TY - GEN
T1 - Detection of rosc in patients with cardiac arrest during chest compression using NIRS
T2 - 42nd Annual Meeting of International Society on Oxygen Transport to Tissue
AU - Yagi, Tsukasa
AU - Nagao, Ken
AU - Kawamorita, Tsuyoshi
AU - Soga, Taketomo
AU - Ishii, Mitsuru
AU - Chiba, Nobutaka
AU - Watanabe, Kazuhiro
AU - Tani, Shigemasa
AU - Yoshino, Atsuo
AU - Hirayama, Atsushi
AU - Sakatani, Kaoru
N1 - Publisher Copyright:
© Springer Science+Business Media, New York 2016.
PY - 2016
Y1 - 2016
N2 - Return of spontaneous circulation (ROSC) during chest compression is generally detected by arterial pulse palpation and end-tidal CO2 monitoring; however, it is necessary to stop chest compression during pulse palpation, and to perform endotracheal intubation for monitoring end-tidal CO2. In the present study, we evaluated whether near-infrared spectroscopy (NIRS) allows the detection of ROSC during chest compression without interruption. We monitored cerebral blood oxygenation in 19 patients with cardiac arrest using NIRS (NIRO-200NX, Hamamatsu Photonics, Japan). On arrival at the emergency room, the attending physicians immediately assessed whether a patient was eligible for this study after conventional advanced life support (ALS) and employed NIRS to measure cerebral blood oxygenation (CBO) in the bilateral frontal lobe in patients. We found cerebral blood flow waveforms in synchrony with chest compressions in all patients. In addition, we observed abrupt increases of oxy-hemoglobin concentration and tissue oxygen index (TOI), which were associated with ROSC detected by pulse palpation. The present findings indicate that NIRS can be used to assess the quality of chest compression in patients with cardiac arrest as demonstrated by the detection of synchronous waveforms during cardiopulmonary resuscitation (CPR). NIRS appears to be applicable for detection of ROSC without interruption of chest compression and without endotracheal intubation.
AB - Return of spontaneous circulation (ROSC) during chest compression is generally detected by arterial pulse palpation and end-tidal CO2 monitoring; however, it is necessary to stop chest compression during pulse palpation, and to perform endotracheal intubation for monitoring end-tidal CO2. In the present study, we evaluated whether near-infrared spectroscopy (NIRS) allows the detection of ROSC during chest compression without interruption. We monitored cerebral blood oxygenation in 19 patients with cardiac arrest using NIRS (NIRO-200NX, Hamamatsu Photonics, Japan). On arrival at the emergency room, the attending physicians immediately assessed whether a patient was eligible for this study after conventional advanced life support (ALS) and employed NIRS to measure cerebral blood oxygenation (CBO) in the bilateral frontal lobe in patients. We found cerebral blood flow waveforms in synchrony with chest compressions in all patients. In addition, we observed abrupt increases of oxy-hemoglobin concentration and tissue oxygen index (TOI), which were associated with ROSC detected by pulse palpation. The present findings indicate that NIRS can be used to assess the quality of chest compression in patients with cardiac arrest as demonstrated by the detection of synchronous waveforms during cardiopulmonary resuscitation (CPR). NIRS appears to be applicable for detection of ROSC without interruption of chest compression and without endotracheal intubation.
KW - Cardiac arrest
KW - Cardiopulmonary resuscitation
KW - Near-infrared spectroscopy
KW - Quality of cardiopulmonary resuscitation
KW - Return of spontaneous circulation
UR - http://www.scopus.com/inward/record.url?scp=84958581038&partnerID=8YFLogxK
U2 - 10.1007/978-1-4939-3023-4_19
DO - 10.1007/978-1-4939-3023-4_19
M3 - Conference contribution
C2 - 26782207
AN - SCOPUS:84958581038
SN - 9781493930227
T3 - Advances in Experimental Medicine and Biology
SP - 151
EP - 157
BT - Oxygen Transport to Tissue XXXVII
A2 - Elwell, Clare E.
A2 - Leung, Terence S.
A2 - Harrison, David K.
PB - Springer New York LLC
Y2 - 28 June 2014 through 3 July 2014
ER -