Transthoracic impedance variability to assess quality of chest compression in out-of-hospital cardiac arrest.
Autor: | Magliocca A; Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy., Castagna V; Department of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy., Fornari C; Research Centre on Public Health, University of Milano-Bicocca, Monza, Italy., Zimei G; Department of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy., Merigo G; Department of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy., Penna A; Department of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy., Carlson J; Clinical Sciences, Helsingborg, Medical Faculty, Lund University, Helsingborg, Sweden., Fumagalli F; Department of Acute Brain and Cardiovascular Injury, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy., Stirparo G; Agenzia Regionale Emergenza Urgenza, Milan, Italy., Migliari M; Agenzia Regionale Emergenza Urgenza, Milan, Italy., Coppo A; Agenzia Regionale Emergenza Urgenza, Milan, Italy., Sechi GM; Agenzia Regionale Emergenza Urgenza, Milan, Italy., Grasselli G; Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.; Department of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy., Hardig BM; Clinical Sciences, Helsingborg, Medical Faculty, Lund University, Helsingborg, Sweden., Ristagno G; Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.; Department of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. |
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Jazyk: | angličtina |
Zdroj: | Acta anaesthesiologica Scandinavica [Acta Anaesthesiol Scand] 2024 Apr; Vol. 68 (4), pp. 556-566. Date of Electronic Publication: 2024 Jan 14. |
DOI: | 10.1111/aas.14374 |
Abstrakt: | Background: Chest compression is a lifesaving intervention in out-of-hospital cardiac arrest (OHCA), but the optimal metrics to assess its quality have yet to be identified. The objective of this study was to investigate whether a new parameter, that is, the variability of the chest compression-generated transthoracic impedance (TTI), namely Imp Methods: This multicenter observational, retrospective study included OHCAs with shockable rhythm. Imp Results: Among 835 treated OHCAs, 680 met inclusion criteria and 565 matched long-term outcomes. Imp Conclusions: In this population, consistency of chest compression maneuver, measured by variability in TTI, was an independent predictor of defibrillation outcome. Imp (© 2024 Acta Anaesthesiologica Scandinavica Foundation.) |
Databáze: | MEDLINE |
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