Monitoring during cardiac arrest

Are we there yet?

Melinda M. Hayes, Robert Allen Berg, Charles W Otto

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Advancements in electronic data acquisition have translated into improved monitoring of victims of cardiac arrest, but initial techniques remain direct observation of pulses and respirations. The most essential monitor continues to be the electrocardiogram. However, monitoring diastolic blood pressure, myocardial perfusion pressure, and end-tidal carbon dioxide are extremely useful. Most of the current research on monitoring during cardiopulmonary resuscitation focuses on methods for analyzing ventricular fibrillation waveforms. By analyzing the waveform, defibrillation shocks may be delivered at the time when the chance of success is optimal. Low-amplitude and low-frequency fibrillation waveforms are associated with increased rates of asystole and pulseless electrical activity after defibrillation. Methods of analyzing the ventricular fibrillation waveform include measuring the amplitude and frequency and combining the contributions of amplitude and frequency by various methods to improve discrimination. Other types of monitoring being studied for their usefulness during cardiac arrests include sonography, Bispectral Index monitoring, tissue carbon dioxide monitors, and pupil observation. The test of these monitoring techniques is ultimately their ability to improve patient survival to hospital discharge, which is a major challenge for resuscitation researchers.

Original languageEnglish (US)
Pages (from-to)211-217
Number of pages7
JournalCurrent Opinion in Critical Care
Volume9
Issue number3
DOIs
StatePublished - Jun 2003

Fingerprint

Heart Arrest
Ventricular Fibrillation
Carbon Dioxide
Observation
Blood Pressure
Cardiopulmonary Resuscitation
Pupil
Resuscitation
Shock
Ultrasonography
Electrocardiography
Respiration
Perfusion
Research Personnel
Pressure
Survival
Research

Keywords

  • Capnography
  • Cardiac arrest
  • Cardiopulmonary resuscitation
  • Electrocardiography
  • Monitoring
  • Outcome
  • Ventricular fibrillation

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Monitoring during cardiac arrest : Are we there yet? / Hayes, Melinda M.; Berg, Robert Allen; Otto, Charles W.

In: Current Opinion in Critical Care, Vol. 9, No. 3, 06.2003, p. 211-217.

Research output: Contribution to journalArticle

Hayes, Melinda M. ; Berg, Robert Allen ; Otto, Charles W. / Monitoring during cardiac arrest : Are we there yet?. In: Current Opinion in Critical Care. 2003 ; Vol. 9, No. 3. pp. 211-217.
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