Open AccessCardiopulmonary resuscitation in obese patients
Author(s) -
Ю М Боробов,
Anastasia Samsonova,
M. N. Lapushkin,
З. А. Зарипова,
М О Соловьева,
Д Ю Астахова
Publication year - 2020
Publication title -
vestnik anesteziologii i reanimatologii
Language(s) - English
Resource type - Journals
eISSN - 2541-8653
pISSN - 2078-5658
DOI - 10.21292/2078-5658-2020-16-1-21-28
Subject(s) - medicine , cardiopulmonary resuscitation , resuscitation , intensive care medicine , body mass index , airway , ventilation (architecture) , obesity , emergency medicine , anesthesia , mechanical engineering , engineering
Objective : an analysis of literature covering the effects of morbid obesity on various aspects of cardiopulmonary resuscitation (CPR) and its outcomes. Currently, there is no specic standard for CPR in morbidly obese patients (body mass index ≤ 30). Signicant constitutional, anatomical, and physiological factors can lead to negative treatment outcomes in people with signicant excess weight. The review presents study results evaluating the effectiveness of the essential components of CPR in obese patients. In particular, it discusses issues of indirect cardiac massage and debrillation, airway management and ventilation, venous access, and pharmacokinetics of drugs used during CPR. It demonstrates that CPR in obese patients has its own characteristics not mentioned in official recommendations and guidelines.