The TripleCPR 16 study: Does rhythm truly needed to be checked every 2 minutes in cardiopulmonary arrest patients?

Abstract

Purpose: Current guidelines recommend a rhythm check every 2-minutes during cardiopulmonary resuscitation (CPR), but evidence for this recommendation is insufficient. Recent reports identified regional cerebral oxygen saturation (rSO2) monitoring as useful in detecting return of spontaneous resuscitation (ROSC) and that coronary and cerebral perfusion decrease with the 2-minute rhythm check. On the basis of our previous study, we began the TripleCPR 16 study, which omits the 2-minute rhythm check because stopping chest compression to check rhythm may increase brain cell damage and decrease the rate of ROSC.