 1988;1:31–33.Google Scholar
4. Hamer, M, Howells, TH, Watson, R: A survey of resuscitation ventilatory aids. Brit J Assoc Immed Care 1986;9:31–34.Google Scholar
5. Hess, D, Ness, C, Oppel, A, Rhoads, K: Evaluation of mouth-to-mouth ventilation devices. Respir Care 1989;34:191–195.Google ScholarPubMed
6. Harrison, RR, Maull, KI, Keenam, RL, Boyan, CP: Mouth-to-mask ventilation: A superior method of rescue breathing. Ann Emerg Med 1982;11:74–78.CrossRefGoogle ScholarPubMed
7. Hess, D, Baran, C: Ventilatory volumes using mouth-to-mouth, mouth-to-mask and bag-valve-mask techniques. Am J Emerg Med 1985;3:292–296.CrossRefGoogle ScholarPubMed
8. Maull, KI: Pocket mask ventilation: A critical reappraisal. Ann Emerg Med 1984;3:161–164.Google Scholar
9. Nolte, H: Die Wiederbelebung der Atmung. Anästhesiologie und Wiederbelebung, Bd. 28. Berlin, Heidelberg, New York: Springer-Verlag, 1968, pp 32–45.CrossRefGoogle Scholar
10. Safar, P: Ventilatory efficacy of mouth-to-mouth artificial respiration. JAMA 1958;167:335–339.CrossRefGoogle ScholarPubMed
11. Safar, P: Pocket mask for emergency artificial ventilation and oxygen inhalation. Crit Care Med 1974;2:273–277.CrossRefGoogle ScholarPubMed
12. Safar, P, Escarraga, LA, Elam, JO: A comparison of the mouth-to-mouth and mouth-to-airway methods of artificial respiration with the chest-pressure, arm-lift methods. N Engl J Med 1958;258:671–675.CrossRefGoogle ScholarPubMed
13. Safar, P, McMahon, M: Mouth-to-airway emergency artificial respiration. JAMA 1958;166:1459–1464.CrossRefGoogle ScholarPubMed
14. Ahmad, F, Senadhira, DCA, Chartres, J, Acquilla, S: Transmission of salmonella via mouth-to-mouth resuscitation. Lancet 1990:787.CrossRefGoogle ScholarPubMed
15. Centers for Disease Control: Guidelines for Prevention of Transmission of Human Immunodeficiency Virus and Hepatitis B Virus to Health Care and Public Safety Workers. MMWR 38-Suppl 6 (1989), pp 1–38.Google Scholar
16. Cummins, RO: Infection control guidelines for CPR providers. JAMA 1989;262:2732–2737.CrossRefGoogle ScholarPubMed
17. Emergency Cardiac Care Committee of the American Heart Association: Risk of infection during CPR training and rescue. JAMA 1989;262:2714–2718.CrossRefGoogle Scholar
18. Ornato, JP: Providing CPR and emergency care during the AIDS epidemic. Emergency Medical Services 1989;18:45–49.Google ScholarPubMed
19. Rossi, R, Jäger, G, Ahnefeld, FW: Physical characteristics of devices for expired air resuscitation. Anästh Intensivth Notfallmed (in press).Google Scholar
20. Rossi, R, Koch, B, Jäger, G: Mouth-to-mouth resuscitation instruments: A comparative assessment. Münch Med Wschr 1990;132:395–398.Google Scholar
21. American Heart Association: Standards and guidelines for CPR and ECC. JAMA 1986;255:2905–2987.Google Scholar
22. Safar, P, Bircher, NG: Cardiopulmonary Cerebral Resuscitation. (3rd ed). New York: W. B. Saunders Company, 1988.Google Scholar
23. Rossi, R, Koch, B: Beatmungshilfen. Schrijtreihe zum Rettungswesen Band 1. Bonn: H. N. Druck & Verlag, 1989.Google Scholar
24. Dick, W, Ahnefeld, FW: Proposals for standardized tests of manually operated resuscitators for respiratory resuscitation. Resuscitation 1975;4:149–154.CrossRefGoogle Scholar
25. International Organization of Standardization (ISO): Resuscitators intended for use with humans. Draft International Standard ISO/DIS 8382 (unpublished).Google Scholar
26. Lotz, P, Dick, W, Ahnefeld, FW, et al. : Vergleichende Untersuchungen von Handbeatmungsgeräten. Teil 1 und 2. Notfallmedizin 1983;9:745–753, 825–831.Google Scholar