Date Published
July 5, 2024
Updated For
ALS PCS Version 5.3
#SWORBHPTips
ETCO2 & CPR
- AHA Guidelines recommends using quantitative waveform capnography with an advanced airway in patients during CPR – Let's review WHY
- Waveform capnography allows providers to monitor CPR quality, optimize chest compressions
- Monitoring of CPR quality results in a higher likelihood of ROSC
- Also allows for detection of ROSC (return of spontaneous circulation) during chest compressions
- Waveform capnography allows providers to monitor CPR quality, optimize chest compressions
Evaluating The Effectiveness of Chest Compressions and Identification of ROSC
- Target chest compressions to an ETCO2 value of at least 10 mmHg, and ideally 20 mmHg or greater, as a marker of CPR quality
- If ETCO2 value <10 mmHg during CPR with an advanced airway, re-assess chest compression quality
- When ROSC occurs there will be a significant increase in the ETCO2 (35-45 mmHg or higher) which indicated a drastic improvement in blood flow
Summary
- Waveform capnography is a tool that can assist with cardiac arrest management
- Allows providers to monitor CPR quality and optimize chest compressions
- Goal ETC02 is >20mmHg
- If ETC02 is <10mmHg, try to determine if there is anything that can be optimized
- Allows for the early detection of ROSC
- Allows providers to monitor CPR quality and optimize chest compressions
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