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A Comparison of the Effect of Interposed Abdominal Compression Cardiopulmonary Resuscitation and Standard Cardiopulmonary Resuscitation Methods on End‐tidal CO 2 and the Return of Spontaneous Circulation Following Cardiac Arrest: A Clinical Trial
Author(s) -
Movahedi Ali,
Mirhafez Seyed Reza,
BehnamVoshani Hamidreza,
Reihani Hamidreza,
Kavosi Ali,
Ferns Gordon A.,
Malekzadeh Javad
Publication year - 2016
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/acem.12903
Subject(s) - medicine , return of spontaneous circulation , cardiopulmonary resuscitation , resuscitation , anesthesia , ventricular fibrillation , population , cardiology , environmental health
Objectives Sudden cardiac arrest is a major cause of death in the adult population of developed countries, with only 10%–15% of cardiopulmonary resuscitations ( CPR s) being successful. We aimed to compare the effects of interposed abdominal compression CPR ( IAC ‐ CPR ) with standard CPR ( STD ‐ CPR ) methods on end‐tidal CO 2 ( ETCO 2 ) and the return of spontaneous circulation ( ROSC ) following cardiac arrest in a hospital setting. Methods After cardiac arrest was confirmed in a patient at Mashhad Ghaem Hospital, 80 cases were randomly assigned to one of the two methods of resuscitation, either IAC ‐ CPR or STD ‐ CPR , respectively. The inclusion criteria for the study were nontraumatic cardiac arrest, in patients between the age of 18 and 85 years, and the presence of endotracheal tube. Exclusion criteria were abdominal surgery in the past 2 weeks, active gastrointestinal bleeding, pulmonary embolism, and suspected pregnancy. Results There was a significant difference between the two groups in ETCO 2 (p < 0.003), but there was no significant difference as far as the ROSC (p > 0.50). Conclusion The increase in the ETCO 2 during IAC ‐ CPR is an indicator of the increase in cardiac output following the use of this method of CPR .