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Impedance Threshold Device: ResQPOD

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Stroke Volume x Heart Rate = Cardiac Output. SV x HR = CO. SV: Amount of blood available in the chamber of the heart and is ejected to ... – PowerPoint PPT presentation

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Title: Impedance Threshold Device: ResQPOD


1
Impedance Threshold Device ResQPOD
2
The Impedance Threshold Device (ResQPOD)
  • Intended for use only in cardiac arrest patients
    because it
  • Increases blood flow to the heart and brain
    during assisted ventilation
  • Increases the opportunity for survival and
    normal neurological outcome
  • Is effective with standard CPR and works in
    conjunction with all standard resuscitation
    techniques and equipment
  • Recommended as a circulatory enhancer for the
    treatment of cardiac arrest by the AHA.
  • "Doubles the blood flow during CPR(Advanced
    Circulatory Systems Inc.)

3
Circulatory Enhancer
  • Stroke Volume x Heart Rate Cardiac Output
  • SV x HR CO
  • SV Amount of blood available in the chamber of
    the heart and is ejected to enter the circulatory
    system per beat/compression
  • An increase in blood return during cardiac arrest
    increases available blood to be circulated to the
    brain and heart

4
Improved venous return results in increased
stroke volume during the compression phase of CPR
and ultimately greater cardiac output. This
results in greater blood flow to the brain which
increases the possibility of improved
neurological outcomes.
5
  • The ResQPOD impedes or slows inspiratory gases
    during the recoil phase of CPR, resulting in
  • Increased negative pressure in the thorax
  • Which causes
  • Increased blood flow during the next compression
  • Which then causes both
  • Greater venous return to the heart
  • And
  • Increased coronary perfusion

Blood Flow to Brain COMPRESSION CPR alone
delivers approximately 25 of normal blood flow
to the brain
Greater Blood Flow to Brain COMPRESSION ResQPOD
delivers 50-70 of normal blood flow to the brain
6
What is Negative Pressure and why is it important?
  • Negative Pressure is basically a vacuum
  • It is the vacuum that helps bring blood back to
    the heart during the recoil phase of CPR

7
Why is Regular CPR Inefficient?
  • During the recoil phase of CPR, the negative
    pressure created will cause air to rush into the
    lungs from an unimpeded airway
  • The ResQPOD has a one way valve that requires a
    greater force for air to pass through
  • This is why it is utilized only in cardiac arrest
  • The ResQPOD would inhibit spontaneous
    ventilations and as such is never indicated for
    patients with Return of Spontaneous Circulation
    (ROSC)

8
The ResQPOD Maintains the Vacuum
  • The ResQPOD impedes air from entering the lungs
    during recoil
  • This preserves the vacuum, which allows for
    greater blood return to the heart

9
A Breakdown of the ResQPOD
10
Ventilation Timing Assist Lights
  • For CPR with an Advanced Airway in Place
  • Give 1 breath every 6 to 8 seconds (approximately
    8 to 10 breaths per minute)
  • (page 32, AHA ACLS Textbook)
  • (page 26, AHA BLS for HCP Textbook)
  • (page 55, LSEMS Protocols)
  • (potential test question on next protocol test)

11
Using the ResQPod on an Advanced Airway
  • Confirm tube placement
  • Secure tube
  • Connect in-line capnography
  • Connect ResQPOD to an Advanced Airway
  • Connect ventilation source to ResQPOD
  • Continue chest compressions
  • Coordinate ventilations with timing light

12
ResQPOD Use
  • Utilize the timing assist light to guide
    ventilation rate
  • Perform CPR
  • Prime the Pump
  • Remove ResQPOD as soon as ROSC occurs

13
Troubleshooting
  • At times, secretions normally encountered from
    CPR can accumulate inside the device
  • The ResQPOD will need to be cleared of these
    secretions
  • To clear accumulated secretions
  • Shake the device
  • The BVM can be utilized to clear the device
  • Be contentious of potentially infectious bodily
    fluids

14
Indications per LSEMS Medical Director
  • Only use the ResQPOD when your patient is
    intubated with an advanced airway
  • CUFFED ET Tube or
  • King Airway
  • And only for non-traumatic cardiac arrests
  • The ResQPOD is contraindicated for
  • Traumatic cardiac arrest

15
Par levels
  • Two ResQPods will be kept on each unit
  • One will be kept in the blue bag near the airway
    equipment
  • A second device will be kept in the airway cabinet

16
  • Thank You
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