Manual chest compression for total bronchospasm

Eason, John; Cottam, Simon; Beard, Colin; Lanigan, C.; Tayler, David H.; Edwards, Rhian; Peachey, T.; Knibb, Aston; Dimond, John

doi:10.1016/0140-6736(91)90998-5

Cited by 22 publications

(9 citation statements)

References 4 publications

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“…11 Few subsequent reports are available, and these describe the technique either as first aid before hospitalization, [4][5][6][7] or for already ventilated patients in the ICU setting, all involving asthmatic patients. 8,9 One report described adverse events, that is, deterioration in an intubated child. 12 Fisher et al 4 reported in 1989 a preliminary study describing this technique as a simple effective first-aid maneuver used by paramedics treating acute asthmatic patients.…”

Section: Discussionmentioning

confidence: 99%

Manual external chest compression reverses respiratory failure in children with severe air trapping

Brooks

Cohen‐Cymberknoh

Glicksman

et al. 2021

Pediatric Pulmonology

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We report manual external chest compression (MECC) as an effective treatment for acute respiratory failure due to severe air trapping. In this retrospective study, we describe our experience with MECC administered to five children suffering from severe air trapping as a consequence of severe asthma or bronchiolitis. These children were admitted to the Pediatric Intensive Care Unit (PICU) with clinical and blood gases parameters compatible with acute respiratory failure. Before intubation MECC was performed. The results of blood gasses before, during, and after MECC showed gradual changes in PCO 2 over time indicating the improvement in tidal volume and ventilation. Respiratory failure resolved in all five children within 4 h with no complications. The need for intubation and mechanical ventilation was avoided, and all children were discharged from the PICU within 48 h.

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Section: Discussionmentioning

confidence: 99%

Manual external chest compression reverses respiratory failure in children with severe air trapping

Brooks

Cohen‐Cymberknoh

Glicksman

et al. 2021

Pediatric Pulmonology

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“…He emphasised simple physics, physiology and pathophysiology in contrasting thoracic compression and acute severe asthma. 17 Despite only being an editorial correspondence letter, three other articles were located 2,3,15,16 who all positively emphasised the clinical use of ECC.…”

Section: Discussionmentioning

confidence: 99%

Investigating the Benefits of Out-of-Hospital External Chest Compression

Williams

Fallows

Allan

2007

Australasian Journal of Paramedicine

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Introduction 1. To review and analyse the literature regarding out-of-hospital external chest compressions (ECC) in severe asthma and status asthmaticus. 2. To compare which ambulance services in Australia and New Zealand actively use ECC in their clinical practice guidelines for severe asthma. Methods Literature review using a variety of medical databases including, Medline, AMED, ProQuest, EMBASE, CINAHL, Scopus and Cochrane Library from 1950 to present. The following keywords were used in the search strategy, ambulance, asthma, emergency medical technicians, external chest compression, external chest pressure, lateral chest compression, lateral chest pressure, out-of-hospital, paramedic, prehospital, status asthmaticus and thoracic compression. A review of Australian and New Zealand ambulance service clinical practice guidelines was also undertaken comparing the current out-of-hospital guidelines use of ECC. Results A total of nine papers were located with low levels of evidence supporting the use of ECC. Only two papers directly discussed ECC in the context of out-of-hospital care. Three of the eight Australian ambulance services actively use ECC in their clinical practice guidelines. Conclusion High level evidence was not found supporting the use of ECC in severe asthma or status asthmaticus. Anecdotal opinions and case reports generally have supported its use in dynamic hyperinflation settings. Further research is required before recommendations can be made.

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“…Diskonnektieren Sie die Überdruckbeatmung, wenn Luft-Trapping und Hyperinflation auftreten, und vermindern Sie den Druck, um die Hyperinflation manuell zu reduzieren: In einigen Fallberichten wurde über einen ROSC bei Patienten mit Luft-Trapping berichtet, wenn der Endotrachealtubus diskonnektiert wurde [ 570 – 576 ]. Wenn während der Reanimation eine dynamische Hyperinflation der Lunge vermutet wird, kann Thoraxkompression unter Diskonnektion des Endotrachealtubus das Air-Trapping vermindern [ 575 , 577 ]. Obwohl dieses Verfahren nur durch begrenzte Hinweise gestützt wird, ist es in einer ansonsten aussichtslosen Situation unwahrscheinlich, dass es schädlich ist [ 577 , 578 ].…”

Section: Evidenz Die In Die Leitlinien Einfließtunclassified

“…Wenn während der Reanimation eine dynamische Hyperinflation der Lunge vermutet wird, kann Thoraxkompression unter Diskonnektion des Endotrachealtubus das Air-Trapping vermindern [ 575 , 577 ]. Obwohl dieses Verfahren nur durch begrenzte Hinweise gestützt wird, ist es in einer ansonsten aussichtslosen Situation unwahrscheinlich, dass es schädlich ist [ 577 , 578 ].…”

Section: Evidenz Die In Die Leitlinien Einfließtunclassified

Kreislaufstillstand unter besonderen Umständen

Lott

Truhlář

Alfonzo

et al. 2021

Notfall Rettungsmed

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Diese Leitlinien des European Resuscitation Council (ERC) für den Kreislaufstillstand unter besonderen Umständen basieren auf dem 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. Dieses Kapitel enthält Leitlinien zu den Modifikationen der lebensrettenden Basismaßnahmen und erweiterten lebensrettenden Maßnahmen zur Vorbeugung und Behandlung von Kreislaufstillständen unter besonderen Umständen; insbesondere spezielle Ursachen (Hypoxie, Trauma, Anaphylaxie, Sepsis, Hypo‑/Hyperkaliämie und andere Elektrolytstörungen, Hypothermie, Lawinengeschehen, Hyperthermie und maligne Hyperthermie, Lungenembolie, Koronarthrombose, Herzbeuteltamponade, Spannungspneumothorax, Giftstoffe), spezielle Umstände (Operationssaal, Herzchirurgie, Herzkatheterlabor, Dialyseeinheit, Zahnkliniken, Transport während des Flugs, Kreuzfahrtschiffe, Sport, Ertrinken, Großschadensereignisse) und spezielle Patientengruppen (Asthma und chronisch obstruktive Lungenerkrankung, neurologische Erkrankungen, krankhafte Adipositas, Schwangerschaft). Zusatzmaterial online Die Online-Version dieses Beitrags (10.1007/s10049-021-00891-z) enthält das originale Zusatzmaterial aus dem Artikel in Resuscitation. Beitrag und Zusatzmaterial stehen Ihnen auf www.springermedizin.de zur Verfügung. Bitte geben Sie dort den Beitragstitel in die Suche ein, das Zusatzmaterial finden Sie beim Beitrag unter „Ergänzende Inhalte“.

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Manual chest compression for total bronchospasm

Cited by 22 publications

References 4 publications

Manual external chest compression reverses respiratory failure in children with severe air trapping

Manual external chest compression reverses respiratory failure in children with severe air trapping

Investigating the Benefits of Out-of-Hospital External Chest Compression

Kreislaufstillstand unter besonderen Umständen

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