TY - JOUR
T1 - Application of a Cuirass and Institution of Biphasic Extra-Thoracic Ventilation by Gear-Protected Physicians
AU - Ben-Abraham, Ron
AU - Gur, Ilan
AU - Bar-Yishay, Ephraim
AU - Lin, Guy
AU - Blumenfeld, Amir
AU - Kalmovich, Boaz
AU - Weinbroum, Avi A.
PY - 2004/1/1
Y1 - 2004/1/1
N2 - Objectives: To evaluate the speed by which cuirass application, followed by biphasic extra-thoracic ventilation, can be instituted by full anti-chemical protective gear-wearing physicians. Materials and Methods: Ten physicians of variable subspecialties applied a cuirass on an adult volunteer and instituted biphasic extra-thoracic ventilation, using the RTX respirator (Medivent, London, UK). Endotracheal (ET) intubation and manual ventilation of a mannequin and its ventilation was comparatively assessed. Performances were conducted in a prospective, crossover, randomized manner. Times to successful applications as well as failure rates were recorded. Results: Cuirass application was performed more rapidly (102 ± 9 s, 177 ± 31 s, respectively, P < .01) and with a slightly lower failure rate than ET intubation. Conclusions: Physicians wearing full anti-chemical protective gear applied the cuirass and instituted biphasic extra-thoracic ventilation faster than ET intubation and manual positive pressure ventilation. Extra-thoracic ventilation should be further evaluated as an option for emergent respiratory support during toxic mass casualty events.
AB - Objectives: To evaluate the speed by which cuirass application, followed by biphasic extra-thoracic ventilation, can be instituted by full anti-chemical protective gear-wearing physicians. Materials and Methods: Ten physicians of variable subspecialties applied a cuirass on an adult volunteer and instituted biphasic extra-thoracic ventilation, using the RTX respirator (Medivent, London, UK). Endotracheal (ET) intubation and manual ventilation of a mannequin and its ventilation was comparatively assessed. Performances were conducted in a prospective, crossover, randomized manner. Times to successful applications as well as failure rates were recorded. Results: Cuirass application was performed more rapidly (102 ± 9 s, 177 ± 31 s, respectively, P < .01) and with a slightly lower failure rate than ET intubation. Conclusions: Physicians wearing full anti-chemical protective gear applied the cuirass and instituted biphasic extra-thoracic ventilation faster than ET intubation and manual positive pressure ventilation. Extra-thoracic ventilation should be further evaluated as an option for emergent respiratory support during toxic mass casualty events.
UR - http://www.scopus.com/inward/record.url?scp=1942475073&partnerID=8YFLogxK
U2 - 10.1016/j.jcrc.2004.02.007
DO - 10.1016/j.jcrc.2004.02.007
M3 - Article
C2 - 15101004
AN - SCOPUS:1942475073
SN - 0883-9441
VL - 19
SP - 36
EP - 41
JO - Journal of Critical Care
JF - Journal of Critical Care
IS - 1
ER -