Biphasic extrathoracic cuirass ventilation for resuscitation

Abstract Purposes The MRTX portable lightweight respirator (MRTX) provides noninvasive respiratory support using biphasic extrathoracic ventilation via a cuirass fitted around the patient's chest. Methods MRTX was applied with or without full protective gear, on adult volunteers simulating nerve agent (NA) victims by nonmedical caregivers. Assessment was made based on scores for correct positioning of the cuirass, quality of seal, and rapid ness. Results For the unprotected and protected personnel, the respective median (±95% confidence interval) scores for correct positioning of the cuirass were 2 (1.4-1.9) and 1 (1.2-1.8) (n = 15 per group, P = NS); quality of seal scores were 2 (1.5-2.0) and 2 (1.3-1.8) ( P = NS); and mean (±SD) time required for instituting mechanical ventilation was 90.5 ± 10.9 and 100.3 ± 7.9 seconds ( P P = NS). Discussion Biphasic cuirass ventilation is an easily learned and rapidly applied method suitable for use by nonmedical personnel, even when wearing cumbersome protective gear.