More from the Resuscitation Science Symposium

[Guest guest]

So it may turn out that all those nursing home nurses who had a mask over the

coded patient's face running at 15 liters were right after all. UGH!

GG

In a message dated 11/6/07 9:45:58 PM, kenneth.navarro@...

writes:

>

> OK, folks. Here is another provocative presentation from the

> Resuscitation Science Symposium . . . Before you read it though, ask

> yourself if you like bananas. . . (Pause for reflection) . . . OK,

> read on.

>

> A few posts back, I told you about the CCR protocol that was

> evaluated in eleven Arizona Fire Departments. Some of the fire

> agencies provided CPR using standard chest compressions and

> ventilation with an OPA and a bag-valve mask (BVM group). The others

> provided standard chest compressions, but instead of ventilating with

> a BVM, the medics inserted an OPA and placed a NRB mask on the

> patient's face at 15 lpm oxygen flow (passive insufflation group).

>

> Four-hundred and forty-two patients were enrolled - 68% received BVM

> ventilation. Standard characteristics did not differ between the two

> groups. For all patients in cardiac arrest, ventilation with a BVM

> did not improve survival to hospital discharge rates compared to

> passive insufflation (8% vs. 12.7%, respectively, p > 0.05).

>

> However, in a subgroup analysis of patients presenting with

> ventricular fibrillation, passive insufflation was associated with

> significantly greater survival rates (same definition) compared to

> the BVM group. (48.6% vs. 20.0%, p < 0.01).

>

> This abstract was judged as one of the five best abstracts presented

> at this year's symposium. Again, this study has its limitations, but

> is does call into the question the value of ventilation in cardiac

> arrest.

>

> As you can imagine, there was considerable debate over this concept.

>

> Remember at the beginning of this post I asked if you liked bananas?

>

> How do like them bananas?

>

> Kenny Navarro

> Dallas

>

> Vadeboncoeur, et al. The survival rate from out-of-hospital cardiac

> arrest is superior with passive oxygen insufflation compared to

> active assisted ventilation. Oral abstract presentation.

> Resuscitation Science Symposium 2007, Orlando, FL.

>

>

>

**************************************

See what's new at http://www.aol.com

[Guest guest]

OK, folks. Here is another provocative presentation from the

Resuscitation Science Symposium . . . Before you read it though, ask

yourself if you like bananas. . . (Pause for reflection) . . . OK,

read on.

A few posts back, I told you about the CCR protocol that was

evaluated in eleven Arizona Fire Departments. Some of the fire

agencies provided CPR using standard chest compressions and

ventilation with an OPA and a bag-valve mask (BVM group). The others

provided standard chest compressions, but instead of ventilating with

a BVM, the medics inserted an OPA and placed a NRB mask on the

patient's face at 15 lpm oxygen flow (passive insufflation group).

Four-hundred and forty-two patients were enrolled - 68% received BVM

ventilation. Standard characteristics did not differ between the two

groups. For all patients in cardiac arrest, ventilation with a BVM

did not improve survival to hospital discharge rates compared to

passive insufflation (8% vs. 12.7%, respectively, p > 0.05).

However, in a subgroup analysis of patients presenting with

ventricular fibrillation, passive insufflation was associated with

significantly greater survival rates (same definition) compared to

the BVM group. (48.6% vs. 20.0%, p < 0.01).

This abstract was judged as one of the five best abstracts presented

at this year's symposium. Again, this study has its limitations, but

is does call into the question the value of ventilation in cardiac

arrest.

As you can imagine, there was considerable debate over this concept.

Remember at the beginning of this post I asked if you liked bananas?

How do like them bananas?

Kenny Navarro

Dallas

Vadeboncoeur, et al. The survival rate from out-of-hospital cardiac

arrest is superior with passive oxygen insufflation compared to

active assisted ventilation. Oral abstract presentation.

Resuscitation Science Symposium 2007, Orlando, FL.

[Guest guest]

The issue with that is I've never seen those nursing home staff use an OPA,

which would certainly make any passive insufflation doubtful at best. At least

that's something to hold onto.

>>> 11/07/07 2:35 AM >>>

So it may turn out that all those nursing home nurses who had a mask over the

coded patient's face running at 15 liters were right after all. UGH!

GG

In a message dated 11/6/07 9:45:58 PM, kenneth.navarro@...

writes:

>

> OK, folks. Here is another provocative presentation from the

> Resuscitation Science Symposium . . . Before you read it though, ask

> yourself if you like bananas. . . (Pause for reflection) . . . OK,

> read on.

>

> A few posts back, I told you about the CCR protocol that was

> evaluated in eleven Arizona Fire Departments. Some of the fire

> agencies provided CPR using standard chest compressions and

> ventilation with an OPA and a bag-valve mask (BVM group). The others

> provided standard chest compressions, but instead of ventilating with

> a BVM, the medics inserted an OPA and placed a NRB mask on the

> patient's face at 15 lpm oxygen flow (passive insufflation group).

>

> Four-hundred and forty-two patients were enrolled - 68% received BVM

> ventilation. Standard characteristics did not differ between the two

> groups. For all patients in cardiac arrest, ventilation with a BVM

> did not improve survival to hospital discharge rates compared to

> passive insufflation (8% vs. 12.7%, respectively, p > 0.05).

>

> However, in a subgroup analysis of patients presenting with

> ventricular fibrillation, passive insufflation was associated with

> significantly greater survival rates (same definition) compared to

> the BVM group. (48.6% vs. 20.0%, p < 0.01).

>

> This abstract was judged as one of the five best abstracts presented

> at this year's symposium. Again, this study has its limitations, but

> is does call into the question the value of ventilation in cardiac

> arrest.

>

> As you can imagine, there was considerable debate over this concept.

>

> Remember at the beginning of this post I asked if you liked bananas?

>

> How do like them bananas?

>

> Kenny Navarro

> Dallas

>

> Vadeboncoeur, et al. The survival rate from out-of-hospital cardiac

> arrest is superior with passive oxygen insufflation compared to

> active assisted ventilation. Oral abstract presentation.

> Resuscitation Science Symposium 2007, Orlando, FL.

>

>

>

**************************************

See what's new at http://www.aol.com

[Guest guest]

You Sir are a sick, sick man.

I will buy you a beer at TDH.

Louis N. Molino, Sr. CET

From Baku, Azerbaijan

In a message dated 11/7/2007 1:16:10 P.M. Central Standard Time,

Grayson902@... writes:

" Nursing home oxygen therapy: Granted, it's as effective as a pillow over

the face, but far more elegant. "

************************************** See what's new at http://www.aol.com

[Guest guest]

>>So it may turn out that all those nursing home nurses who had a mask over the

coded patient's face running at 15 liters were right after all. UGH!<<

Not at all. Everyone knows that nursing home nurses use masks with a liter flow

of 2 liters per minute.

" Nursing home oxygen therapy: Granted, it's as effective as a pillow over the

face, but far more elegant. "

--

Grayson, CCEMT-P, etc.

MEDIC Training Solutions

http://www.medictrainingsolutions.com/