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2017, vol. 3, iss. 8, pp. 63-69
Does the end-tidal carbon dioxide (etCo2) concentration during the resuscitation have prognostic value on surviving in out-of hospital cardiac arrest
aSlužba hitne medicinske pomoći, Dom zdravlja Inđija, Inđija
bNotfallabteilung, Donauisar Klinikum, Deggendorf, Deutschland
Keywords: capnography; EtCO2; cardiac arrest; EuReCa One
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.
American Society of Anesthesiologists (2012) Standards, Guidelines, statements and other documents: Standards for basic anesthetic monitoring., June 2012
Berdowski, J., Berg, R.A., Tijssen, J.G.P., Koster, R.W. (2010) Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies. Resuscitation, 81(11): 1479-1487
Callaham, M., Barton, C. (1990) Prediction of outcome of cardiopulmonary resuscitation from end-tidal carbon dioxide concentration. Critical Care Medicine, 18(4): 358-362
Fišer, Z., Jakšić-Horvat, K., Vlajović, S., Milić, S., Lazić, A., Raffay, V. (2015) EuReCa One 2014. Serbia. Medicina danas, vol. 14, br. 7-9, str. 95-102
Giberson, B., Uber, A., Gaieski, D.F., i dr. (2014) When to stop CPR and when to performrhythm analysis: Potential confusion among ACLS providers. J Intensive Care Med
Grmec, ??., Klemen, P. (2001) Does the end-tidal carbon dioxide (EtCO2) concentration have prognostic value during out-of-hospital cardiac arrest?. European Journal of Emergency Medicine, 8(4): 263-269
Hamrick, J. L., Hamrick, J. T., Lee, J. K., Lee, B. H., Koehler, R. C., Shaffner, D. H. (2014) Efficacy of Chest Compressions Directed by End-Tidal CO2 Feedback in a Pediatric Resuscitation Model of Basic Life Support. Journal of the American Heart Association, 3(2): e000450-e000450
Hartmann, S.M., Farris, R.W. D., di Gennaro, J.L., Roberts, J.S. (2015) Systematic Review and Meta-Analysis of End-Tidal Carbon Dioxide Values Associated With Return of Spontaneous Circulation During Cardiopulmonary Resuscitation. Journal of Intensive Care Medicine, 30(7): 426-435
Heradstveit, B.E., Sunde, K., Sunde, G., Wentzel-Larsen, T., Heltne, J. (2012) Factors complicating interpretation of capnography during advanced life support in cardiac arrest-A clinical retrospective study in 575 patients. Resuscitation, 83(7): 813-818
Krishna, R.S., Mhyre, J., Kheterpal, S., Christensen, R.E., Tallman, K., Morris, M., Chan, P.S. (2013) Predictors of Survival from Perioperative Cardiopulmonary Arrests. Anesthesiology, 119(6): 1322-1339
Milić, S., Hajder, T. (2017) Preživljavanje nakon vanbolničkog srčanog zastoja u Inđiji. Medicina danas, 16(1-3): 18-24
Momirović, S.M., Budimski, M., Gavrilović, N., Horvat, J.K. (2015) ‘Eureka one’ 2014-Subotica. Medicina danas, 14(7-9): 115-120
Nichol, G. (2008) Regional Variation in Out-of-Hospital Cardiac Arrest Incidence and Outcome. JAMA, 300(12): 1423
Pantazopoulos, C., Xanthos, T., Pantazopoulos, I., Papalois, A., Kouskouni, E., Iacovidou, N. (2015) A Review of Carbon Dioxide Monitoring During Adult Cardiopulmonary Resuscitation. Heart, Lung and Circulation, 24(11): 1053-1061
Pešić, I., Mitrović, M., Holcer-Vukelić, S. (2015) 'Eureka One' 2014. - Sombor. Medicina danas, vol. 14, br. 7-9, str. 121-125
Pokorná, M., Nečas, E., Kratochvíl, J., Skřipský, R., Andrlík, M., Franěk, O. (2010) A Sudden Increase in Partial Pressure End-Tidal Carbon Dioxide (PETCO2) at the Moment of Return of Spontaneous Circulation. Journal of Emergency Medicine, 38(5): 614-621
Poon, K.M., Lui, C.T., Tsui, K.L. (2016) Prognostication of out-of-hospital cardiac arrest patients by 3-min end-tidal capnometry level in emergency department. Resuscitation, 102: 80-84
Raffay, V., Fišer, Z., Tijanić, J., Jakšić-Horvat, K., Budimski, M., Holcer-Vukelić, S. (2016) Preporuke 2015 - Međunarodni naučni konsenzus o kardiopulmonalnoj reanimaciji. Journal Resuscitatio Balcanica, vol. 2, br. 3, str. 5-20
Sehra, R., Underwood, K., Checchia, P. (2003) End Tidal CO2 Is a Quantitative Measure of Cardiac Arrest. Pacing and Clinical Electrophysiology, 26(1p2): 515-517
Soar, J., Callaway, C.W., Aibiki, M., i dr. (2015) Part 4: Advanced life support: 2015International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Resuscitation, 95: e71-122
Soar, J., Nolan, J.P., Böttiger, B.W., Perkins, G.D., Lott, C., Carli, P., Pellis, T., Sandroni, C., Skrifvars, M.B., Smith, G.B., Sunde, K., Deakin, C.D., Koster, R.W., Monsieurs, K.G. (2015) European Resuscitation Council Guidelines for Resuscitation 2015. Resuscitation, 95: 100-147
Vlajović, S., Kličković, A. (2015) ‘Eureka one' 2014-Kragujevac. Medicina danas, 14(7-9): 103-107
Wang, A., Huang, C., Chang, W., Tsai, M., Wang, C., Chen, W. (2016) Initial end-tidal CO2 partial pressure predicts outcomes of in-hospital cardiac arrest. American Journal of Emergency Medicine, 34(12): 2367-2371


article language: Serbian
document type: Original Paper
DOI: 10.5937/JRB1708063M
published in SCIndeks: 29/03/2018
Creative Commons License 4.0

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