My predominant use for et CO2 in cardiac arrest is in deciding when to stop
in PEA as in;
NEJM July 31 '97.
EtC0 < 10mmHg after persisting PEA for 20 mins in the absence of a treatable
cause on examination has a prognosis of 0% survival - you may say we know
that anyway - but I feel better about the decision to stop with this
evidence.
Bye the bye anecdotally I have has some (remarkable when it happens) success
with aminophylline in asystole.
Tony Good
----- Original Message -----
From: Julian Humphrey <[log in to unmask]>
To: Anthony Good <[log in to unmask]>
Sent: Wednesday, February 19, 2003 11:32 PM
Subject: End Tidal Carbon Dioxide monitoring in CPR
> Dear Colleagues
>
> Having read the article about end tidal CO2 monitoring in the recent ALS
Newsletter and completing my CTR on the subject. I would be interested to
hear whether, colleagues are routinely using end tidal CO2 monitoring in the
management of patients in cardiac arrest. Is anyone currently doing any
research on this in UK?
>
> There is good quality evidence in the literature to suggest that it can
provide non invasive information on the quality of chest compressions, and
predict the return of spontaneous circulation before a pulse is palable, and
may be a be a guide to outcome. This is in addition to confirming the
correct placement of the ET tube.
>
>
> Julian Humphrey
> SpR in A&E Medicine
> Yorkshire
>
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