Avaluació de la qualitat de la reanimació cardiopulmonar mitjançant l’ús de la capnografia. Projecte de recerca

Abstract

According to the Spanish National Institute of Statics, cardiac arrest (CA) caused 3,682 deaths in Spain in 2023, although approximately 1,500 people survived thanks to cardiopulmonary resuscitation (CPR). Capnography is an essential tool in this technique, as it measures the End-tidal carbon dioxide (ETCO2), indicating the effectiveness of CPR and blood perfusion. Values between 10-20mmHg of ETCO2 indicate effective CPR, while lower values may indicate problems with ventilation or perfusion. The main objective is to compare whether the use of capnography during CPR is an effective monitoring method that helps increase survival and reduction in complications associated with cardiac arrest. This is a quantitative, observational and analytical cohort study, with both retrospective and prospective methodology, lasting four years. The project will take place in the emergency services and intermediate intensive care unit of the Hospital de Palamós. The sample will include adults aged between18 to 70 who have suffered in-hospital CA and who are given CPR, with or without a capnography. Cases with therapeutic limitation, out-of-hospital CPR, users who refuse to participate or loss to prospective follow-ups will be excluded. The project plans to include a sample of users adjusted to the sample calculation, distributed into two groups based on exposure or non-exposure to capnograph. Data from the exposed group will be collected prospectively during CPR using the IntelliVue MX450 monitors, which automatically record and transfer the information to GAVINA system. Data from the people without a capnography will be collected retrospectively from the center's teaching and research archive. Both groups will receive telephone follow-up to detect potential post-cardiac arrest complications and assess recovery. Finally, the data will be analyzed using SPSS 25.0 statistical software to evaluate the impact of capnography on survival and complication reduction