Am J Emerg Med. 1999 Mar;17(2):203-6.

Utility of colorimetric end-tidal carbon dioxide detector for monitoring during prehospital cardiopulmonary resuscitation.

Nakatani K, Yukioka H, Fujimori M, Maeda C, Noguchi H, Ishihara S, Yamanaka I, Tase C.

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Department of Anesthesiology and Intensive Care Medicine, Osaka City University Medical School, Osaka, Japan.

Abstract

The purpose of this study was to evaluate a colorimetric end-tidal CO2 (ETCO2) detector (EASY CAP) as a monitor during prehospital cardiopulmonary resuscitation (CPR) without tracheal intubation. This detector was used for 121 patients during CPR with a laryngeal mask airway or face mask by authorized emergency lifesaving technicians. At 7 to 15 minutes after the initiation of CPR, ETCO was <0.5% in 30 cases (group A), 0.5% to 2.0% in 46 cases (group B) and >2.0% in 45 cases (group C). The rate of return of spontaneous circulation was 17% in group A, 24% in group B, and 48% in group C (groups A v C, P < .01). There was a significant difference in the rate of hospital admission between groups A and C. The ETCO2 value may be useful for monitoring during prehospital CPR with a laryngeal mask airway or face mask.

PMID:: 10102328; [PubMed - indexed for MEDLINE]

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