Cardiac arrest & resuscitation

Ventilation rates measured by capnography during out-of-hospital cardiac arrest resuscitations and their association with return of spontaneous circulation

ResuscitationPublished Retrospective cohort study

Authors' conclusion

We failed to detect an association between intra-arrest ventilation rates measured by continuous capnography and proximal patient outcomes after OHCA. Capnography has poor reliability as a measure of ventilation rate. Achieving guideline-compliant ventilation rates remains challenging.

Study context

Population
Adult non-traumatic out-of-hospital cardiac arrest (OHCA) with useable capnography data, over a two-year period790 OHCA analysed
Participants
314 participants
Exposure
Ventilation rate measured by capnography and its association with return of spontaneous circulation (ROSC)
Outcome
Sustained prehospital ROSC

Main finding

As reported in the abstract

Achieved primary outcome

62

20%

Observational data: associations, not effects.

Secondary outcomes

Ventilation rate per minute

Median ventilation rate per minute
7 (IQR 5.4-8.5)
Guideline-compliant rate of 8-10 per minute
70 (22%)
Useable capnography data
386 (49%)

Vital status at end of prehospital care, survival to hospital admission

No statistically significant association with ventilation parameters

Original publication

Ventilation rates measured by capnography during out-of-hospital cardiac arrest resuscitations and their association with return of spontaneous circulation. Resuscitation. Published 5 December 2022. doi:10.1016/j.resuscitation.2022.11.028

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