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Capnography during cardiac resuscitation: a clue on mechanisms and a guide to interventions

Measurement of the end-tidal partial pressure of carbon dioxide (P(ET)CO(2)) during cardiac arrest has been shown to reflect the blood flow being generated by external means and to prognosticate outcome. In the present issue of Critical Care, Grmec and colleagues compared the initial and subsequent...

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Detalles Bibliográficos
Autores principales: Gazmuri, Raúl J, Kube, Erika
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2003
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC374377/
https://www.ncbi.nlm.nih.gov/pubmed/14624676
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author Gazmuri, Raúl J
Kube, Erika
author_facet Gazmuri, Raúl J
Kube, Erika
author_sort Gazmuri, Raúl J
collection PubMed
description Measurement of the end-tidal partial pressure of carbon dioxide (P(ET)CO(2)) during cardiac arrest has been shown to reflect the blood flow being generated by external means and to prognosticate outcome. In the present issue of Critical Care, Grmec and colleagues compared the initial and subsequent P(ET)CO(2 )in patients who had cardiac arrest precipitated by either asphyxia or ventricular arrhythmia. A much higher P(ET)CO(2 )was found immediately after intubation in instances of asphyxial arrest. Yet, after 1 min of closed-chest resuscitation, both groups had essentially the same P(ET)CO(2), with higher levels in patients who eventually regained spontaneous circulation. The Grmec and colleagues' study serves to remind us that capnography can be used during cardiac resuscitation to assess the mechanism of arrest and to help optimize the forward blood flow generated by external means.
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spelling pubmed-3743772004-03-25 Capnography during cardiac resuscitation: a clue on mechanisms and a guide to interventions Gazmuri, Raúl J Kube, Erika Crit Care Commentary Measurement of the end-tidal partial pressure of carbon dioxide (P(ET)CO(2)) during cardiac arrest has been shown to reflect the blood flow being generated by external means and to prognosticate outcome. In the present issue of Critical Care, Grmec and colleagues compared the initial and subsequent P(ET)CO(2 )in patients who had cardiac arrest precipitated by either asphyxia or ventricular arrhythmia. A much higher P(ET)CO(2 )was found immediately after intubation in instances of asphyxial arrest. Yet, after 1 min of closed-chest resuscitation, both groups had essentially the same P(ET)CO(2), with higher levels in patients who eventually regained spontaneous circulation. The Grmec and colleagues' study serves to remind us that capnography can be used during cardiac resuscitation to assess the mechanism of arrest and to help optimize the forward blood flow generated by external means. BioMed Central 2003 2003-10-06 /pmc/articles/PMC374377/ /pubmed/14624676 Text en Copyright © 2003 BioMed Central Ltd
spellingShingle Commentary
Gazmuri, Raúl J
Kube, Erika
Capnography during cardiac resuscitation: a clue on mechanisms and a guide to interventions
title Capnography during cardiac resuscitation: a clue on mechanisms and a guide to interventions
title_full Capnography during cardiac resuscitation: a clue on mechanisms and a guide to interventions
title_fullStr Capnography during cardiac resuscitation: a clue on mechanisms and a guide to interventions
title_full_unstemmed Capnography during cardiac resuscitation: a clue on mechanisms and a guide to interventions
title_short Capnography during cardiac resuscitation: a clue on mechanisms and a guide to interventions
title_sort capnography during cardiac resuscitation: a clue on mechanisms and a guide to interventions
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC374377/
https://www.ncbi.nlm.nih.gov/pubmed/14624676
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