Abstract
In 2005, the American Heart Association guidelines for advanced cardiac life support emphasized that cardiopulmonary resuscitation (CPR) should include effective chest compression and reasonable ventilation to provide the patient a higher coronary artery perfusion pressure and adequate oxygenation. Therefore, these two indicators became the main factors determining whether CPR was successful. The measurement of the partial pressure of end-tidal CO2, (PetCO2) is a non-invasive primary method; it is used to monitor the patient's cardiac output, coronary perfusion pressure, ventilation and systemic metabolic function during resuscitation. In 1999, the National Association of Emergency Medical Service Physicians recommended that PetCO2 monitoring be standard in pre-hospital care and in emergency departments. We will review the literature on the measurement of PetCO2, and the evolution of monitoring as well as the use of PetCO2 for monitoring efficacy in CPR. This information is used to substantiate the clinical utilization and predict the probability of success of endotracheal tube placement in the emergency department.
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