|
Accession number;03A0563172
|
| Title;Relationship Between Acid-base Status of Central Venous Blood and Duration of Out-of-Hospital Cardiac arrest |
| Author;
MASUDA Y
(Asahikawa Red Cross Hospital, Asahikawa, Jpn)
IMAIZUMI H
(Sapporo Medical Univ. School Of Medicine, Sapporo, Jpn)
SHICHINOHE Y
(Asahikawa Red Cross Hospital, Asahikawa, Jpn)
NAMIKI A
(Sapporo Medical Univ. School Of Medicine, Sapporo, Jpn)
|
Journal Title;Hiroshima Journal of Anesthesia
|
Journal Code:S0305A
|
ISSN:0385-1664
|
|
VOL.39;NO.1;PAGE.33-36(2003)
|
| Figure&Table&Reference;FIG.1, TBL.3, REF.14 |
| Pub. Country;Japan |
| Language;English |
| Abstract;During cardiopulmonary resuscitation (CPR) adequate ventilation and metabolic state was usually estimated by the analysis of arterial blood gases. On the other hand, central venous blood can be easily obtained by the catheterization to administrate various drugs during CPR. This study was conducted to determine whether the acid-base status of central venous blood of the cardiac arrest patients, can serve as an indicator for the tissue metabolic state and the duration of out-of-hospital cardiac arrest at the initiation of the CPR. Ten patients (41-87 yrs-old) who had witnessed cardiac arrest were eligible for this study. All of the patients were cannulated via the subclavian vein and femoral artery immediately after being transported to the emergency room. Central venous and arterial blood gases were simultaneously analysed shortly after cannulation. All the patients were not received basic life support by witnessed bystanders. The duration of out-of-hospital cardiac arrest varied from 16 to 45 minutes. Five of ten patients returned spontaneous circulation but the others failed. A significant relationship was found between base excess of central venous blood and that of arterial blood. A duration of cardiac arrest correlated significantly with the base excess of central venous blood. No significant relationship between either pH or partial pressure of carbon dioxide in central venous blood and arterial blood was found. The acid-base status of central venous blood during cardiac arrest is a useful indicator to evaluate the tissue metabolic condition and the duration of out-of-hospital cardiac arrest. (author abst.) |
|
|
|
Related Articles;
|
