Predicting the lack of ROSC during pre-hospital CPR: Should an end-tidal CO2 of 1.3kPa be used as a cut-off value?

Autor: Leif Rognås, Troels Martin Hansen, Else Tønnesen, Hans Kirkegaard
Rok vydání: 2014
Předmět:
Adult
Male
Emergency Medical Services
medicine.medical_specialty
Resuscitation
Adolescent
medicine.medical_treatment
Emergency Nursing
Return of spontaneous circulation
Young Adult
End-tidal CO2
Predictive Value of Tests
Tidal Volume
medicine
Emergency medical services
Humans
Prospective Studies
Treatment Failure
Cardiopulmonary resuscitation
Child
Prospective cohort study
Tidal volume
Pre-hospital critical care
Aged
Aged
80 and over
Critical decision making
business.industry
Infant
food and beverages
Carbon Dioxide
Middle Aged
Cardiac arrest
Cardiopulmonary Resuscitation
Surgery
Helicopter emergency medical system
Child
Preschool
Predictive value of tests
Blood Circulation
Emergency medicine
Emergency
Emergency Medicine
Female
Emergency medical system
Advanced airway management
business
Cardiology and Cardiovascular Medicine
Out-of-Hospital Cardiac Arrest
Zdroj: Rognås, L, Hansen, T M, Kirkegaard, H & Tønnesen, E 2013, ' Predicting the lack of ROSC during pre-hospital CPR : should an end-tidal CO2 of 1.3kPa be used as a cut-off value? ', Resuscitation . https://doi.org/10.1016/j.resuscitation.2013.12.009
ISSN: 0300-9572
DOI: 10.1016/j.resuscitation.2013.12.009
Popis: Aim The aim of this study was to investigate if an initial ETCO 2 value at or below 1.3kPa can be used as a cut-off value for whether return of spontaneous circulation during pre-hospital cardio-pulmonary resuscitation is achievable or not. Materials and methods We prospectively registered data according to the Utstein-style template for reporting data from pre-hospital advanced airway management from February 1st 2011 to October 31st 2012. Included were consecutive patients at all ages with pre-hospital cardiac arrest treated by eight anaesthesiologist-staffed pre-hospital critical care teams in the Central Denmark Region. Results We registered data from 595 cardiac arrest patients; in 60.2% ( n =358) of these cases the pre-hospital critical care teams performed pre-hospital advanced airway management beyond bag-mask ventilation. An initial end-tidal CO 2 measurement following pre-hospital advanced airway management were available in 75.7% ( n =271) of these 358 cases. We identified 22 patients, who had an initial end-tidal CO 2 at or below 1.3kPa. Four of these patients achieved return of spontaneous circulation. Conclusion Our results indicates that an initial end-tidal CO 2 at or below 1.3kPa during pre-hospital CPR should not be used as a cut-off value for the achievability of return of spontaneous circulation.
Databáze: OpenAIRE
Externí odkaz: