Resuscitation
Volume 81, Issue 3 , Pages 317-322 , March 2010

Capnography and chest-wall impedance algorithms for ventilation detection during cardiopulmonary resuscitation

  • Dana P. Edelson

      Affiliations

    • Section of Hospital Medicine, University of Chicago, Chicago, USA
    • Emergency Resuscitation Center, University of Chicago, Chicago, USA
    • Corresponding Author InformationCorresponding author at: Section of Hospital Medicine, University of Chicago Medical Center, 5841 S Maryland Avenue, MC 5000, Chicago, IL 60637, USA. Tel.: +1 773 834 2191.
    • ,
  • Joar Eilevstjønn

      Affiliations

    • Laerdal Medical AS, Stavanger, Norway
    • ,
  • Elizabeth K. Weidman

      Affiliations

    • Emergency Resuscitation Center, University of Chicago, Chicago, USA
    • ,
  • Elizabeth Retzer

      Affiliations

    • Department of Internal Medicine, University of Chicago, Chicago, USA
    • ,
  • Terry L. Vanden Hoek

      Affiliations

    • Emergency Resuscitation Center, University of Chicago, Chicago, USA
    • Section of Emergency Medicine, University of Chicago, Chicago, USA
    • ,
  • Benjamin S. Abella

      Affiliations

    • Center for Resuscitation Science and the Department of Emergency Medicine, University of Pennsylvania, Philadelphia, USA

Received 3 August 2009 ,Revised 28 October 2009 ,Accepted 5 November 2009.

References 

  1. Abella BS, Alvarado JP, Myklebust H, et al. Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA. 2005;293:305–310
  2. Aufderheide TP, Lurie KG. Death by hyperventilation: a common and life-threatening problem during cardiopulmonary resuscitation. Crit Care Med. 2004;32:S345–S351
  3. 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2005;112:IV1–IV203
  4. Milander MM, Hiscok PS, Sanders AB, Kern KB, Berg RA, Ewy GA. Chest compression and ventilation rates during cardiopulmonary resuscitation: the effects of audible tone guidance. Acad Emerg Med. 1995;2:708–713
  5. Aufderheide TP, Sigurdsson G, Pirrallo RG, et al. Hyperventilation-induced hypotension during cardiopulmonary resuscitation. Circulation. 2004;109:1960–1965
  6. Abella BS, Edelson DP, Kim S, et al. CPR quality improvement during in-hospital cardiac arrest using a real-time audiovisual feedback system. Resuscitation. 2007;73:54–61
  7. Kramer-Johansen J, Myklebust H, Wik L, et al. Quality of out-of-hospital cardiopulmonary resuscitation with real time automated feedback: a prospective interventional study. Resuscitation. 2006;71:283–292
  8. Losert H, Risdal M, Sterz F, et al. Thoracic impedance changes measured via defibrillator pads can monitor ventilation in critically ill patients and during cardiopulmonary resuscitation. Crit Care Med. 2006;34:2399–2405
  9. Pernat A, Weil MH, Sun S, Tang W. Stroke volumes and end-tidal carbon dioxide generated by precordial compression during ventricular fibrillation. Crit Care Med. 2003;31:1819–1823
  10. Husoy JH, Eilevstjonn J, Eftestol T, Aase SO, Myklebust H, Steen PA. Removal of cardiopulmonary resuscitation artifacts from human ECG using an efficient matching pursuit-like algorithm. IEEE Trans Biomed Eng. 2002;49:1287–1298
  11. Eilevstjonn J, Eftestol T, Aase SO, Myklebust H, Husoy JH, Steen PA. Feasibility of shock advice analysis during CPR through removal of CPR artefacts from the human ECG. Resuscitation. 2004;61:131–141
  12. Edelson DP, Litzinger B, Arora V, et al. Improving in-hospital cardiac arrest process and outcomes with performance debriefing. Arch Intern Med. 2008;168:1063–1069
  13. Morley PT. Monitoring the quality of cardiopulmonary resuscitation. Curr Opin Crit Care. 2007;13:261–267
  14. Boyle AJ, Wilson AM, Connelly K, McGuigan L, Wilson J, Whitbourn R. Improvement in timing and effectiveness of external cardiac compressions with a new non-invasive device: the CPR-Ezy. Resuscitation. 2002;54:63–67
  15. Edelson DP, Abella BS, Kramer-Johansen J, et al. Effects of compression depth and pre-shock pauses predict defibrillation failure during cardiac arrest. Resuscitation. 2006;71:137–145
  16. Losert H, Sterz F, Kohler K, et al. Quality of cardiopulmonary resuscitation among highly trained staff in an emergency department setting. Arch Intern Med. 2006;166:2375–2380
  17. Wik L, Kramer-Johansen J, Myklebust H, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005;293:299–304
  18. Gudipati C, Weil M, Bisera J, Deshmukh H, Rackow E. Expired carbon dioxide: a noninvasive monitor of cardiopulmonary resuscitation. Circulation. 1988;77:234–239
  19. Duggal C, Weil MH, Tang W, Gazmuri RJ, Sun S. Effect of arrest time on the hemodynamic efficacy of precordial compression. Crit Care Med. 1995;23:1233–1236
  20. Garnett AR, Ornato JP, Gonzalez ER, Johnson EB. End-tidal carbon dioxide monitoring during cardiopulmonary resuscitation. JAMA. 1987;257:512–515
  21. Falk JL, Rackow EC, Weil MH. End-tidal carbon dioxide concentration during cardiopulmonary resuscitation. N Engl J Med. 1988;318:607–611
  22. Callaham M, Barton C. Prediction of outcome of cardiopulmonary resuscitation from end-tidal carbon dioxide concentration. Crit Care Med. 1990;18:358–362
  23. Dohi S. Postcardiopulmonary resuscitation pulmonary edema. Crit Care Med. 1983;11:434–437

☆ A Spanish translated version of the summary of this article appears as Appendix in the final online version at doi:10.1016/j.resuscitation.2009.11.003.

PII: S0300-9572(09)00580-2

doi: 10.1016/j.resuscitation.2009.11.003

Resuscitation
Volume 81, Issue 3 , Pages 317-322 , March 2010

Article Tools

* Image Usage & Resolution