Does chest compression during cardiopulmonary resuscitation provide sufficient cerebral oxygenation?

Background/aim: Some of the patients suffering from cardiac arrest (CA) remain in a chronic unconscious state in intensive care units (ICUs). The primary aim of this study was to evaluate the efficacy of chest compression (CC) on cerebral oxygenation during cardiopulmonary resuscitation (CPR). As a secondary goal, we attempted to determine the effects of regional cerebral oxygen saturation (rSO2) values on consciousness and the survival rate using the Full Outline of Unresponsiveness (FOUR) scoring method.Materials and methods: This observational preliminary study was carried out with 20 patients with CA who were hospitalized in ICUs. The rSO2 values measured by near-infrared spectroscopy were recorded during CA. FOUR scoring was used to determine the neurological status, severity of disease, and degree of organ dysfunction in survivors.Results: Return of spontaneous circulation (ROSC) was gained in 8 (40%) of 20 patients. Maximum rSO2 values were higher in survivors than in nonsurvivors (P = 0.005). The mean FOUR score before CA was 11.50 ± 0.8 in survivors, whereas this value was 7.87 ± 0.7 for 1 week after ROSC (P < 0.0001). There was a significant positive correlation between the minimum and mean rSO2 values and the mean 1-week FOUR scores in survivors (r = 0.811, r = 0.771 and P = 0.015, P = 0.025, respectively).Conclusion: Our results suggest that the maximum rSO2 values affect ROSC while the minimum and mean rSO2 values affect the post-cardiac arrest neurological outcome.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

Fatma ESER, Gülruhsar YILMAZ, Hatice Rahmet GÜNER, İmran HASANOĞLU, Fatma Yekta Ürkmez KORKMAZ, Ziyacibali AÇIKGÖZ, Mehmet Akin TAŞYARAN

Cengiz BURAK, Erkan BAYSAL, Muhammed SÜLEYMANOĞLU, Çağri YAYLA, Serkan ÇAY, Ümit KERVAN

Evaluation of the efficacy of epiduroscopic adhesiolysis in failed back surgery syndrome

Ayşegül CEYLAN, Güngör Enver ÖZGENCİL, İbrahim AŞIK, Burak ERKEN

Ayşe Çiğdem TÜTÜNCÜ

The effect of isotretinoin on insulin resistance and adipocytokine levels in acne vulgaris patients

Esra ÖZSOY ADIŞEN, Gonca SOYUDURU, A. Burhan AKSAKAL, İlkay KADIOĞLU ÖZER

A comparison of the effects of mirror therapy and phantom exercises on phantom limb pain

Afra ALKAN, Bahar ANAFOROĞLU KÜLÜNKOĞLU, Fatih ERBAHÇECİ

A comparative biomechanical analysis of suprapectineal and infrapectineal fixation on acetabular anterior column fracture by finite element modeling

Ahmet Özgür YILDIRIM, Mehmet YÜCENS, Nevres H. AYDOĞAN, Kadir Bahadır ALEMDAROĞLU, Serkan İLTAR, Ahmet ÖZMERİÇ

Şeyda Figül GÖKÇE, Burhanettin ÇİĞDEM, Sanem Nemmezi KARACA, Asli BOLAYIR, Özlem Kayim YILDIZ, Ahmet Suat TOPAKTAŞ, Hatice BALABAN

Mustafa ÇALIŞKAN, Muhammed KIZILGÜL, Selvihan BEYSEL, Bekir UÇAN, Fatih Alper AKCAN, Mümtaz TAKIR, Mustafa ÖZBEK, Erman ÇAKAL

Determination of medication adherence and related factors among people living with HIV/AIDS in a Turkish university hospital

Erdal CEYLAN, Ahmet Çağkan İNKAYA, Serhat ÜNAL, Ayşegül KOÇ