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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&apos;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

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • 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