TY - JOUR
T1 - Prehospital Mechanical Ventilation
T2 - An NAEMSP Position Statement and Resource Document
AU - Baez, Amado Alejandro
AU - Qasim, Zaffer
AU - Wilcox, Susan
AU - Weir, William B.
AU - Loeffler, Patrick
AU - Golden, Bradley Michael
AU - Schwartz, Daniel
AU - Levy, Michael
N1 - Publisher Copyright:
© 2021 The Author(s). Published with license by Taylor & Francis Group, LLC.
PY - 2022
Y1 - 2022
N2 - Airway emergencies and respiratory failure frequently occur in the prehospital setting. Patients undergoing advanced airway management customarily receive manual ventilations. However, manual ventilation is associated with hypo- and hyperventilation, variable tidal volumes, and barotrauma, among other potential complications. Portable mechanical ventilators offer an important strategy for optimizing ventilation and mitigating ventilatory complications. EMS clinicians, including those performing emergency response as well as interfacility transports, should consider using mechanical ventilation after advanced airway insertion. Prehospital mechanical ventilation techniques, strategies, and parameters should be disease-specific and should mirror in-hospital best practices. EMS clinicians must receive training in the general principles of mechanical ventilation as well as detailed training in the operation of the specific system(s) used by the EMS agency. Patients undergoing mechanical ventilation must receive appropriate sedation and analgesia.
AB - Airway emergencies and respiratory failure frequently occur in the prehospital setting. Patients undergoing advanced airway management customarily receive manual ventilations. However, manual ventilation is associated with hypo- and hyperventilation, variable tidal volumes, and barotrauma, among other potential complications. Portable mechanical ventilators offer an important strategy for optimizing ventilation and mitigating ventilatory complications. EMS clinicians, including those performing emergency response as well as interfacility transports, should consider using mechanical ventilation after advanced airway insertion. Prehospital mechanical ventilation techniques, strategies, and parameters should be disease-specific and should mirror in-hospital best practices. EMS clinicians must receive training in the general principles of mechanical ventilation as well as detailed training in the operation of the specific system(s) used by the EMS agency. Patients undergoing mechanical ventilation must receive appropriate sedation and analgesia.
KW - critical care transport
KW - mechanical ventilation
KW - prehospital
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U2 - 10.1080/10903127.2021.1994676
DO - 10.1080/10903127.2021.1994676
M3 - Article
C2 - 35001824
AN - SCOPUS:85122755735
SN - 1090-3127
VL - 26
SP - 88
EP - 95
JO - Prehospital Emergency Care
JF - Prehospital Emergency Care
IS - S1
ER -