Acta anaesthesiologica Scandinavica. Supplementum
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Acta Anaesthesiol Scand Suppl · Jan 1997
Comparative StudyAirway management and ventilation during CPR.
In this porcine model of fibrillatory cardiac arrest (Table 1), ventilation during basic life support does not improve 24-hour survival or neurological outcome compared to chest compressions alone when advanced life support is provided within 15 minutes of arrest. Bystander CPR can save lives, but is usually not offered, at least in part, because of reluctance to perform mouth-to-mouth ventilation. If chest compressions alone are similarly effective and more acceptable compared to chest compressions and mouth-to-mouth ventilation, the simpler technique may result in more lives saved.
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This review describes general principles of quality control and focuses on the issue of process quality in intensive care units. Process quality of a service organisation mostly involves the factors timing and communications. Management tools for improving and enhancing process quality are mainly edition and enforcement of practice guidelines, but also the setting of performance standards and regular audits of process quality by selected indicators. Implementation of these concepts into the practice of Intensive Care is discussed and recommendations are made.