What is the proper ventilation rate for a patient in cardiac arrest?

What is the proper ventilation rate for a patient in cardiac arrest?

It is critically important that rescuers maintain a ventilation rate of 8 to 10 breaths per minute during CPR and avoid excessive ventilation.

What should ETCO2 be in cardiac arrest?

Teams should aim for EtCO2 at least >10 mm Hg and ideally >20 mm Hg. Where do these numbers come from? These values are approximately 1/4 the normal EtCO2 (35-45 mm Hg), and ideal CPR will provide at least 1/4 of cardiac output. This is an example of capnography during CPR.

What does a PETCO2 of 8 mm Hg mean?

Waveform capnography PETCO2 levels ≥ 10 mmHg indicate adequate chest compressions. If intra-arterial. relaxation pressure (as measured by using an intra-arterial catheter) during CPR is < 20 mmHg attempt to. improve chest compressions.

What is a normal PetCO?

Normal ETCO2 in the adult patient should be 35-45 mmHg. Two very practical uses of waveform capnography in CPR are: 1.) evaluating the effectiveness of chest compressions, and 2.)

What is the recommended compression rate for high quality CPR?

100-120/min
Compression rate of 100-120/min. Compression depth of at least 50 mm (2 inches) in adults and at least 1/3 the AP dimension of the chest in infants and children. No excessive ventilation.

What is the normal range for ETCO2?

35-45 mmHg
End-tidal CO2 – EtCO2 is a noninvasive technique which represents the partial pressure or maximal concentration of CO2 at the end of exhalation. Normal value is 35-45 mmHg.

What does high PetCO2 mean?

Cardiac disease by definition causes a low cardiac output which limits the amount of oxygen delivered to exercising muscles which can cause an elevated venous PCO2. If ventilation is not limited and gas exchange is normal then PetCO2 will be normal or even elevated despite a low cardiac output.

What is PetCO2 a measure of?

The measured PetCO2 value is used to track partial CO2 pressure in the arteries (PaCO2). ​In general, PetCO2 value represents a reliable index of CO2 partial pressure in the arterial blood (PaCO2) (measured using blood gas analysis (BGA)).

What is the most reliable indication of ROSC?

A sudden increase in ETCO2 is often the first sign of return of spontaneous circulation (ROSC), even before a carotid pulse can be detected.

What is the recommended rate for high quality CPR?

Compression rate of 100-120/min. Compression depth of at least 50 mm (2 inches) in adults and at least 1/3 the AP dimension of the chest in infants and children. No excessive ventilation.

What should petco2 be at post arrest level?

Use quantitative waveform capnography to regulate and titrate ventilation rates during the post arrest phase. PETCO2 should be between 30-40 mm Hg and PaCO2 should have a range of 35-45 mm Hg.

How many breaths per minute in post cardiac arrest?

Consider an advanced airway if one is not in place. While ventilating a post-arrest patient, begin with a rate of 10 to 12 breaths per minute. Titrate oxygen to maintain an arterial oxygen saturation of 94% during the post-cardiac arrest phase, reducing the risk of oxygen toxicity.

What is the post cardiac arrest care algorithm?

The Post-Cardiac Arrest Care algorithm will take you through the implementation of a comprehensive treatment protocol for post-cardiac arrest care. This case is applicable to a patient who has had cardiac arrest and was resuscitated with the BLS, ACLS Primary, and ACLS Secondary Assessments.

When to start ventilation after a cardiac arrest?

Ventilation should start at 10/min and should be titrated according to the target PETCO2 of 35-40 mmHg.