Incidence and significance of gasping or agonal respirations in cardiac arrest patients

@article{Eisenberg2006IncidenceAS,
  title={Incidence and significance of gasping or agonal respirations in cardiac arrest patients},
  author={Mickey S. Eisenberg},
  journal={Current Opinion in Critical Care},
  year={2006},
  volume={12},
  pages={204–206}
}
  • M. Eisenberg
  • Published 1 June 2006
  • Medicine
  • Current Opinion in Critical Care
Purpose of reviewThis review examines the clinical significance of agonal respirations associated with cardiac arrest. Recent findingsObservational data indicate that agonal respirations are frequent (55% of witnessed cardiac arrests and probably higher) and that they are associated with successful resuscitation. They also are found more commonly in ventricular fibrillation compared with other rhythms. Agonal respirations pose the greatest challenge to bystanders at the scene and to emergency… 
Gasping During Cardiac Arrest in Humans Is Frequent and Associated With Improved Survival
TLDR
The results suggest that the recognition and importance of gasping should be taught to bystanders and emergency medical dispatchers so as not to dissuade them from initiating prompt resuscitation efforts when appropriate.
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Gasping frequently occurs during cardiac arrest and public and emergency medical dispatchers must be more aware of its presence and significance.
Dispatcher assessments for agonal breathing improve detection of cardiac arrest.
TLDR
Introduction of a new 9-1-1 dispatcher assessment protocol to assess for the presence of agonal respirations can significantly increase the detection cardiac arrest over the telephone.
The Presence of Agonal Respiration During Cardiac Arrest and Resuscitation Attempts by Witnesses Obecność oddychania agonalnego a podejmowanie prób resuscytacji przez przygodnych świadków zdarzenia
TLDR
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TLDR
Various aspects of CPR and the emergency medical dispatcher (EMD) organisation are described to find approaches for enhancing bystander intervention in OHCA and to evaluate standard bystander CPR versus chest compression only CPR by bystanders.
A survey of factors associated with the successful recognition of agonal breathing and cardiac arrest by 9-1-1 call takers: design and methodology
TLDR
A survey of 9-1-1 call takers in the province of Ontario is designed and conducted to better understand the factors associated with the successful identification of cardiac arrest over the phone, and subsequent administration of cardiopulmonary resuscitation instructions to callers.
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TLDR
Signs of abnormal breathing among comatose patients with no cardiac arrest appear to be relatively common, which increases the risk of starting cardiopulmonary resuscitation in such patients, which is in accordance with the present CPR guidelines for the lay person.
Stuart Berger Gasping , Survival , and the Science of Resuscitation
The authors demonstrate that gasping after cardiac arrest is common, that it is most frequent soon after cardiac arrest, and that its frequency decreases over time. Additionally, the presence of
Tuition of emergency medical dispatchers in the recognition of agonal respiration increases the use of telephone assisted CPR.
TLDR
Teaching EMDs to understand and recognize bystander descriptions of agonal respiration in patients with OHCA has resulted in a significant increase in offers of T-CPR in these situations.
Breathing patterns during cardiac arrest.
TLDR
Findings in adult sheep challenge the notions that ventilation stops as pulmonary blood flow/cardiac output ceases and the presence of eupneic breathing is a reliable sign of effective cardiac pumping activity.
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  • Medicine
    Current opinion in critical care
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