Resuscitation
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Review Meta Analysis
When should chest compressions be paused to analyze the cardiac rhythm?: A systematic review and meta-analysis.
Most guidelines recommend pausing chest compressions at 2 min intervals to analyze the cardiac rhythm. We conducted a systematic review and meta-analysis to define the optimal interval at which to pause chest compressions in adults for cardiac rhythm analysis in any setting. ⋯ There is a paucity of quality evidence to support pausing chest compressions at any singular interval to assess the cardiac rhythm in adults in cardiac arrest in any setting. Very low-quality evidence suggests improved clinical outcomes in patients receiving 200-compression intervals compared with 1- or 3 min intervals.
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Review Meta Analysis
The association of gasping and outcome, in out of hospital cardiac arrest: A systematic review and meta-analysis.
Gasping is common after cardiac arrest, and its frequency decreases over time. The aim of this study was to conduct a meta-analysis to evaluate the association of gasping and survival to discharge in patients who suffered out-of-hospital cardiac arrest. ⋯ Findings of this meta-analysis demonstrated that gasping is common after cardiac arrest, and is associated with increased survival to discharge. Patients who are cardiac arrest with gasping should be promptly resuscitated.