• Resuscitation · Aug 2024

    Review

    Ventilation during cardiopulmonary resuscitation: a narrative review.

    • Jeroen A van Eijk, Lotte C Doeleman, Stephan A Loer, Rudolph W Koster, Hans van Schuppen, and Patrick Schober.
    • Amsterdam UMC location Vrije Universiteit Amsterdam, Anesthesiology, De Boelelaan 1117, Amsterdam, the Netherlands; Amsterdam Public Health, Quality of Care, Amsterdam, the Netherlands. Electronic address: j.vaneijk1@amsterdamumc.nl.
    • Resuscitation. 2024 Aug 22: 110366110366.

    AbstractVentilation during cardiopulmonary resuscitation is vital to achieve optimal oxygenation but continues to be a subject of ongoing debate. This narrative review aims to provide an overview of various components and challenges of ventilation during cardiopulmonary resuscitation, highlighting key areas of uncertainty in the current understanding of ventilation management. It addresses the pulmonary pathophysiology during cardiac arrest, the importance of adequate alveolar ventilation, recommendations concerning the maintenance of airway patency, tidal volumes and ventilation rates in both synchronous and asynchronous ventilation. Additionally, it discusses ventilation adjuncts such as the impedance threshold device, the role of positive end-expiratory pressure ventilation, and passive oxygenation. Finally, this review offers directions for future research.Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.

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