TY - CHAP M1 - Book, Section TI - Chapter 26. Mechanical Ventilation during Resuscitation A1 - Herff, Holger A1 - Wenzel, Volker A2 - Tobin, Martin J. Y1 - 2013 N1 - T2 - Principles and Practice of Mechanical Ventilation, 3e 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. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/10/04 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=57069674 ER -