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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.
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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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