![]() ![]() In manual CPR, this could mean switching out a compressor. ![]() And if the patient’s reading is less than 10 mmHg, the team needs to make an adjustment to get back on track. 4, 6-7 These guidelines help code teams quickly assess the effectiveness of their efforts and make changes as needed.įor example, a notable dip in ETCO 2 can indicate that a compressor is tiring, or that some other controllable factor is hindering compression quality. Readings between 10-20 mmHg are acceptable, and anything less than 10 mmHg is associated with poor outcomes. 4-5 During CPR, code teams are aiming for ETCO 2 readings greater than 20 mmHg. And since clinicians are often relying on muscle memory when performing CPR, the value of a real-time, objective measure of compression quality really can’t be overstated. Manual CPR is both physically and mentally demanding, as responders strive to repeatedly execute compressions at the optimal depth and rate throughout the code.ĮTCO 2 monitoring doesn’t make the task itself any easier, but it does offer in-the-moment feedback about the team’s efforts. Study after study has shown the importance of high-quality CPR, but it can prove challenging and elusive to even the most experienced clinicians. From confirming correct placement of an endotracheal tube to helping clinicians recognize return of spontaneous circulation (ROSC), let’s take a closer look at the top 3 ways Code Blue responders can get the most out of this quality indicator. Multi-purpose: Depending on the circumstances, ETCO 2 readings can be used in more than one way during a code.But since ETCO 2 levels yield insight into patient status and can guide care in a critical, life-or-death event like cardiac arrest, the small investment of a monitoring device is well worth it. Worth the investment: Like anything else, these devices come with a cost.This means that there’s very little risk that use of the device will interfere with the code or add unnecessary burden to the team. Whether your hospital uses a handheld device, bedside monitor, or defibrillator attachment, these devices are simple and noninvasive. Easy and noninvasive: Waveform capnography measures ETCO 2 continuously and portrays the readings visually as a waveform.There are also some practical benefits to consider: But the readings can be particularly valuable in a high-stakes event like cardiac arrest, where monitoring quality indicators is crucial to guide and inform care. Clinicians can use ETCO 2 to gauge patient status in all kinds of clinical scenarios.
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