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May 20, 1961

Mouth-to-Nose Resuscitation During Convulsive Seizures

Author Affiliations

Buffalo; Karlskrona, Sweden; Buffalo; Buffalo, N.Y.

From the Roswell Park Memorial Institute (Dr. Elam and Mr. Bittner), the University of Buffalo School of Medicine (Dr. Greene), and Centrallasarettet (Dr. Ruben).

JAMA. 1961;176(7):565-569. doi:10.1001/jama.1961.03040200001001

Severe seizures occurring during electroconvulsive therapy challenge any method of respiratory resuscitation. In 12 adults undergoing this treatment, mouth-to-nose breathing was consistently successful in preventing cyanosis. Higher than customary pressures were needed, and sometimes they had to be maintained long enough to overcome intermittent closure of the glottis, but the technique was easy to learn. The authors recommend mouth-to-nose breathing for emergencies in any patient who is in danger of anoxia during convulsions.