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Utilizing the Modified T-Maze to Assess Functional Memory Outcomes After Cardiac Arrest
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Gasping during cardiac arrest.

Mathias Zuercher1, Gordon A Ewy

  • 1Department of Anaesthesia and Intensive Care, University Hospital, Basel 4031, Switzerland. mzuercher@uhbs.ch

Current Opinion in Critical Care
|March 12, 2009
PubMed
Summary
This summary is machine-generated.

Gasping is common in cardiac arrest patients and is linked to better survival rates. Emergency dispatchers should recognize gasping as a critical sign, not a sign of breathing.

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Area of Science:

  • Emergency Medicine
  • Cardiology
  • Resuscitation Science

Background:

  • Gasping, or agonal breathing, is a frequent occurrence in cardiac arrest.
  • Its significance as an indicator of cardiac arrest and its impact on survival are often misunderstood.

Purpose of the Study:

  • To review the prevalence of gasping in cardiac arrest patients.
  • To evaluate the significance of gasping in relation to survival outcomes.

Main Methods:

  • Analysis of data from a study by Bobrow et al. on cardiac arrest patients.
  • Assessment of gasping incidence based on emergency medical services (EMS) arrival time.
  • Correlation of gasping presence with survival rates, with and without bystander cardiopulmonary resuscitation (CPR).

Main Results:

  • Gasping was present in 33% of patients with in-hospital cardiac arrest prior to EMS arrival.
  • Incidence of gasping decreased with longer pre-EMS cardiac arrest duration.
  • Gasping was associated with significantly higher survival rates (28% vs. 8%) and survival to hospital discharge with bystander CPR (39% vs. 9%).

Conclusions:

  • Gasping is a common phenomenon during cardiac arrest.
  • Increased awareness among the public and emergency medical dispatchers regarding the significance of gasping is crucial for improving patient outcomes.