Neurologic Recovery Following Prolonged Out-of-Hospital Cardiac Arrest With Resuscitation Guided by Continuous Capnography Roger D. White, MD, Bruce.

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Presentation transcript:

Neurologic Recovery Following Prolonged Out-of-Hospital Cardiac Arrest With Resuscitation Guided by Continuous Capnography Roger D. White, MD, Bruce W. Goodman, CCEMT-P, Mary A. Svoboda, RN Mayo Clinic Proceedings Volume 86, Issue 6, Pages 544-548 (June 2011) DOI: 10.4065/mcp.2011.0229 Copyright © 2011 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 1 Initial electrocardiogram (ECG) showing ventricular fibrillation and the first shock from the first responder automated external defibrillator. Ventricular fibrillation persisted after the shock. Mayo Clinic Proceedings 2011 86, 544-548DOI: (10.4065/mcp.2011.0229) Copyright © 2011 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 2 Electrocardiogram (ECG) showing ongoing ventricular fibrillation while cardiopulmonary resuscitation was in progress. The end-tidal carbon dioxide (CO2) tension was 36 mm Hg. Mayo Clinic Proceedings 2011 86, 544-548DOI: (10.4065/mcp.2011.0229) Copyright © 2011 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 3 After the sixth shock from the advanced life support defibrillator, an electrocardiogram (ECG) showed return of an organized rhythm with an end-tidal carbon dioxide (CO2) tension of 37 mm Hg. Mayo Clinic Proceedings 2011 86, 544-548DOI: (10.4065/mcp.2011.0229) Copyright © 2011 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 4 A 12-lead electrocardiogram obtained after admission of the patient to the emergency department. Mayo Clinic Proceedings 2011 86, 544-548DOI: (10.4065/mcp.2011.0229) Copyright © 2011 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 5 Left, Coronary angiogram obtained before intervention showing complete occlusion of the left anterior descending coronary artery. Right, Coronary angiogram obtained after intervention showing that the reopened left anterior descending coronary artery has excellent downstream flow. Mayo Clinic Proceedings 2011 86, 544-548DOI: (10.4065/mcp.2011.0229) Copyright © 2011 Mayo Foundation for Medical Education and Research Terms and Conditions