Cardiac arrest & resuscitation
Left of sternum compressions are associated with higher systolic blood pressure than lower half of sternum compressions in cardiac arrest
Authors' conclusion
In our pilot, retrospective, observational study of select ED cardiac arrest patients, left-of-sternum chest compressions are associated with higher SBP than lower-half-of-sternum compressions, while ETCO2 was similar.
Study context
- Population
- Adult Emergency Department (ED) cardiac arrest resuscitations where changes in chest compressions (CC) location were attempted to improve physiologic parametersanalysed
- Participants
- 24 participants
- Exposure
- Left-of-sternum vs lower-half-of-sternum chest compressions
- Outcome
- Highest arterial line systolic blood pressure (SBP) during CC
Methodological detailspilot, video-recorded resuscitations, linear mixed-effects models
- Pilot
- Video-recorded resuscitations
- Linear mixed-effects models
Main finding
As reported in the abstract
Highest arterial line SBP (LSMean)
P < 0.001
Observational data: associations, not effects.
Further findings
Highest ETCO2 (LSMean) · mixed-effects model
P = 0.300
- Highest end-tidal CO2 (ETCO2) (least squares mean (LSMean)): 18 patients; 44 lower-half-of-sternum and 32 left-of-sternum CC intervals
Initial compressions at lower-half-of-sternum
- Patients with initial compressions at lower-half-of-sternum
- 20 (83.3 %)
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Left of sternum compressions are associated with higher systolic blood pressure than lower half of sternum compressions in cardiac arrest. Resuscitation. Published 12 December 2024. doi:10. 1016/ j. resuscitation. 2024. 110466
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