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Literature of Resuscitation is a Medicine article available to read on EtoBox.

What is Literature of Resuscitation about?

Background: Survival after cardiac arrest occurring outside the hospital averages less than 3 percent. Unfortunately, the outcome of prolonged resuscitative attempts cannot be predicted. End-tidal carbon dioxide levels reflect cardiac output during cardiopulmonary resuscitation. We prospectively determined whether death could be predicted by monitoring end-tidal carbon dioxide during resuscitation after cardiac arrest. Methods: We performed a prospective observational study in 150 consecutive victims of cardiac arrest outside the hospital who had electrical activity but no pulse. The patients were intubated and evaluated by mainstream end-tidal carbon dioxide monitoring. Our hypothesis was that an end-tidal carbon dioxide level of 10 mm Hg or less after 20 minutes of standard advanced cardiac life support would predict death. Results: There was no difference in the mean age or initial end-tidal carbon dioxide level between patients who survived to hospital admission (survivors) and those who did not (nonsurvivors). After 20 minutes of advanced cardiac life support, end-tidal carbon dioxide ( 9 SD) averaged 4.4 9 2.9 mm Hg in nonsurvivors and 32.8 9 7.4 mm Hg in survivors (P B0.001)

Who reads Literature of Resuscitation?

Publisher

Elsevier Science; Elsevier ; Elsevier BV (ISSN 0300-9572)

Published

1998

Language

EN

Field

Medicine (Health Sciences)