388: Comparison of End-Tidal CO2 Values in ICU Patients With and Without In-Hospital Cardiac Arrest

2020 ◽  
Vol 49 (1) ◽  
pp. 183-183
Author(s):  
Kaitlyn Dalton ◽  
Jeffrey Mucksavage ◽  
Maria Panlilio-Villanueva ◽  
Scott Benken
CHEST Journal ◽  
2018 ◽  
Vol 154 (4) ◽  
pp. 68A
Author(s):  
MICHAEL ROSMAN ◽  
YING (SHELLY) QI ◽  
CAITLIN O'NEILL ◽  
AMANDA MENGOTTO ◽  
JIGNESH PATEL ◽  
...  

Resuscitation ◽  
2011 ◽  
Vol 82 ◽  
pp. S4
Author(s):  
Daniel Spaite ◽  
Uwe Stolz ◽  
Annemarie Silver ◽  
Christopher Kaufman ◽  
Keith Pyers ◽  
...  

Resuscitation ◽  
2012 ◽  
Vol 83 ◽  
pp. e9
Author(s):  
Daniel W. Spaite ◽  
Uwe Stolz ◽  
Ryan Ann Murphy ◽  
Madalyn Karamooz ◽  
Annemarie Silver ◽  
...  

Author(s):  
Philippe Rola ◽  
Philippe St-Arnaud ◽  
Karimov Timur ◽  
Jostein Rødseth Brede

We present the case of a 36-year old woman who suffered a non-traumatic out-of-hospital cardiac arrest. The resuscitation attempt included the use of a resuscitative endovascular balloon occlusion of the aorta (REBOA) catheter which resulted in a return of spontaneous circulation and distinct improvements in arterial blood pressure, end-tidal CO2 and cerebral oximetry values. This suggests that the use of REBOA may improve the rate of both survival and favorable neurologic outcome and warrants further study.


2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
F R Gentile ◽  
S Compagnoni ◽  
E Baldi ◽  
E Aramendi ◽  
R Primi ◽  
...  

Abstract Background Ventricular fibrillation is the most common cause of out-of-hospital cardiac arrest (OHCA) and the use of antiarrhythmic drug therapy is usually recommended in addition to defibrillation. The role of the amplitude spectral area (AMSA) of ventricular fibrillation as a predictor of defibrillation efficacy has been established, while the existing data in favour of the use of amiodarone has been assessed with poor evidence and controversy. Purpose The aim of our study is to evaluate whether the administration of amiodarone during resuscitation could affect AMSA values. Materials All the OHCAs with a shockable presenting rhythm and attempted resuscitation which occurred from January 2015 to June 2019 in the province of Pavia were considered. Both the end-tidal CO2 (ETCO2) and AMSA values were calculated by retrospectively analyzing the data collected by the Corpuls 3 monitors/defibrillators (Corpuls, Kaufering, Germany) used in the territory and by considering a pre-shock interval of 2 seconds. Results Among a total of 3413 OHCAs, resuscitation was attempted in 2195 cases (64%), 377 (17%) had a shockable presenting rhythm and in 112 cases (3.4%) it was possible to obtain the values of ETCO2 and AMSA for a total of 391 shocks. Among these, 301 shocks (77%) were delivered to patients who received amiodarone during resuscitation. The success rate of each single shock was similar in the two groups but with an unfavorable trend for amiodarone (amiodarone 43.5% vs no amiodarone 54.4%, p=0.07). AMSA was significantly lower in patients treated with amiodarone (7.9 mV·Hz, IQR 5.4–12.2 vs 10.6 mV·Hz, IQR 7.1–14.1; p<0.001). According to a multivariate analysis, the administration of amiodarone and the time to shock were independent predictors of AMSA values. Lastly, on a sample of 124 shocks, homogeneous for age, sex, ETCO2, outcome of resuscitation and randomly matched, the AMSA of patients who received amiodarone was significantly lower (7.2 mV·Hz, IQR 7.2–11.7 vs 9.7 mV·Hz, IQR 6.7–12.5; p=0.02). Conclusions Our results indicate that amiodarone administration is associated with lower values of AMSA. Since higher AMSA values are known to be associated with a higher probability of shock rate success, this could help to better clarify the controversial role of amiodarone administration in patients with OHCA. FUNDunding Acknowledgement Type of funding sources: None.


2016 ◽  
Vol 34 (12) ◽  
pp. 2367-2371 ◽  
Author(s):  
An-Yi Wang ◽  
Chien-Hua Huang ◽  
Wei-Tien Chang ◽  
Min-Shan Tsai ◽  
Chih-Hung Wang ◽  
...  

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