Expired PCO2 as a prognostic indicator of successful resuscitation from cardiac arrest

Arthur B. Sanders, Gordon A. Ewy, Steven Bragg, Mathew Atlas, Karl B. Kern

Research output: Contribution to journalArticlepeer-review

116 Scopus citations

Abstract

We performed a study to determine if the measurement of expired PCO2 during CPR for cardiac arrest could be used as a prognostic indicator of successful resuscitation. Twelve mongrel dogs were fibrillated electrically, and external chest massage and assisted ventilation were applied for 15 minutes. Expired PCO2 and aortic and right atrial pressures were monitored each minute of arrest. Coronary perfusion pressure (CPP) was calculated by subtracting the right atrial from the aortic diastolic pressure. Half the dogs received high-force chest compression (801b) and half received low-force chest compression (401b). The six dogs that received high-force compression were resuscitated successfully. The expired PCO2 was significantly higher in the successfully resuscitated dogs (expired PCO2 = 9.6 ± 3.2 mm Hg) when compared to those dogs that died (expired PCO2 = 3.2 ± 1.1 mm Hg, P < .01). Expired PCO2 was highly correlated (r = 0.91, P < .01) with the CPPs. The measurement of expired PCO2 during attempted CPR may be useful as a noninvasive indicator of CPP and adequate technique. Further studies on the use of this technique as an assessment criterion are warranted.

Original languageEnglish (US)
Pages (from-to)948-952
Number of pages5
JournalAnnals of emergency medicine
Volume14
Issue number10
DOIs
StatePublished - Oct 1985

Keywords

  • PCO, prognostic indicator, cardiac arrest
  • cardiac arrest, prognostic indicators

ASJC Scopus subject areas

  • Emergency Medicine

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