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Respiratory Support Strategy for Sudden Cardiac Death

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Sudden Death

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Abstract

Cardiopulmonary resuscitation (CPR), as the main treatment for sudden cardiac arrest, includes circulation, airway, breathing, and defibrillation; each of them is important for the overall success of CPR. Mechanical ventilation has been widely applied in the treatment of patients suffering from sudden cardiac death. However, current guidelines do not mention other ventilatory parameters other than respiratory frequency. Therefore, heterogeneity of ventilation practices may occur. The optimal mechanical ventilation strategy still remains highly controversial. Additionally, clinicians are often wondering how to wean from ventilator. In this review, we aimed to offer practical suggestion for clinicians based on the available published data. In the first half of this review, we discuss how to ventilate during CPR and after a return of spontaneous circulation (ROSC). In the second half, we discuss the principles of weaning from invasive mechanical ventilation. Because strong hemodynamic changes associated with evacuation of ventilation can lead to cardiac failure, we also describe the latest progress in diagnosis and treatment of weaning-induced cardiac failure and highlight the noninvasive mechanical ventilation.

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  1. Emergency Department, Beijing Tiantan Hospital, Capital Medical University, Beijing, China

    Yingying Kong & Wei Guo

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  1. Yingying Kong
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  1. Emergency Department, The First Medical Center of Chinese PLA General Hospital, Beijing, China

    Haiyan Zhu

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Kong, Y., Guo, W. (2021). Respiratory Support Strategy for Sudden Cardiac Death. In: Zhu, H. (eds) Sudden Death. Springer, Singapore. https://doi.org/10.1007/978-981-15-7002-5_15

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