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

  title={Incidence and significance of gasping or agonal respirations in cardiac arrest patients},
  author={Mickey S. Eisenberg},
  journal={Current Opinion in Critical Care},
  • 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
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.
Gasping during cardiac arrest
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.
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
Bystander CPR (cardio-pulmonary resuscitation) frequency in patients in cardiac arrest with and without agonal respirations and the influence of this phenomenon on clinical outcome are assessed.
Bystander initiated and dispatcher assisted cardiopulmonary resuscitation in out-of-hospital cardiac arrest
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
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.
Are patients who are found deeply unconscious, without having suffered a cardiac arrest, always breathing normally?
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.
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.
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.


Incidence of agonal respirations in sudden cardiac arrest.
There is a high incidence of agonal activity associated with out-of-hospital cardiac arrest, and presence of Agonal respirations is associated with increased survival.
Agonal respirations during cardiac arrest
  • T. Rea
  • Medicine
    Current opinion in critical care
  • 2005
Efforts to identify agonal respirations and integrate this information into resuscitation care may improve outcome from cardiac arrest, and physiologic and care implications are considered.
Incidence of EMS-treated out-of-hospital cardiac arrest in the United States.
A representative national incidence of emergency medical services (EMS)-treated all-rhythm and ventricular fibrillation (VF) SCA as well as survival is determined to assess opportunities and limitations of EMS care with regard to the public health burden of SCA.
Interaction between emergency medical dispatcher and caller in suspected out-of-hospital cardiac arrest calls with focus on agonal breathing. A review of 100 tape recordings of true cardiac arrest cases.
Among suspected cardiac arrest cases, EMDs offer CPR instruction to only a small fraction of callers, and patients with a combination of unconsciousness and agonal breathing should be offered dispatcher-assisted CPR instruction, which might improve survival in out-of hospital cardiac arrest.
Influence of cardiopulmonary resuscitation prior to defibrillation in patients with out-of-hospital ventricular fibrillation.
The routine provision of approximately 90 seconds of CPR prior to use of AED was associated with increased survival when response intervals were 4 minutes or longer, and among survivors, the proportion having favorable neurologic function at hospital discharge increased.
CPR before defibrillation in out‐of‐hospital cardiac arrest: A randomized trial
If 90’seconds of CPR before defibrillation improved survival was determined, it was found that a period of cardiopulmonary resuscitation (CPR) is given prior todefibrillation.
Factors impeding dispatcher-assisted telephone cardiopulmonary resuscitation.
STUDY OBJECTIVE Dispatcher-assisted telephone cardiopulmonary resuscitation (CPR) instruction can increase the proportion of sudden cardiac arrest victims who receive bystander CPR and has been
Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital ventricular fibrillation: a randomized trial.
Compared with standard care for ventricular fibrillation, CPR first prior to defibrillation offered no advantage in improving outcomes for this entire study population or for patients with ambulance response times shorter than 5 minutes, however, the patients with ventricularfibrillation and ambulance response intervals longer than5 minutes had better outcomes with CPR first before defibrillation was attempted.
Neurogenesis, control, and functional significance of gasping.
Gasping may represent the output of a simple but rugged pattern generator that functions as a backup system until the control system for eupnea is developed, and Pacemaker elements are hypothesized as underlying the onset of inspiratory activity in gasping.
Observations on the respiratory centres in the cat
IN the course of investigations on the working of the respiratory mechanism in cats, dogs, rabbits and monkeys, I have made observations on the effect on respiration of section of the brain stem at