1. Arterial blood gases with 700 ml tidal volumes during out-of-hospital CPR.
- Author
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Dorph E, Wik L, and Steen PA
- Subjects
- Aged, Aged, 80 and over, Arteries, Female, Heart Arrest therapy, Humans, Linear Models, Male, Middle Aged, Respiration, Artificial, Carbon Dioxide blood, Cardiopulmonary Resuscitation methods, Emergency Medical Services methods, Oxygen blood, Tidal Volume
- Abstract
The optimal tidal and minute ventilation during cardiopulmonary resuscitation (CPR) is not known. In the present study seven adult, non-traumatic, out-of-hospital cardiac arrest patients were intubated and mechanically ventilated at 12 min(-1) with 100% oxygen and a tidal volume of 700 ml (10 +/- 2 ml kg(-1)). Arterial blood gas samples were analysed after 6-8 min of unsuccessful resuscitation and mechanical ventilation. Mean PaCO2 was 5.2 +/- 1.3 kPa and mean PaO2 30.7 +/- 17.2 kPa. The patient with the highest (14 ml kg(-1)) and lowest (8 ml kg(-1)) tidal volumes per kg had the lowest and highest PaCO2 values of 2.6 and 6.8 kPa, respectively. Linear regression analysis confirmed a significant correlation between arterial pCO2 and tidal volume in ml/kg, r2 = 0.87. We conclude that aiming for an estimated ventilation of 10 ml kg(-1) tidal volume at frequency of 12 min(-1) might be expected to achieve normocapnia during ALS.
- Published
- 2004
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