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Journal Resuscitatio Balcanica
2019, vol. 5, br. 12, str. 155-160
jezik rada: srpski
vrsta rada: originalan članak
objavljeno: 27/10/2019
doi: 10.5937/JRB1912155M
Creative Commons License 4.0
Da li su vrednosti izdahnutog CO2 i saturacije kiseonika tokom resuscitacije u korelaciji?
Dom zdravlja, Služba hitne medicinske pomoći, Inđija

Sažetak

Cilj Cilj istraživanja je da se utvrdi povezanost EtCO2 i SaO2 , 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 01.10.2015-31.12.2016.god po metodologiji EuReCa_ONE2014.godine koja se pratila i narednih 15 meseci. Podaci o IBSZ su unošeni u jedinstveni upitnik po "Utstein"metodologiji. Kao dodatak na upitnik praćene su vrednosti EtCO2 i SaO2 : inicijalni EtCO2 i SaO2 , EtCO2 i SaO2 u drugoj minuti, krajnji EtCO2 i SaO2 i izačunavane prosečna vrednost EtCO2 i SaO2 . Rezultati Kod unesrećenih kod kojih nije postignut ROSC inicijalni EtCO2 je bio 7,0mmHg, prosečni 12,9mmHg i finalni 11,7mmHg. Prosečan EtCO2 posle 2 minuta je 11mmHg. Kod unesrećenih kod kojih je postignut ROSC inicijalni EtCO2 je bio 14,65mmHg, prosečni 23,1mmHg i finalni 26,71mmHg. Prosečan EtCO2 posle 2 minuta je 25,77mmHg. Kod unesrećenih kod kojih nije postignut ROSC inicijalni SaO2 je bio 14,1%, prosečni 78,5% i finalni 45,3%. Prosečan SaO2 posle 2 minuta je 69%. Kod unesrećenih kod kojih je postignut ROSC inicijalni SaO2 je 21,2%, prosečni 79,4% i finalni 82,1%. Prosečan SaO2 posle 2 minuta je 71,1%. Zaključak: Trend porasta EtCO2 posle 2 minuta je najvažniji pokazatelj povratka spontane cirkulacije i mogao bi da bude i dobar pokazatelj ishoda i dalja istraživanja su neophodna. Vrednosti EtCO2 i SaO2 nisu u statistički značajnoj korelaciji za vreme resuscitacije, a vrednosti SaO² tokom resuscitacije nisu prognostički pokazatelj, međutim, SaO2 se može koristiti kao pokazatelj dobrih mera resuscitacije.

Ključne reči

kapnografija; EtCO 2; saturacija kiseonika; SaO 2; EuReCa_ONE

Reference

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