Partial pressure of end-tidal carbon dioxide predicts successful cardiopulmonary resuscitation in the field 英文参考文献.docVIP

Available online /content/12/6/190 Commentary Partial pressure of end-tidal carbon dioxide predicts successful cardiopulmonary resuscitation in the field Max Harry Weil1,2 1Weil Institute of Critical Care Medicine, 35100 Bob Hope Drive, Rancho Mirage, CA 92270, USA 2Keck School of Medicine of the University of Southern California, 1975 Zonal Avenue, KAM 317, Los Angeles, CA 90087 USA Corresponding author: Max Harry Weil, weilm@ Published: 7 November 2008 Critical Care 2008, 12:190 (doi:10.1186/cc7090) This article is online at /content/12/6/190 ? 2008 BioMed Central Ltd See related research by Kolar et al., /content/12/5/R115 Abstract measurement of the cardiac output generated by chest compression and thereby guides the effectiveness of the procedure, including chest compression, to achieve better outcomes. It also allows uninterrupted chest compression because it promptly signals the return of spontaneous circulation [2]. PetCO2 is likely to promptly identify asphyxia, in contrast to primary cardiac causes of arrest as previously reported by one of the present authors [3]. PetCO2 measure- ment during cardiopulmonary resuscitation may not require routine endotracheal intubation, which usually interrupts chest compression and under crisis conditions has a high failure rate and disproportionate airway injury. The alternatives of a laryngeal mask airway or even a facial mask incorporating a mainstream carbon dioxide sensor may be utilized. Because injection of bolus epinephrine produces a sharp although transient reduction in PetCO2 when injected intravenously [4], clinicians would best be alerted to this potential error. Kolar and colleagues contribute an additional and important incen- tive for rescuers to utilize end-tidal carbon dioxide tensions as a routine monitor to guide management and decision-making during cardiopulmonary resuscitatio