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J Korean Soc Emerg Med > Volume 26(4); 2015 > Article
Journal of The Korean Society of Emergency Medicine 2015;26(4): 269-275.
가슴 압박 시행 중 기존의 수동식 소생기와 새로 고안된 수동식 소생기의 일회 호흡량 비교
한수천1, 유승1, 조성욱1, 조용철1, 정원준1, 안홍준2
1충남대학교 의학전문대학원 응급의학교실
2유성선병원 응급의학과
Comparison of Tidal Volume with Conventional Resuscitator and Newly-designed Resuscitator during Chest Compression
Su Cheon Han1, Seung Ryu1, Sung UK Cho1, Yong Chul Cho1, Won Joon Jeong1, Hong Joon Ahn2
1Department of Emergency Medicine, School of Medicine, Chungnam National University, Daejeon, Korea
2Department of Emergency Medicine, Yuseong Sun Hospital, Daejeon, Korea
Correspondence  Seung Ryu ,Tel: 042) 280-8007, Fax: 042) 280-8082, Email: rs0505@cnuh.co.kr,
Received: April 20, 2015; Revised: April 20, 2015   Accepted: July 13, 2015.  Published online: August 31, 2015.
ABSTRACT
Purpose:
A conventional resuscitator is used as first-line equipment during cardiopulmonary resuscitation (CPR). However, resuscitation providers have difficulty in achieving adequate tidal volume during ventilation by conventional resuscitator (CR). This study was conducted to evaluate the usefulness of the newly-designed resuscitator (NR) during chest compression.
Method:
Fifty nine individuals participated in this study. NR was produced by insertion of a silicon implant in the CR. The NR was set at a tidal volume of 500 mL. Subjects completed four procedures: CR without compression, NR without compression, CR with compression, and NR with compression. Individual characteristics were obtained and the results were analyzed statistically.
Results:
The mean volumes for the CR without compression were 482.03 mL, NR without compression 513.71 mL, CR with compression 461.93 mL, and NR with compression 496.12 mL. When the two types of resuscitators were used during chest compression, success rate of CR of 64.4% was observed, and success rate of NR was 94.9% (p<0.01). The physical aspects including hand size, volume, and grip power showed no correlation with the volume that we delivered.
Conclusion:
The NR can approximate the exact tidal volume and may be useful in preventing possible complications from inappropriately delivered tidal volumes.
Key words: Cardiopulmonary resuscitation, Ventilation, Tidal volume
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