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- W4319073089 abstract "There is significant published evidence calling into question the utility and accuracy of manual pulse palpation during cardiopulmonary resuscitation (CPR) for determining return of spontaneous circulation (ROSC). 1 Nakagawa Y. Inokuchi S. Morita S. et al. Accuracy of pulse checks in terms of basic life support by lifesavers, as lay persons. Circ J. 2010; 74: 1895-1899https://doi.org/10.1253/circj.cj-10-0081. 5 Crossref PubMed Scopus (0) Google Scholar , 2 Eberle B. Dick W.F. Schneider T. Wisser G. Doetsch S. Tzanova I. Checking the carotid pulse check: diagnostic accuracy of first responders in patients with and without a pulse. Resuscitation. 1996; 33: 107-116https://doi.org/10.1016/s0300-9572(96)01016-7. 6 Crossref PubMed Scopus (0) Google Scholar , 3 Dick W.F. Eberle B. Wisser G. Schneider T. The carotid pulse check revisited: What if there is no pulse?. Critical Care Med. 2000; 28: N183 Crossref PubMed Scopus (59) Google Scholar Despite this clinical equipoise, manual palpation remains the primary modality for determination of ROSC and is still the only method recommended in the current adult basic and advanced life support guidelines. 4 Panchal A.R. Bartos J.A. Cabañas J.G. et al. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020; 142: S366-S468https://doi.org/10.1161/CIR.0000000000000916 Crossref PubMed Scopus (706) Google Scholar There is growing evidence that bedside ultrasound may be a more accurate alternative to manual pulse palpation in a variety of different modalities; transthoracic echocardiography (TTE), transesophageal echocardiography (TEE) and color arterial doppler. 5 Zengin S. Gümüşboğa H. Sabak M. Eren Ş.H. Altunbas G. Al B. Comparison of manual pulse palpation, cardiac ultrasonography and Doppler ultrasonography to check the pulse in cardiopulmonary arrest patients. Resuscitation. 2018; 133: 59-64https://doi.org/10.1016/j.resuscitation.2018.09.018 Abstract Full Text Full Text PDF PubMed Scopus (29) Google Scholar , 6 Badra K. Coutin A. Simard R. Pinto R. Lee J.S. Chenkin J. The POCUS pulse check: A randomized controlled crossover study comparing pulse detection by palpation versus by point-of-care ultrasound. Resuscitation. 2019; 139: 17-23https://doi.org/10.1016/j.resuscitation.2019.03.009 Abstract Full Text Full Text PDF PubMed Scopus (21) Google Scholar , 7 Fair 3rd, J. Mallin M.P. Adler A. et al. Transesophageal Echocardiography During Cardiopulmonary Resuscitation Is Associated With Shorter Compression Pauses Compared With Transthoracic Echocardiography. Ann Emerg Med. 2019; 73: 610-616https://doi.org/10.1016/j.annemergmed.2019.01.018 Abstract Full Text Full Text PDF PubMed Scopus (40) Google Scholar , 8 Cohen A.L. et al. Femoral artery Doppler ultrasound is more accurate than manual palpation for pulse detection in cardiac arrest. Resuscitation. 2022; 173: 156-165https://doi.org/10.1016/j.resuscitation.2022.01.030 Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar TTE has proven to be feasible, though has been criticized for delaying time off the chest due to higher technical skill required to obtain images. 9 Balderston J.R. You A.X. Evans D.P. Taylor L.A. Gertz Z.M. Feasibility of focused cardiac ultrasound during cardiac arrest in the emergency department. Cardiovasc Ultrasound. 2021; 19: 19https://doi.org/10.1186/s12947-021-00252-3 Crossref PubMed Scopus (7) Google Scholar , 10 Gaspari R. Harvey J. DiCroce C. et al. Echocardiographic pre-pause imaging and identifying the acoustic window during CPR reduces CPR pause time during ACLS - A prospective Cohort Study. Resusc Plus. 2021; 6100094https://doi.org/10.1016/j.resplu.2021.100094 Crossref Scopus (11) Google Scholar TEE mitigates some of this concern, though it is not practical in all practice environments primarily due to transducer availability and provider credentialing to perform this exam. 7 Fair 3rd, J. Mallin M.P. Adler A. et al. Transesophageal Echocardiography During Cardiopulmonary Resuscitation Is Associated With Shorter Compression Pauses Compared With Transthoracic Echocardiography. Ann Emerg Med. 2019; 73: 610-616https://doi.org/10.1016/j.annemergmed.2019.01.018 Abstract Full Text Full Text PDF PubMed Scopus (40) Google Scholar Doppler ultrasound of large arteries however is easy to perform and could prove to be a replacement for manual palpation. Doppler ultrasound peak systolic velocity versus end tidal carbon dioxide during pulse checks in cardiac arrestResuscitationVol. 183PreviewAn accurate, non-invasive measure of return of spontaneous circulation (ROSC) is needed to improve management of cardiac arrest patients. Full-Text PDF" @default.
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- W4319073089 title "The use of spectral Doppler to detect return of spontaneous circulation, a novel alternative to manual palpation" @default.
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