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An adult patient with an endotracheal tube (ET) in place experiences cardiac arrest and requires CPR. Which of the following statements are true when performing high-quality CPR with an ET tube in place?

-The providers deliver 20 ventilations per minute.
-The providers remove the ET tube before delivering ventilations.
-The providers perform compressions at one-half the usual rate.
-The providers perform continuous compressions without pausing for ventilations.
-The providers deliver 1 ventilation every 6 seconds.

User Jmasterx
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Final answer:

In high-quality CPR with an ET tube, ventilations are delivered every 6 seconds, equating to 20 ventilations per minute in a two-rescuer scenario. Chest compressions are continuous without pause and at the standard rate of 100 per minute. The ET tube is not removed during CPR.

Step-by-step explanation:

An adult patient with an endotracheal tube (ET) in place who experiences cardiac arrest requires high-quality CPR with specific modifications compared to standard CPR. When performing CPR with an ET tube in place, it is not necessary to deliver breaths at the normal respiration rate of 12-15 breaths per minute; rather, a higher ventilation rate is needed. Continuous chest compressions are provided without pauses for ventilations, which is different from the traditional practice of providing compressions interrupted by ventilations for patients without advanced airway placement.

Among the provided statements, the correct approach during CPR with an ET tube is to deliver 1 ventilation every 6 seconds, which equates to 10 breaths per minute, or 20 ventilations per minute in the case of a two-rescuer scenario where one is dedicated to delivering breaths while the other performs continuous compressions.

It is critical not to remove the ET tube during CPR, as the tube ensures a patent airway to deliver oxygen effectively. Additionally, few options incorrectly suggest altering compression rate; however, the compression rate should remain at the recommended 100 compressions per minute, following the beat of the song “Staying Alive”, just as in normal CPR without an ET tube.

User Suraj Rawat
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