End Tidal CO<sub>2</sub> Is a Quantitative Measure of Cardiac Arrest

Sehra, Ruchir; Underwood, Karen; Checchia, Paul A.

doi:10.1046/j.1460-9592.2003.00085.x

Cited by 43 publications

(26 citation statements)

References 12 publications

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“…Eleven studies showed that physiological monitoring values (ETCO 2 , coronary perfusion pressure, venous oxygen saturation) increased when ROSC was achieved (LOE 4) [171][172][173][174][175][176][177][178]135,179,180 and that they may be an indication of ROSC before it can be seen in vital signs. 181 Five of the studies found that ETCO 2 was accurate for predicting patients who could not be resuscitated; some gave a time frame for that prediction of 20 minutes (LOE 4).…”

Section: Consensus On Sciencementioning

confidence: 99%

“…176 -178,182,183,886,887 Two prospective human studies demonstrated a significant increase in endtidal CO 2 when ROSC occurs (LOE 5). 140,180 Treatment Recommendation Quantitative measurement of end tidal CO 2 may be a safe and effective noninvasive indicator of cardiac output during CPR and may be an early indicator of ROSC in intubated patients. Although low values of end tidal CO 2 are associated with a low probability of survival, there are insufficient data to support or refute a specific cutoff of end tidal CO 2 at different time intervals as a prognostic indicator of outcome during adult cardiac arrest.…”

Section: Consensus On Sciencementioning

confidence: 99%

See 1 more Smart Citation

Part 8: Advanced Life Support

Morrison¹,

Deakin²,

Morley³

et al. 2010

Circulation

411

169

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Section: Consensus On Sciencementioning

confidence: 99%

Section: Consensus On Sciencementioning

confidence: 99%

Part 8: Advanced Life Support

Morrison¹,

Deakin²,

Morley³

et al. 2010

Circulation

411

169

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“…An abrupt increase in ETCO 2 , under constant ventilation and CO 2 production, provides the fastest indication of ROSC [41][42][43], while ETCO 2 changes may precede a palpable pulse [44,45], which is very important especially when invasive monitoring is not available [46].…”

Section: Return Of Spontaneous Circulationmentioning

confidence: 99%

A Review of Carbon Dioxide Monitoring During Adult Cardiopulmonary Resuscitation

Pantazopoulos

Xanthos

Pantazopoulos

et al. 2015

Heart, Lung and Circulation

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Although high quality cardiopulmonary resuscitation is one of the most significant factors related to favourable outcome, its quality depends on many components, such as airway management, compression depth and chest recoil, hands-off time, and early defibrillation. The most common way of controlling the resuscitation efforts is monitoring of end-tidal carbon dioxide. The International Liaison Committee on Resuscitation suggests this method both for in-hospital and out-of-hospital cardiac arrest. However, despite the abundant human and animal studies supporting the usefulness of end-tidal carbon dioxide, its optimal values during cardiopulmonary resuscitation remain controversial. In this review, the advantages and effectiveness of end-tidal carbon dioxide during cardiopulmonary resuscitation are discussed and specific target values are suggested based on the available literature.

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“…Increases in end-tidal CO 2 typically herald ROSC. 118,119 Additionally, end-tidal CO 2 values greater than 10 mm Hg during CPR are associated with ROSC, 120 whereas values less than 10 mm Hg during CPR are associated with nonsurvival. [121][122][123][124][125][126] End-tidal CO 2 has not been evaluated specifically as a tool to guide resuscitation interventions in real time.…”

Section: Ventilationmentioning

confidence: 99%