Does the end-tidal carbon dioxide (etCo2) concentration during the resuscitation have prognostic value on surviving in out-of hospital cardiac arrest

Milić, Saša; Ćurčić, Ljiljana; Nikolić, Bojana

doi:10.5937/JRB1708063M

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Journal Resuscitatio Balcanica

2017, vol. 3, br. 8, str. 63-69

Da li su vrednosti izdahnutog Co2 tokom resuscitacije pokazatelji preživljavanja pacijenta sa izvanbolničkim srčanim zastojem?

Milić Saša^a, Ćurčić Ljiljana^b, Nikolić Bojana^a

^aSlužba hitne medicinske pomoći, Dom zdravlja Inđija, Inđija
^bNotfallabteilung, Donauisar Klinikum, Deggendorf, Deutschland

e-adresa: milisasa78@gmail.com

Ključne reči: kapnografija; EtCO2; srčani zastoj; Eu-ReCa One

Sažetak

Uvod: Kapnografija je od 2010.-te godine preporučeni način monitoringa u naprednoj životnoj potpori po Evropskom Resuscitacionom Savetu a u vodiču iz 2015.-te godine se značaj kapnografije u resuscitaciji naglašava. Cilj: Istraživanja je da se utvrdi povezanost EtCO2 i preživaljanja unesrećenih od OHCA kao nadogradnju međunarodne studije 'EuReCa One' koja se sprovodila u Inđijskoj hitnoj pomoći. Metodologija: Studija je sprovedena kao prospektivna i observaciona studija prikupljanja podataka koji se odnose na izvanbolnicki srčani zastoj u periodu od 01.10.2015 - 31.09.2016.god po metodologiji EuReCa One 2015.god. koja se pratila i narednih 11 meseci. Podaci o ISS su unošeni u jedinstveni upitnik po 'Utstein' metodologiji. Kao dodatak na upitnik praćene su vrednosti EtCO2. Sa trake zapisa su vrednosti EtCO2 beležene u poseban formular: inicijalni EtCO2, EtCO2 u drugoj minuti, krajnji EtCO2 i izačunavane prosečna vrednost EtCO2. Rezultati: Kod unesrećenih kod kojih je rađena resusticacija a nije postignut ROSC inicijalni EtCO2 je bio 7,1 mmHg, prosečni 13,2 mmHg i finalni 12,1 Hg. Prosečan EtCO2 posle 2 minuta sprovođenja napredne životne potpore je 11,6, mmHg a prosečna razlika je 4,5 mmHg. Kod unesrećenih kod kojih je rađena resusticacija i postignut ROSC inicijalni EtCO2 je bio 14,48 mmHg, prosečni 22,22 mmHg i finalni 26,21 mmHg. Prosečan EtCO2 posle 2 minuta sprovođenja napredne životne potpore je 25,27 mmHg a prosečna razlika je 10,79 mmHg Zaključak: Trend porasta EtCO2 posle 2 minuta resuscitacije, je najvažniji pokazatelj povratka spontane cirkulacije. Trend porasta EtCO2 posle 2 minuta mogao bi da bude i dobar pokazatelj ishoda resuscitacije i dalja istraživanja su neophodna.

Abstract

Introduction: Since 2010. capnography is recommended method of monitoring in advanced life support by the European Resuscitation Council and in 2015. The guidelline highlights the importance of capnography in resuscitation. The aim of the research is to determine the connection between EtCO2 and surviving and favourable outcome of OHCA victims, as an upgrade from OHCA International Studies 'Eureca One', which is implemented in Indjija's emergency service. Methodology: The study was conducted as a prospective observational study of data collection out-of-hospital cardiac arrest in the period 01.10.2015 - 31.09.2016. according to the methodology Eureca One study in 2015. which followed the next 11 months. Data on the SCD are administered in a single questionnaire 'Utstein' methodology. In addition to the questionnaire EtCO2 value were monitored. EtCO2 values are recorded with tape record in a special form: the initial EtCO2, EtCO2 in the second minute, the final EtCO2 and average value of EtCO2. Results: In the victims who underwent advance life support measures did not achieve ROSC initial EtCO2 was 7.1 mmHg, 13.2 mmHg the average and final 12.1 mmHg. Average EtCO2 after 2 minutes the implementation of advanced life support was 11.6 mmHg and the average difference was 4.5 mmHg. When the victims who underwent resuscitation and achieved ROSC initial EtCO2 was 14.48 mmHg, average 22.22 mmHg and 26.21 mmHg final. Average EtCO2 after 2 minutes the implementation of advanced life support was 25.27 mmHg and the average difference was 10.79 mmHg Conclusion: The trend of increase in EtCO2 after 2 minutes of resuscitation is the most important predictor of return of spontaneous circulation. The upward trend in EtCO2 after 2 minutes could be a good indicator of the outcome in resuscitation and further research is needed.

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O članku

jezik rada: srpski
vrsta rada: originalan članak
DOI: 10.5937/JRB1708063M
objavljen u SCIndeksu: 29.03.2018.

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