RT Book, Section
A1 Herff, Holger
A1 Wenzel, Volker
A2 Tobin, Martin J.
SR Print(0)
ID 57069674
T1 Chapter 26. Mechanical Ventilation during Resuscitation
T2 Principles and Practice of Mechanical Ventilation, 3e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-173626-8
LK accessanesthesiology.mhmedical.com/content.aspx?aid=57069674
RD 2024/04/19
AB Before  the  arrival  of  an  emergency  medical  service  unit,  ventilation  given  by  bystanders  must  employ  techniques  that  do  not  require  special  equipment.  Safar,  Elam,  and  Ruben  first  showed  that  obstruction  of  the  upper  airway  by  the  tongue  and  soft  palate  occurs  commonly  in  victims  who  lose  consciousness  or  muscle  tone  and  that  ventilation  with  manual  techniques  is  markedly  reduced  or  prevented  by  such  obstruction.1–3  Subsequently,  Safar  et  al4,5  developed  techniques  that  prevent  obstruction  by  extending  the  neck  and  jaw  and  applied  these  in  conjunction  with  mouth-to-mouth  ventilation.  The  “gold  standard”  today  for  airway  maintenance  during  resuscitation  is  intubation  of  the  trachea,  which  provides  a  route  for  ventilation  with  oxygen,  allows  suctioning  of  the  upper  airway,  protects  the  airway  from  aspiration  of  gastric  contents,  and  prevents  inflation  of  the  stomach.