Document Detail

Monitoring the quality of cardiopulmonary resuscitation.
MedLine Citation:
PMID:  17468556     Owner:  NLM     Status:  MEDLINE    
PURPOSE OF REVIEW: Numerous recent reports have described limitations in the quality of cardiopulmonary resuscitation. Thus, there has been increasing interest in the techniques available to monitor quality. This review focuses on the major publications since the review published by the International Liaison Committee on Resuscitation in 2005. Some key articles published prior to this time period have also been included. RECENT FINDINGS: A number of devices can monitor various components of the quality of cardiopulmonary resuscitation. End-tidal CO2 measurement assists in confirming placement of endotracheal tubes, correlates with cardiac output and detects the return of spontaneous circulation. Turbine flow-meters monitor respiratory rate and tidal volume. Transthoracic impedance monitoring measures respiratory rate, and may assist in confirmation of endotracheal tube placement. A new mechanical device (CPREzy) and a new defibrillator/monitor allow estimation of depth (and rate) of compressions. Ventricular-fibrillation waveform analysis may facilitate better timing of defibrillation. Echocardiography detects conditions that may impair the quality of cardiopulmonary resuscitation. SUMMARY: Many options are available to monitor the quality of cardiopulmonary resuscitation. Some have significant limitations, and others are only readily available in hospital. The use of the information from this more intensive monitoring promises to improve outcomes of cardiopulmonary resuscitation.
Peter T Morley
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in critical care     Volume:  13     ISSN:  1531-7072     ISO Abbreviation:  Curr Opin Crit Care     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-04-30     Completed Date:  2008-07-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9504454     Medline TA:  Curr Opin Crit Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  261-7     Citation Subset:  IM    
Intensive Care Unit, Royal Melbourne Hospital, Parkville, Victoria, Australia.
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MeSH Terms
Blood Gas Analysis
Cardiography, Impedance
Cardiopulmonary Resuscitation / standards*
Medical Audit
Monitoring, Physiologic / methods
Quality Assurance, Health Care
Quality of Health Care*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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