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CPR using an LMA

Last post 06-29-2013, 5:12 AM by ckarcher. 3 replies.
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  •  02-14-2013, 6:40 AM 4794

    CPR using an LMA

    General question

    Does any one have have general guidelines for the correct respiration rate for an Adult during CPR following an LMA insertion?

    We know 30:2 is the standard without a secure airway, but was is the standard after an LMA had been secured?

    This technique was observed being used by a collegue from the UK during a scenario recently....(it is not a common practice in Australia).

     

    Trevor A Snow

    Australia


    TAS
  •  02-14-2013, 9:11 AM 4795 in reply to 4794

    Re: CPR using an LMA

    Ventilation is normally about 10 breaths a minute with an LMA or ET tube in CPR according to Resuscitation Council (UK) guidelines
  •  02-14-2013, 2:39 PM 4796 in reply to 4794

    Re: CPR using an LMA

    The American Heart Association states (in an adult)  that once a supraglottic advanced airway (LMA, Combitube, King LT, etc)  or endotracheal intubation is in place, the ventilation rate is 8-10 a minute. There is no compression to ventilation ratio (aka 30:2), compressions occur at a rate of at least 100 per minute and breaths happen at 8-10 a minute, they are asynchronous and neither should pause (except for defibrillation, ROSC, etc).  Hope that helps!
  •  06-29-2013, 5:12 AM 4988 in reply to 4796

    Re: CPR using an LMA

    The Australian Guidelines state pretty much the same. They recommend 8-10 breaths without interrupting chest compressions unless the compressions interfere with the ventilation. In this case 30:2 as with a BMV.
    Dr. Christian Karcher MD FCICM
    Intensive Care Specialist
    The Royal Melbourne Hospital
    Clinical Sub-Dean Simulation
    The University of Melbourne
    Australia
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