Does chest compression during cardiopulmonary resuscitation provide sufficient cerebral oxygenation?

Mehmet Akif YAZAR; Mehmet Bariş AÇIKGÖZ; Adnan BAYRAM

Article Details

Does chest compression during cardiopulmonary resuscitation provide sufficient cerebral oxygenation?

Authors:

Mehmet Akif YAZAR | Mehmet Bariş AÇIKGÖZ | Adnan BAYRAM

Publisher:

TUBITAK

Journal:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 1, pp.311-317

Document Type:

Article

Publication Date:

1/2019

Document Language:

Turkish

Document ID (Org No.):

2000750371

Frequency:

Bimonthly

eISSN:

1303-6165

pISSN:

1300-0144

Abstract:

 

Background/aim:  Some  of  the  patients  suffering  from  cardiac  arrest  (CA)  remain  in  a  chronic  unconscious  state  in  intensive  care  units  (ICUs).  The  primary  aim  of  this  study  was  to  evaluate  the  efficacy  of  chest  compression  (CC)  on  cerebral  oxygenation  during  cardiopulmonary resuscitation (CPR). As a secondary goal, we attempted to determine the effects of regional cerebral oxygen saturation (rSO2) values on consciousness and the survival rate using the Full Outline of Unresponsiveness (FOUR) scoring method.Materials  and  methods:  This  observational  preliminary  study  was  carried  out  with  20  patients  with  CA  who  were  hospitalized  in  ICUs. The rSO2 values measured by near-infrared spectroscopy were recorded during CA. FOUR scoring was used to determine the neurological status, severity of disease, and degree of organ dysfunction in survivors.Results: Return of spontaneous circulation (ROSC) was gained in 8 (40%) of 20 patients. Maximum rSO2 values were higher in survivors than in nonsurvivors (P = 0.005). The mean FOUR score before CA was 11.50 ± 0.8 in survivors, whereas this value was 7.87 ± 0.7 for 1 week after ROSC (P < 0.0001). There was a significant positive correlation between the minimum and mean rSO2 values and the mean 1-week FOUR scores in survivors (r = 0.811, r = 0.771 and P = 0.015, P = 0.025, respectively).Conclusion: Our results suggest that the maximum rSO2 values affect ROSC while the minimum and mean rSO2 values affect the post-cardiac arrest neurological outcome.

Article Details

Does chest compression during cardiopulmonary resuscitation provide sufficient cerebral oxygenation?

Authors: Mehmet Akif YAZAR | Mehmet Bariş AÇIKGÖZ | Adnan BAYRAM

Publisher: TUBITAK

Journal: Turkish Journal of Medical Sciences 2019 Vol.49 Issue 1, pp.311-317

Document Type: Article

Publication Date: 1/2019

Document Language: Turkish

Document ID (Org No.): 2000750371

Frequency: Bimonthly

eISSN: 1303-6165

pISSN: 1300-0144

Issues

Authors:

Mehmet Akif YAZAR | Mehmet Bariş AÇIKGÖZ | Adnan BAYRAM

Publisher:

TUBITAK

Journal:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 1, pp.311-317

Document Type:

Article

Publication Date:

1/2019

Document Language:

Turkish

Document ID (Org No.):

2000750371

Frequency:

Bimonthly

eISSN:

1303-6165

pISSN:

1300-0144