LETTERS to the EDITORManual chest compression for total bronchospasm
References (4)
Thoracic compression for asthma
Chest
(1984)- et al.
Emergency treatment of severe bronchospasm
Crit Care Med
(1986)
Cited by (19)
European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances
2021, ResuscitationCitation Excerpt :If dynamic hyperinflation of the lungs is suspected during CPR, compression of the chest while disconnecting the tracheal tube may relieve air trapping.572,574 Although this procedure is supported by limited evidence, it is unlikely to be harmful in an otherwise desperate situation.574,575 Ventilate with respiratory rate (8–10 min) and sufficient tidal volume to cause the chest to rise.
Life Threatening Asthma
2021, Encyclopedia of Respiratory Medicine, Second EditionTracheal Tube Position Shift during Infant Resuscitation by Chest Compression: A Simulation Comparison by Fixation Method and with or Without Cuff
2016, Journal of Emergency MedicineCitation Excerpt :These results are compatible with those of adult simulations, and it might be because of the repetitive intratracheal pressure caused by chest compressions, which causes a continuous air stream to flow from the trachea to the mouth, as has been demonstrated by end-tidal CO2 volumes measured by capnography (2,4). Chest compression can also cause a slight increase in the intratracheal pressure, leading to bronchospasm or laryngospasm (13,14). Just as chest compression is recommended to alleviate choking in infants and adults, the same mechanism of intratracheal pressure increase can occur through infant chest compression during infant cardiorespiratory arrest (2).
Part 8: Advanced life support: 2010 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations
2010, ResuscitationCitation Excerpt :One volunteer adult study demonstrated that increasing PEEP caused increased transthoracic impedance (LOE 5).469 Seven case series involving 37 patients suggested increased ease of ventilation and ROSC with lateral chest compressions at the base of the ribs (LOE 4).470–476 In a single case report, lateral chest compressions were associated with cardiac arrest and poor cardiac output (LOE 4).477
Serious circulatory deficiency during external chest compression for asthma attack
2001, American Journal of Emergency MedicineCitation Excerpt :To palliate asthmatic respiratory deficiency, external chest compression (ECC), a respiratory physiotherapy in which the ribcage is compressed using the palms of the hands synchronized with expiration to facilitate exhausting of entrapped alveolar gas,1-2 has been performed in addition to drug therapies for dilating bronchus. The effectiveness of ECC for palliation of severe asthma and bronchospasms has been reported previously.3-4 Because there are rarely complications, ECC is not considered to be a risky procedure.1-2
Treatment of critical status asthmaticus in children
1994, Pediatric Clinics of North America