Acute cardiac care & resuscitation
Left of sternum compressions are associated with higher systolic blood pressure than lower half of sternum compressions in cardiac arrest
Authors' conclusion
In our pilot, retrospective, observational study of select ED cardiac arrest patients, left-of-sternum chest compressions are associated with higher SBP than lower-half-of-sternum compressions, while ETCO2 was similar.
Study context
- Population
- Adult Emergency Department (ED) cardiac arrest resuscitations with attempted chest compressions (CC) location changes to improve systolic blood pressure (SBP)/end-tidal CO2 (ETCO2)24 analysed
- Participants
- 24 participants
- Exposure
- Left-of-sternum vs lower-half-of-sternum chest compressions
- Outcome
- Highest arterial line SBP
Methodological detailsvideo-recorded, pilot
- Video-recorded
- Pilot
Main finding
As reported in the abstract
Arterial line SBP (LSMean, mixed-effects model)
P < 0.001
Observational data: associations, not effects.
Further findings
ETCO2 (LSMean, mixed-effects model) · similar
P = 0.300
- ETCO2 (least squares mean (LSMean), mixed-effects model): 18 patients: 44 lower-half and 32 left-of-sternum CC intervals
Initial compressions at lower-half-of-sternum
- Patients with initial lower-half-of-sternum compressions
- 20 (83.3 %)
Original publication
Left of sternum compressions are associated with higher systolic blood pressure than lower half of sternum compressions in cardiac arrest. Resuscitation. Published 12 December 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →