Pulmonary Aspiration During Unsuccessful Cardiopulmonary Resuscitation

Overview

Journal Intensive Care Med

Specialty Critical Care

Date 1987 Jan 1

PMID 3668071

Citations 10

Authors

E G Lawes

P J Baskett

Affiliations

Soon will be listed here.

Abstract

The incidence of pulmonary aspiration in a group of patients who did not respond to cardiopulmonary resuscitation (CPR) was assessed at autopsy and found to be 29%. This figure is undoubtedly an underestimate of the total problem, and some indication of the potential for aspiration during CPR is revealed by the fact that 46% of the patients studied had full stomaches at autopsy. Clearly this fact has implications for CPR methods as suggested by Cummings and Eisenberg. The problem could be reduced by incorporating the use of cricoid pressure into the techniques of Basic CPR but this will require modification of current teaching.

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References

Salem M, Wong A, Fizzotti G . Efficacy of cricoid pressure in preventing aspiration of gastric contents in paediatric patients. Br J Anaesth. 1972; 44(4):401-4. DOI: 10.1093/bja/44.4.401. View

NAGEL E, Fine E, Krischer J, Davis J . Complications of CPR. Crit Care Med. 1981; 9(5):424. DOI: 10.1097/00003246-198105000-00037. View

Melker R, Banner M . Ventilation during CPR: two-rescuer standards reappraised. Ann Emerg Med. 1985; 14(5):397-402. DOI: 10.1016/s0196-0644(85)80280-8. View

RUBEN H, KNUDSEN E, CARUGATI G . Gastric inflation in relation to airway pressure. Acta Anaesthesiol Scand. 1961; 5:107-14. DOI: 10.1111/j.1399-6576.1961.tb00089.x. View

Wraight W, Chamney A, HOWELLS T . The determination of an effective cricoid pressure. Anaesthesia. 1983; 38(5):461-6. DOI: 10.1111/j.1365-2044.1983.tb14031.x. View

Sellick B . Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia. Lancet. 1961; 2(7199):404-6. DOI: 10.1016/s0140-6736(61)92485-0. View

Sellick B . Rupture of the oesophagus following cricoid pressure?. Anaesthesia. 1982; 37(2):213-4. DOI: 10.1111/j.1365-2044.1982.tb01069.x. View

Cameron J, Mitchell W, Zuidema G . Aspiration pneumonia. Clinical outcome following documented aspiration. Arch Surg. 1973; 106(1):49-52. DOI: 10.1001/archsurg.1973.01350130051011. View

Bartlett J, Gorbach S . The triple threat of aspiration pneumonia. Chest. 1975; 68(4):560-6. DOI: 10.1378/chest.68.4.560. View

10.

Campinos L, Duval G, Couturier M, BRAGE D, Pham J, Gaudy J . The value of early fibreoptic bronchoscopy after aspiration of gastric contents. Br J Anaesth. 1983; 55(11):1103-5. DOI: 10.1093/bja/55.11.1103. View

11.

Fanning G . The efficacy of cricoid pressure in preventing regurgitation of gastric contents. Anesthesiology. 1970; 32(6):553-5. DOI: 10.1097/00000542-197006000-00019. View

12.

Melker R . Recommendations for ventilation during cardiopulmonary resuscitation: time for change?. Crit Care Med. 1985; 13(11):882-3. DOI: 10.1097/00003246-198511000-00002. View

13.

Krause S, Donen N . Gastric rupture during cardiopulmonary resuscitation. Can Anaesth Soc J. 1984; 31(3 Pt 1):319-22. DOI: 10.1007/BF03007898. View

14.

Baskett P . Resuscitation needed for the curriculum?. Br Med J (Clin Res Ed). 1985; 290(6481):1531-2. PMC: 1415729. DOI: 10.1136/bmj.290.6481.1531. View

15.

Fillmore S, Shapiro M, Killip T . Serial blood gas studies during cardiopulmonary resuscitation. Ann Intern Med. 1970; 72(4):465-9. DOI: 10.7326/0003-4819-72-4-465. View

16.

Vyas H, Milner A, Hopkin I . Face mask resuscitation: does it lead to gastric distension?. Arch Dis Child. 1983; 58(5):373-5. PMC: 1627866. DOI: 10.1136/adc.58.5.373. View

17.

Baskett P . The need to disseminate knowledge of resuscitation into the community. Anaesthesia. 1982; 37(1):74-6. DOI: 10.1111/j.1365-2044.1982.tb01000.x. View

18.

HOWELLS T, Chamney A, Wraight W, Simons R . The application of cricoid pressure. An assessment and a survey of its practice. Anaesthesia. 1983; 38(5):457-60. DOI: 10.1111/j.1365-2044.1983.tb14030.x. View

19.

Snow R . THE MUSCLE RELAXANTS AND THE CARDIA, INCLUDING THE CLINICAL MANAGEMENT OF PATIENTS LIKELY TO VOMIT AND REGURGITATE. Br J Anaesth. 1963; 35:541-5. DOI: 10.1093/bja/35.9.541. View

20.

Cummins R, Eisenberg M . Prehospital cardiopulmonary resuscitation. Is it effective?. JAMA. 1985; 253(16):2408-12. View