Artificial Respiration PPT -- By Prof.Dr.R.R.deshpande – In this PPT Prof.Dr.Deshpande is explaining following points When Artificial Respiration is needed ? Which are the Methods of Artificial Respiration ? Which precautionary measures should be taken before starting artificial respiration ? How Schafer & Holger Nelson method are performed ? How Artificial Respiration is given by Sylvester method & mouth to mouth respiration method ? How External Cardiac Massage is done in cardiac arrest ? What are the signs of death ? Mobile – 922 68 10630 Also visit – www.ayurvedicfriend.com

1. Artificial Respiration
• Presented By –
• Prof.Dr.R.R.Deshpande
(M.D in Ayurvdic Medicine
& M.D. in Ayurvedic
Physiology)
• www.ayurvedicfriend.com
• Mobile – 922 68 10 630
• professordeshpande@gmail.com
09/21/16 Prof.Dr.R.R.Deshpande 1

2. Artificial Respiration – Indications
• No Respiration
• But Heart continues to beat
• Drowning
• Suffocation in smoke
• Paralysis of Respiratory muscles
• Electric shock
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3. Artificial Respiration –
Prof. Dr. R. R. Deshpande
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4. Select the proper method
• If Drowning – Select methods which are done
in prone position
• Schafer’s method ( Prone pressure method)
• Holger Neilson’s method ( Arm lift back
pressure method)
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5. Types of Artificial respiration
• 1) Prone – Schafer’s method ( Prone pressure
Method)
• 2) Holger Neilson’s method ( Arm lift back
pressure method)
• 3) Sylvester’s method ( Arm lift chest pressure
method )
• 4) Mouth to mouth respiration
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6. Artificial Respiration –
Precautionary measures
• 1) Tight clothes should be loosened
• 2) Patient is kept warm
• 3) Froth from mouth & nose is cleaned
• 4) Denture is removed
• 5) Patient is taken to fresh atmosphere
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7. Schafer’s method
( Prone pressure method )
• 1) Doctor kneels near patient’s waist
• 2) Put palm on patient’s loin
• 3) By bending forward doctor will apply
pressure
• 4) Pushing abdominal viscera up to bring
about expiration
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8. Schafer’s method
( Prone pressure method )
• 5) When doctor is pressing on loin ,expiration
takes place ,when doctor is bending backward
Inspiration takes place
• 6) Inspiration lasts for 3 sec ,expiration lasts
for 2 sec
• 7) This is roughly judged by saying words 1,2 &
1,2,3
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9. Active Expiration in Schafer’s method
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10. Passive Inspiration – in Schafer’s method
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11. Schafer’s method
( Prone pressure method )
• 8) Main advantage of Schafer’s method is it’s
prone position. So water from abdomen &
lungs can be easily drained & lungs can be
easily drained
• 9) It is very simple method ,non tiring .It can
be continued for long time
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12. Schafer’s method
( Prone pressure method )
• 10) If there are injuries to thorax or back ,this
method can be used .
• 11) Only disadvantage of this method is that ,
Inspiration is passive & expiration is active
,which is un physiological
• 12) If there are injuries of abdomen ,this
method can not be applied
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13. Holger Neilson’s method
( Arm lift back pressure method )
• 1) This is also in prone position
• 2) Doctor kneels near patient’s head ,facing
towards him
• 3) Doctor will pull his arms up .This will bring
about Inspiration
• 4) Then doctor will leave his hands on side &
put his palms on patient’s scapulae &
bending forward he will apply deep pressure
on his chest .This will cause expiration
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14. Holger Neilson’s method
( Arm lift back pressure method )
• 5) Inspiration for 3 sec & Expiration for 2 sec
.Say 1,2,3 & 1,2
• 6) Main advantage of this method is adequate
drainage of water from abdomen & thorax
.So this is a good method in cases of drowning
• 7) If there are injuries to abdomen ,this
method can be used
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15. Active Inspiration in
Holger Nelson Method
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16. Active Expiration in
Holger Nelson Method
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17. Holger Neilson’s method
( Arm lift back pressure method )
• 8) Both inspiration & Expiration are active , so
good ventilation is obtained
• 9) Only disadvantage of this method is that
this is tiring method .So it needs assistance
• 10) Similarly if there are injuries of scapulae
,this method can not be used
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18. Sylvester’s method
( Arm lift chest pressure method)
• 1) It is in Supine position
• 2) Pillow is given below shoulder & neck is
fully extended
• 3) Doctor will kneel near patient’s head ,facing
towards him
• 4) He will catch patient’s wrist & by bending
forward he will pull patient’s arms up .This
will cause Inspiration
09/21/16 18Prof.Dr.R.R.Deshpande

19. Sylvester’s method
( Arm lift chest pressure method)
• 5) Then bending forward ,he will put deep
pressure on chest ,with patient’s hands .This
will cause expiration
• 6) Inspiration should lasts for 3 sec &
expiration for 2 sec
• 7) Main advantage of this method is both
inspiration & expiration are active ,so good
ventilation is obtained
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20. Sylvester method – Active Inspiration
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21. Sylvester method – Active Expiration
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22. Sylvester’s method
( Arm lift chest pressure method)
• 8) Disadvantages are ,as patient is in supine
position ,there is no drainage of water from
lungs .So this method should not be used in
cases of drowning
• 9) This is tiring method ,so assistance is
needed
• 10) If there is rib fracture or thorax # ,this
method can not be used
09/21/16 22Prof.Dr.R.R.Deshpande

23. Mouth to mouth Respiration
• 1) It is the best method of artificial respiration
• 2) Doctor kneels near patient’s neck ,facing
towards him .
• 3) Pillow is given below shoulder ,so as to
extend neck fully
• 4) With left hand patient’s nostrils are
closed .Tissue paper or handkerchief is put on
patient’s mouth .
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24. Mouth to moth Respiration
• 5) Doctor will blow expired air in patient’s
mouth .This will cause inspiration
• 6) By taking mouth away ,expiration occurs
passively
• 7) Advantages of this method are giving
expired air ,which contain CO 2 ,which
stimulate patient’s respiratory center .Good
ventilation is obtained
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25. Mouth to Mouth Respiration
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26. Mouth to moth Respiration
• 8) Inspiration is active ,expiration is passive
,which is physiological
• 10) It is the best method of Artificial
respiration in new born babies
• 11) Only disadvantage of this method – As
this is in supine position ,water from
abdomen ,if it is not drained may regurgitate
back into the lungs & then may lead to
respiratory infection
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27. Artificial Respiration
• 1) Artificial respiration is started at the site of
accident & continued till patient is shifted to
hospital
• 2) If patient starts breathing of his own ,act of
respiration is synchronized with patient’s act
of respiration
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28. External cardiac massage
• 1) It is done ,in the patient’s of cardiac arrest
• 2) Cardiac arrest – No pulsations at femoral
artery
• 3) It is given by putting left palm on
xiphisternum & impacts are given by right
palm
• 4) With this cardiac massage ,mouth to mouth
respiration can be coninued with 4 to 1 ratio
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29. External Cardiac Massage
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30. Signs of Death
• 1) Fixed dilated pupils ,which are not reacting
to light
• 2) No heart sounds heard
• 3) No Pulse
• 4) No recordable BP
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31. Please see also Videos
• Copy ,Paste Link as URL
• Artificial Respiration – Part 1 -- By
Prof.Dr.R.R.deshpande –
• https://youtu.be/1lxUZtEJaz8
• Artificial Respiration – Part 2 -- By
Prof.Dr.R.R.deshpande
• https://youtu.be/cCEtTjlR-GM
09/21/16 Prof.Dr.R.R.Deshpande 31

32. Prof.Dr.R.R.Deshpande
• Sharing of Knowledge
• FOR
• Propagating Ayurved
09/21/16 32Prof.Dr.R.R.Deshpande