Volume 7 Supplement 1
Can focused echocardiographic evaluation in life support (FEEL) be used to predict resuscitation outcome or termination of resuscitation (TOR)? A prospective trial
© Suh et al; licensee Springer. 2015
Published: 9 March 2015
There are many studies about predictive factor of return of spontaneous circulation (ROSC) during the cardio-pulmonary resuscitation (CPR), but no definite guideline or predictive factor for termination of CPR.
The purpose of this study is to figure out the relationship between ROSC and cardiac activity findings by echocardiography(echo) in cardiac arrest patients, and investigate the cardiac standstill period can be used as indicator for termination resuscitation.
Patients and methods
We performed a prospective, observational study of non-consecutive, non-trauma, adult, out of hospital cardiac arrest (OHCA) patients. This study conducted in emergency department of single tertiary university hospital. Echo performed every 2 minute simultaneously with pulse check within 10 second throughout the arrest, which was managed by the usual advanced cardiac life-support treatment guidelines. We obtained sub-xiphoid or parasternal long axis view of echo. We defined echocardiographic evidence of cardiac kinetic activity as any detected motion of the myocardium, ranging from visible ventricular fibrillation to coordinated ventricular contractions.
If over 8 minutes repetitive cardiac standstill was identified by echo during the CPR, termination of resuscitation could be considered.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.