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The Critical Threshold of Pulse Oximetry Plethysmographic Waveform Parameters in High Quality CPR

Conditions
Cardiopulmonary Resuscitation
Registration Number
NCT03754946
Lead Sponsor
Peking Union Medical College Hospital
Brief Summary

The purpose of this study is to analyze the relationship of the area under the curve (AUC) and/or the amplitude (Amp) of pulse oximetry plethysmographic waveform (POP) with partial pressure of end-tidal carbon dioxide (PETCO2) which could be used to reflect its quality in cardiopulmonary resuscitation (CPR), and then to determine the critical threshold of POP parameters in high quality CPR.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
1000
Inclusion Criteria
  • Cardiac arrested
  • The time from cardiac arrest to receiving basic life support is less than 10 minutes
  • Get advanced life support (endotracheal intubation and PETCO2 monitoring)
Exclusion Criteria
  • Defuse CPR
  • chronic obstructive pulmonary disease (COPD) with type II respiratory failure
  • Terminal malignant tumors or terminal stage of other diseases
  • Rib fracture
  • Cardiac arrest caused by hemorrhagic shock pulmonary embolism and cardiac tamponade
  • Sever anemia(HGB<7g/dl)
  • Untreated tension pneumothorax
  • Tinea unguium, dyeing Fingernails and other factors affect the monitor of Pulse Oximetry Plethysmographic Waveform such vasculitis and Raynaud's phenomenon

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
the cut-off value of POP parameters in High Quality CPRone year

Describe the the cut-off value of POP parameters in High Quality CPR. Receiver operating curve analysis was performed to evaluate the accuracy in predicting return of spontaneous circulation (ROSC).

Compare different predictorsone year

Area under curve (AUC) between potential predictors was compared by using a nonparametric test, and the optimal cutoff point was determined by estimating the Youden's index.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Peking Union Medical College Hospital

🇨🇳

Beijing, China

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