Cardiac arrest & resuscitation

Left of sternum compressions are associated with higher systolic blood pressure than lower half of sternum compressions in cardiac arrest

ResuscitationPublished Retrospective cohort study

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

Composed by AI from the published abstract and checked against it. How Briefs are made →

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