A Decent Way of Mouth to Mouth Resuscitation with Our Hands (A Technique Suitable for Resuscitation of Out of Hospital Cardiac Arrest Situations), Comparison with Bag and Mask Ventilation-A Clinical Study in Anaesthetized and Paralyzed Patients in Operation Room


Dr. Sistla Gopala Krishna Murthy*


Early recognition of cardiac arrest, Early high quality CPR with effective external cardiac compression, early defibrillation and early transportation to nearest medical center saves many avoidable deaths at home or any other public gathering [1,2]. A lot of public awareness, knowledge and training has to be given to all the citizens regarding importance of early recognition of cardiac arrest and rescue measures, as delay in resuscitation beyond 4 minutes is likely to result in serious damage to brain functions even after full recovery from cardiac arrest.

Materials and Methods

As the sufficient data of out of hospital cardiac arrests for the publication was difficult to get as they were very rarely reported, we selected 50 ASA grade 1 and 2 anaesthetized and paralyzed patients with normal circulation and other vital functions coming for elective surgeries who also needed ventilator support before endotracheal intubation. 25 patients we ventilated with Bain’s anesthesia circuit and Connell’s face mask with 50% oxygen and Air, and 25 patients with Oxygen enriched expired air of anesthesiologists.


Oxygen saturation maintained 100% in all the patients, and we did not come across any adverse effects in any of our patients during anesthesia time or in the post-operative period.


We recommend this decent way of mouth to mouth resuscitation as a part of CPR in selected and safe group of patients without transmissible infectious diseases with cardiac arrest or respiratory arrest needing respiratory support outside the hospital if no other means of respiratory support are readily available.