Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: The dynamic pattern of end-tidal carbon dioxide during cardiopulmonary resuscitation: difference between asphyxial cardiac arrest and ventricular fibrillation/pulseless ventricular tachycardia cardiac arrest. | Lah et al. Critical Care 2011 15 R13 http content 15 1 R13 cs CRITICAL CARE RESEARCH Open Access The dynamic pattern of end-tidal carbon dioxide during cardiopulmonary resuscitation difference between asphyxial cardiac arrest and ventricular fibrillation pulseless ventricular tachycardia cardiac arrest Katja Lah1 2 Miljenko Krizmaric2 Stefek Grmec1 2 3 4 Abstract Introduction Partial pressure of end-tidal carbon dioxide PetCO2 during cardiopulmonary resuscitation CPR correlates with cardiac output and consequently has a prognostic value in CPR. In our previous study we confirmed that initial PetCO2 value was significantly higher in asphyxial arrest than in ventricular fibrillation pulseless ventricular tachycardia VF VT cardiac arrest. In this study we sought to evaluate the pattern of PetCO2 changes in cardiac arrest caused by VF VT and asphyxial cardiac arrest in patients who were resuscitated according to new 2005 guidelines. Methods The study included two cohorts of patients cardiac arrest due to asphyxia with initial rhythm asystole or pulseless electrical activity PEA and cardiac arrest due to arrhythmia with initial rhythm VF or pulseless VT. PetCO2 was measured for both groups immediately after intubation and repeatedly every minute both for patients with or without return of spontaneous circulation ROSC . We compared the dynamic pattern of PetCO2 between groups. Results Between June 2006 and June 2009 resuscitation was attempted in 325 patients and in this study we included 51 patients with asphyxial cardiac arrest and 63 patients with VF VT cardiac arrest. The initial values of PetCO2 were significantly higher in the group with asphyxial cardiac arrest kilopascals kPa versus kPa P . In the group with asphyxial cardiac arrest the initial values of PetCO2 did not show a significant difference when we compared patients with and without ROSC kPa versus kPa P . We confirmed significantly higher .
