Association between prehospital i-gel insertion and PCO₂ in patients with out-of-hospital cardiac arrest
Journal of the Korean Society of Emergency Medicine
;
: 578-584, 2018.
Article
in English
| WPRIM
| ID: wpr-719098
ABSTRACT
OBJECTIVE:
This study examined the initial partial pressure of carbon dioxide (PCO₂) as a possible indicator of prehospital ventilation and its association with prehospital i-gel in out-of-hospital cardiac arrest (OHCA) patients.METHODS:
The demographics and arrest parameters, including i-gel insertion and initial arterial blood gas analysis, of OHCA patients who visited the emergency department were analyzed retrospectively. Linear regression analysis was performed to examine the association between i-gel insertion and the initial PCO₂.RESULTS:
A total of 106 patients were investigated. Fifty-six patients had prehospital i-gel insertion and 50 patients did not have a prehospital advanced airway. The initial PCO₂ was higher in the i-gel group than the no advanced airway group (105.2 mmHg [77.5–134.9] vs. 87.5 mmHg [56.8–115.3], P=0.03). Prehospital i-gel insertion was associated with a higher initial PCO₂ level (βcoefficient, 20.3; 95% confidence interval, 2.6–37.9; P=0.03).CONCLUSION:
Prehospital insertion of i-gel was associated with higher initial PCO₂ values in OHCA patients compared to no advanced airway.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Partial Pressure
/
Ventilation
/
Blood Gas Analysis
/
Carbon Dioxide
/
Linear Models
/
Demography
/
Retrospective Studies
/
Cardiopulmonary Resuscitation
/
Emergency Medical Services
/
Emergency Service, Hospital
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2018
Type:
Article
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