Gasping during cardiac arrest.

Abstract:

PURPOSE OF REVIEW:The purpose of this study is to review the prevalence and significance of gasping in patients experiencing cardiac arrest. RECENT FINDINGS:In a recent study by Bobrow et al., gasping was identified in 33% of patients who arrested after the arrival of emergency medical services (EMS). Patients who arrested previous to EMS arrival experienced a decreasing incidence of gasping with increasing duration of cardiac arrest: 20% if EMS arrived within 7 min, 14% if EMS arrival was between 7 and 9 min, and 7% if EMS arrived after 9 min. There was a positive association between the presence of gasping and survival: 28% of those who gasped survived compared with 8% of those who did not gasp (odds ratio, 3.4, 95% confidence interval, 2.2-5.2). Among the 481 patients who received bystander cardiopulmonary resuscitation, survival to hospital discharge occurred among 39% of patients who gasped versus 9% among those who did not gasp (adjusted odds ratio, 5.1, 95% confidence interval, 2.7-9.4). SUMMARY:Gasping frequently occurs during cardiac arrest. Public and emergency medical dispatchers must be more aware of its presence and significance.

journal_name

Curr Opin Crit Care

authors

Zuercher M,Ewy GA

doi

10.1097/MCC.0b013e3283298e00

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

185-8

issue

3

eissn

1070-5295

issn

1531-7072

journal_volume

15

pub_type

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