Transthoracic Impedance Measured with Defibrillator Pads-New Interpretations of Signal Change Induced by Ventilations.

cardiopulmonary resuscitation (CPR) peak inspiration pressure pulmonary barotrauma pulmonary injury transthoracic impedance ventilation ventilation pattern

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
22 May 2019
Historique:
received: 11 04 2019
revised: 14 05 2019
accepted: 17 05 2019
entrez: 25 5 2019
pubmed: 28 5 2019
medline: 28 5 2019
Statut: epublish

Résumé

Compressions during the insufflation phase of ventilations may cause severe pulmonary injury during cardiopulmonary resuscitation (CPR). Transthoracic impedance (TTI) could be used to evaluate how chest compressions are aligned with ventilations if the insufflation phase could be identified in the TTI waveform without chest compression artifacts. Therefore, the aim of this study was to determine whether and how the insufflation phase could be precisely identified during TTI. We synchronously measured TTI and airway pressure (Paw) in 21 consenting anaesthetised patients, TTI through the defibrillator pads and Paw by connecting the monitor-defibrillator's pressure-line to the endotracheal tube filter. Volume control mode with seventeen different settings were used (5-10 ventilations/setting): Six volumes (150-800 mL) with 12 min

Identifiants

pubmed: 31121817
pii: jcm8050724
doi: 10.3390/jcm8050724
pmc: PMC6571933
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Ministerio de Economía, Industria y Competitividad, Gobierno de España
ID : TEC2015-64678-R
Organisme : European Regional Development Fund
ID : TEC2015-64678-R
Organisme : Euskal Herriko Unibertsitatea
ID : GIU17/31

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Auteurs

Per Olav Berve (PO)

National Advisory Unit for Prehospital Emergency Medicine (NAKOS), Oslo University Hospital-Ullevål and University of Oslo, P.O. Box 4956 Nydalen, N-0424 Oslo, Norway. poberve@gmail.com.
Prehospital Clinic, Ambulance Department, Oslo University Hospital-Ullevål, P.O. Box 4956 Nydalen, N-0424 Oslo, Norway. poberve@gmail.com.

Unai Irusta (U)

Communications Engineering Department, University of the Basque Country UPV/EHU, Alameda Urquijo S/N, 48013 Bilbao, Spain. unai.irusta@ehu.eus.

Jo Kramer-Johansen (J)

National Advisory Unit for Prehospital Emergency Medicine (NAKOS), Oslo University Hospital-Ullevål and University of Oslo, P.O. Box 4956 Nydalen, N-0424 Oslo, Norway. jo.kramer-johansen@medisin.uio.no.
Prehospital Clinic, Ambulance Department, Oslo University Hospital-Ullevål, P.O. Box 4956 Nydalen, N-0424 Oslo, Norway. jo.kramer-johansen@medisin.uio.no.

Tore Skålhegg (T)

Prehospital Clinic, Ambulance Department, Oslo University Hospital-Ullevål, P.O. Box 4956 Nydalen, N-0424 Oslo, Norway. toretang911@hotmail.com.
Prehospital Clinic, Airambulance Department, Oslo University Hospital-Ullevål, P.O. Box 4956 Nydalen, N-0424 Oslo, Norway. toretang911@hotmail.com.

Håvard Wahl Kongsgård (HW)

National Advisory Unit for Prehospital Emergency Medicine (NAKOS), Oslo University Hospital-Ullevål and University of Oslo, P.O. Box 4956 Nydalen, N-0424 Oslo, Norway. haavard.kongsgaard@gmail.com.

Cathrine Brunborg (C)

Oslo Centre for Biostatistics and Epidemiology, Research Support Services, Oslo University Hospital-Ullevål, P.O. Box 4956 Nydalen, N-0424 Oslo, Norway. UXBRUC@ous-hf.no.

Elisabete Aramendi (E)

Communications Engineering Department, University of the Basque Country UPV/EHU, Alameda Urquijo S/N, 48013 Bilbao, Spain. elisabete.aramendi@ehu.eus.

Lars Wik (L)

National Advisory Unit for Prehospital Emergency Medicine (NAKOS), Oslo University Hospital-Ullevål and University of Oslo, P.O. Box 4956 Nydalen, N-0424 Oslo, Norway. lars.wik@medisin.uio.no.
Prehospital Clinic, Ambulance Department, Oslo University Hospital-Ullevål, P.O. Box 4956 Nydalen, N-0424 Oslo, Norway. lars.wik@medisin.uio.no.

Classifications MeSH