Uncommon presentation of gasping during ventricular fibrillation - case report
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F23%3A43926552" target="_blank" >RIV/00064173:_____/23:43926552 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11120/23:43926552
Result on the web
<a href="https://doi.org/10.36290/aim.2023.054" target="_blank" >https://doi.org/10.36290/aim.2023.054</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.36290/aim.2023.054" target="_blank" >10.36290/aim.2023.054</a>
Alternative languages
Result language
angličtina
Original language name
Uncommon presentation of gasping during ventricular fibrillation - case report
Original language description
Gasping is supposed to be easily recognisable sign of cardiac arrest by typical breathing pattern. We present a 56-year-old man with out-of-hospital cardiac arrest with atypical gasping. Cardiopulmonary resuscitation was started by a lay rescuer using telephone-assisted CPR. On arrival of the rescue team, the patient was gasping with typical inspiration/expiration ratio at high frequency 24/min. Ventricular fibrillation was detected. The first defibrillation shock (200 J) resulted in return of spontaneous circulation. The patient continued with abnormal breathing pattern on a Venti-mask with oxygen supply 8 l/min. After next 2 minutes, ventricular fibrillation returned. A second defibrillation shock (200 J) was performed without ROSC. A third defibrillation shock (200 J) was delivered after 2 minutes with continuing chest compressions and high frequency gasping resulting in definitive ROSC. After ROSC, the patient's BP was 102/83 mmHg, pulse 124/min, SpO2 100% using a Venti-mask with an 8 l/min oxygen flow. The total time from OHCA to ROSC was 12 minutes. Fentanyl 0,1 mg was administered i.v. The patient had abnormal breathing pattern with high frequency for several minutes after ROSC, then the pattern returned to normal inspiration: expiration ratio with frequency 18/min. Complete amnesia on the event lasted 3 hours. Based on the literature review, we must conclude that there are insufficient data to recommend when to leave gasping as the sole modeof ventilation during resuscitation in patients with cardiac arrest. This case report describes an abnormal agonal breathing pattern during CPR.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30223 - Anaesthesiology
Result continuities
Project
—
Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2023
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Anesteziologie a intenzivní medicína
ISSN
1214-2158
e-ISSN
1805-4412
Volume of the periodical
34
Issue of the periodical within the volume
4
Country of publishing house
CZ - CZECH REPUBLIC
Number of pages
4
Pages from-to
172-175
UT code for WoS article
001165406200008
EID of the result in the Scopus database
2-s2.0-85185109545