Objectives: To assess differences in cardiopulmonary resuscitation quality in classic cardiopulmonary resuscitation versus extracorporeal cardiopulmonary resuscitation events using video recordings of actual pediatric cardiac arrest events. Design: Single-center, prospective, observational trial. Setting: Tertiary-care pediatric teaching hospital, cardiac ICU. Patients: All patients admitted to the pediatric cardiac ICU with cardiopulmonary resuscitation events lasting greater than 2 minutes captured on video. Interventions: None. Measurements and Main Results: Seventeen events comprising 264.5 minutes of cardiopulmonary resuscitation were included: 11 classic cardiopulmonary resuscitation events (87.5 min) and six extracorporeal cardiopulmonary resuscitation events (177 min). Events were divided into 30-second epochs, and cardiopulmonary resuscitation quality markers were assessed using video and telemetry data review of goal endpoints: end-tidal carbon dioxide greater than or equal to 15 mm Hg, diastolic blood pressure greater than or equal to 30 mm Hg, chest compression fraction greater than 80% per epoch, and chest compression rate between 100 and 120 chest compression per minute. Additionally, each chest compression pause (hands-off event) was recorded and timed. When compared with extracorporeal cardiopulmonary resuscitation, classic cardiopulmonary resuscitation epochs were more likely to have end-tidal carbon dioxide greater than or equal to 15 mm Hg (56% vs 6.2%; p = 0.01) and provide chest compression between 100 and 120 times per minute (112 vs 134 chest compression per minute; p
from Emergency Medicine via xlomafota13 on Inoreader https://ift.tt/2M2Nooj
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δημοφιλείς αναρτήσεις
-
Champion EMS is currently seeking a Communications Center Manager. Champion EMS is based out of Longview, Texas, serving the East Texas area...
-
from EMS via xlomafota13 on Inoreader http://ift.tt/2sbML2K
-
Remove ads BioMed Research International Validity and Reliability of the Polish Adaptation of the CHAMPS Physical Activity Questionnaire Th...
-
Abstract Objectives Emergency departments (EDs) commonly analyze cases of patients returning within 72 hours of initial ED discharge as...
-
Abstract Introduction In recent years, platelet-rich plasma (PRP) has emerged as a promising autologous biological treatment modality fo...
-
from EMS via xlomafota13 on Inoreader http://ift.tt/2sbML2K
-
from EMS via xlomafota13 on Inoreader http://ift.tt/2sbML2K
-
ORIGINAL ARTICLES Cone-beam computed tomography versus orthopantomography in sinus lift procedures: Two-dimensional versus three-dimension...
-
Haemovigilance programme of India: Comparative analysis of transfusion reactions reported over a 5-year period through two reporting formats...
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου