Abstract
Clinical Analysis of PetCO2 in Predicting Abdominal Lifting and Compression CPR
Highlights
High quality and effective cardiopulmonary resuscitation (CPR) is the only effective first-aid measure to treat CA patients and improve their survival rate according to the current American Heart Association and European Resuscitation Council (ERC) CPR Guidelines
More studies are required to fully evaluate this abdominal lifting and compression boosting device before it can be recommended for widespread clinical use, and the most common of all decisions after initiation of CPR remains the decision of when to stop
The difference of mean arterial pressure (MAP), PaO2 and PaCO2 after ROSC 20min compared with abdominal lifting and compression CPR process was statistically significant (P< 0.05).When a 20minute PetCO2 value of 2.67 kPa (20mmHg) or less was used as a screening test to predict ROSC, area under the receiver operating characteristic curve (95%CI) is 0.845, the sensitivity and specificity were respectively 0.80, 0.83 (Figure 1-4) Table 2 ROSC, return of spontaneous circulation; ALP-CPR, abdominal lifting and compression cardiopulmonary resuscitation
Summary
High quality and effective cardiopulmonary resuscitation (CPR) is the only effective first-aid measure to treat CA patients and improve their survival rate according to the current American Heart Association and European Resuscitation Council (ERC) CPR Guidelines. We have invented a new device that could enhance abdominal wall lifting and compression, which made up for the lack of chest compressions (chest wall trauma or rib fracture). Clinical tests on this device show that it could reach a higher survival rate compared to chest compression in patients with cardiac arrests [5]. More studies are required to fully evaluate this abdominal lifting and compression boosting device before it can be recommended for widespread clinical use, and the most common of all decisions after initiation of CPR remains the decision of when to stop. Capnography (capnometry) potentially represents a useful clinical indicator of death that could guide decisions to terminate resuscitative efforts [9,10].
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