Mouth-to-mouth ventilation and/or chest compression in basic life support: The debate continues.

摘要

Do these recent papers and statement herald a new era in the practice of CPR? Should we abandon MMV in the vast majority of resuscitation attempts? There are several important considerations derived from theoretical, experimental and clinical data that support the concept of chest compression-only CPR. One of these is the fact that only few victims receive CPR before arrival of professional help. That this is because of reluctance and fear of infection during MMV is supported by some, but refuted by others.14'15 Whatever the cause, there are many other ways to increase lay rescuer CPR other than the simplification advocated now.16 It is also true that giving two breaths was taking longer than the recommended two seconds per breath. Whether this is still true in 2008 needs to be determined; if so, adaptation of teaching methods may decrease this time to a more acceptable duration.17 With an increased c:v ratio the impact of prolonged interruption for ventilation will also be reduced.