The use of transcutaneous CO2 monitoring in cardiac arrest patients

A feasibility study

Research output: Contribution to journalArticle

Abstract

Background: Prediction of the return of spontaneous circulation (ROSC) in cardiac arrest patients is a parameter for deciding when to stop cardiopulmonary resuscitation (CPR) or to start extracorporeal CPR. We investigated the change in transcutaneous PCO2 (PtcCO2) in cardiac arrest patients. Methods: This study was carried out as a retrospective chart review. Patients with out-of-hospital cardiac arrest or in-hospital cardiac arrest within the emergency department were included. PtcCO2 monitoring with a V-Sign™ combined monitor (SenTec Inc., Therwil, Switzerland) was applied to patients at the start of CPR. We divided the included patients into the ROSC group and the no ROSC group. The ROSC group was subdivided into those achieving ROSC < 15 min CPR and > 15 min CPR. The change in the PtcCO2 value was analyzed at 0 min, 5 min, 10 min, and 15 min from PtcCO2 stabilization and was compared among the groups. Results: A total of 42 patients were enrolled. Twenty-eight patients achieved ROSC; 13 patients achieved ROSC <15 min CPR and 15 patients achieved ROSC > 15 min CPR. Fourteen patients expired without ROSC. The absolute values of PtcCO2 was lower in the ROSC group than in the n0o ROCS group. The PtcCO2 change over time had a tendency to decrease or to remain constant in the ROSC groups. In contrast, all patients in the no ROSC group experienced an increase in the PtcCO2 change during CPR except one case. Conclusions: PtcCO2 monitoring provides non-invasive, continuous, and useful monitoring in cardiac arrest patients.

Original languageEnglish
Article number70
JournalScandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Volume22
Issue number1
DOIs
Publication statusPublished - 2014 Jan 1

Fingerprint

Feasibility Studies
Heart Arrest
Cardiopulmonary Resuscitation
Out-of-Hospital Cardiac Arrest
Switzerland
Hospital Emergency Service

Keywords

  • Blood gas monitoring
  • Cardiac arrest
  • Return of spontaneous circulation
  • Transcutaneous carbon dioxide

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

Cite this

@article{267da220abe641079226edad1c7b1981,
title = "The use of transcutaneous CO2 monitoring in cardiac arrest patients: A feasibility study",
abstract = "Background: Prediction of the return of spontaneous circulation (ROSC) in cardiac arrest patients is a parameter for deciding when to stop cardiopulmonary resuscitation (CPR) or to start extracorporeal CPR. We investigated the change in transcutaneous PCO2 (PtcCO2) in cardiac arrest patients. Methods: This study was carried out as a retrospective chart review. Patients with out-of-hospital cardiac arrest or in-hospital cardiac arrest within the emergency department were included. PtcCO2 monitoring with a V-Sign™ combined monitor (SenTec Inc., Therwil, Switzerland) was applied to patients at the start of CPR. We divided the included patients into the ROSC group and the no ROSC group. The ROSC group was subdivided into those achieving ROSC < 15 min CPR and > 15 min CPR. The change in the PtcCO2 value was analyzed at 0 min, 5 min, 10 min, and 15 min from PtcCO2 stabilization and was compared among the groups. Results: A total of 42 patients were enrolled. Twenty-eight patients achieved ROSC; 13 patients achieved ROSC <15 min CPR and 15 patients achieved ROSC > 15 min CPR. Fourteen patients expired without ROSC. The absolute values of PtcCO2 was lower in the ROSC group than in the n0o ROCS group. The PtcCO2 change over time had a tendency to decrease or to remain constant in the ROSC groups. In contrast, all patients in the no ROSC group experienced an increase in the PtcCO2 change during CPR except one case. Conclusions: PtcCO2 monitoring provides non-invasive, continuous, and useful monitoring in cardiac arrest patients.",
keywords = "Blood gas monitoring, Cardiac arrest, Return of spontaneous circulation, Transcutaneous carbon dioxide",
author = "Choi, {Sung Hyuk} and Jung-Youn Kim and Young-Hoon Yoon and Park, {Sung Jun} and Sungwoo Moon and Cho, {Young Duck}",
year = "2014",
month = "1",
day = "1",
doi = "10.1186/s13049-014-0070-2",
language = "English",
volume = "22",
journal = "Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine",
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T1 - The use of transcutaneous CO2 monitoring in cardiac arrest patients

T2 - A feasibility study

AU - Choi, Sung Hyuk

AU - Kim, Jung-Youn

AU - Yoon, Young-Hoon

AU - Park, Sung Jun

AU - Moon, Sungwoo

AU - Cho, Young Duck

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Background: Prediction of the return of spontaneous circulation (ROSC) in cardiac arrest patients is a parameter for deciding when to stop cardiopulmonary resuscitation (CPR) or to start extracorporeal CPR. We investigated the change in transcutaneous PCO2 (PtcCO2) in cardiac arrest patients. Methods: This study was carried out as a retrospective chart review. Patients with out-of-hospital cardiac arrest or in-hospital cardiac arrest within the emergency department were included. PtcCO2 monitoring with a V-Sign™ combined monitor (SenTec Inc., Therwil, Switzerland) was applied to patients at the start of CPR. We divided the included patients into the ROSC group and the no ROSC group. The ROSC group was subdivided into those achieving ROSC < 15 min CPR and > 15 min CPR. The change in the PtcCO2 value was analyzed at 0 min, 5 min, 10 min, and 15 min from PtcCO2 stabilization and was compared among the groups. Results: A total of 42 patients were enrolled. Twenty-eight patients achieved ROSC; 13 patients achieved ROSC <15 min CPR and 15 patients achieved ROSC > 15 min CPR. Fourteen patients expired without ROSC. The absolute values of PtcCO2 was lower in the ROSC group than in the n0o ROCS group. The PtcCO2 change over time had a tendency to decrease or to remain constant in the ROSC groups. In contrast, all patients in the no ROSC group experienced an increase in the PtcCO2 change during CPR except one case. Conclusions: PtcCO2 monitoring provides non-invasive, continuous, and useful monitoring in cardiac arrest patients.

AB - Background: Prediction of the return of spontaneous circulation (ROSC) in cardiac arrest patients is a parameter for deciding when to stop cardiopulmonary resuscitation (CPR) or to start extracorporeal CPR. We investigated the change in transcutaneous PCO2 (PtcCO2) in cardiac arrest patients. Methods: This study was carried out as a retrospective chart review. Patients with out-of-hospital cardiac arrest or in-hospital cardiac arrest within the emergency department were included. PtcCO2 monitoring with a V-Sign™ combined monitor (SenTec Inc., Therwil, Switzerland) was applied to patients at the start of CPR. We divided the included patients into the ROSC group and the no ROSC group. The ROSC group was subdivided into those achieving ROSC < 15 min CPR and > 15 min CPR. The change in the PtcCO2 value was analyzed at 0 min, 5 min, 10 min, and 15 min from PtcCO2 stabilization and was compared among the groups. Results: A total of 42 patients were enrolled. Twenty-eight patients achieved ROSC; 13 patients achieved ROSC <15 min CPR and 15 patients achieved ROSC > 15 min CPR. Fourteen patients expired without ROSC. The absolute values of PtcCO2 was lower in the ROSC group than in the n0o ROCS group. The PtcCO2 change over time had a tendency to decrease or to remain constant in the ROSC groups. In contrast, all patients in the no ROSC group experienced an increase in the PtcCO2 change during CPR except one case. Conclusions: PtcCO2 monitoring provides non-invasive, continuous, and useful monitoring in cardiac arrest patients.

KW - Blood gas monitoring

KW - Cardiac arrest

KW - Return of spontaneous circulation

KW - Transcutaneous carbon dioxide

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