NORTHWOOD regarding in change of policy can be addressed

NORTHWOOD MEDICAL
CENTER

 

TO: RESPIRATORY STAFFF

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FROM:
MIR ALI RRT, MANAGER

DATE: 01-25-2018

SUBJECT:  CAPNOGRAPHY DURING CPR

The purpose of this
memorandum to inform all Respiratory Therapist, to utilize capnography during
CPR. Capnography is important to monitor the quality of chest compression,
ventilation of patient, and the outcome of effective CPR can be determined. In
past the role of Capnography monitor was limited to only emergency room. The
change of policy of resuscitation will be effective FEBUARY 01, 2018. In the
event of CPR, the therapist will be required to set up capnography in emergency
rooms, med surge floor, and behavioral unit. Please review the attach studies for
more details.

“Recent
changes in Advanced Cardiac Life Support (ACLS) guidelines recommending the use
of capnography during cardiopulmonary resuscitation (CPR) have led to many
institutions revisiting their policies on CPR.1 Currently, terminating resuscitative efforts in
patients with cardiopulmonary arrest is an intuitive and personal call.
Although capnography has now been incorporated into CPR to judge the
effectiveness of chest compressions, increasing evidence suggests that it may
offer an objective basis for determining patient prognosis or terminating CPR.”

“Waveform capnography, also known as end-tidal carbon dioxide
(EtCO2), is a unique tool for evaluating patient metabolism,
circulation and ventilation. EtCO2 levels have been
shown to correlate linearly with coronary perfusion pressure and systemic blood
flow during CPR.”

The
establish studies above have supported the policy. The department of
respiratory will be implementing the use of capnography throughout the hospital.
The change of policy follows (ACLS) guidelines and will be in effect on FEBUARY
01, 2018. Any questions or concerns regarding in change of policy can be addressed
directly to me at (630)506-0519 or email [email protected] 

Thank
you for your continued support to make this department work efficiently.

 

 

 

 

                                                            References

 

( Kodali, B. S., & Urman,
R. D. (2014). Capnography during cardiopulmonary resuscitation: Current
evidence and future directions. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4231274/)

(Joseph, A., Morshedi, B.,
& Fowler, R. L. (2017, December 1). The Role of EtCO2 in Termination of
Resuscitation. Retrieved from http://www.jems.com/articles)