JOURNAL ARTICLE

Capnography as a predictor of the return of spontaneous circulation

Dan Hatlestad
Emergency Medical Services 2004, 33 (8): 75-80; quiz 115
15368978
EtCO2 monitoring is a valuable tool for clinical management of patients in cardiac arrest, near-arrest and post-arrest. During cardiac arrest, EtCO2 levels fall abruptly at the onset of cardiac arrest, increase after the onset of effective CPR and return to normal at return of spontaneous circulation (ROSC). During effective CPR, end-tidal CO2 has been shown to correlate with cardiac output, coronary perfusion pressure, efficacy of cardiac compression, ROSC and even survival. Colorimetric detectors (shown to correlate with infrared capnometry) have been shown to have prognostic value in both adult and pediatric CPR. The higher the initial value of EtCO2, the greater was short-term survival. EtCO2 is a useful tool during patient resuscitation for evaluating the current and potential effects of treatment, and could be potentially useful in determining when to terminate resuscitation efforts.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
15368978
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"