|
Guideline Code |
RECOVER Code(s) |
Issue |
Guideline |
Class |
Level |
Comments |
|---|---|---|---|---|---|---|
|
G-MON-01 |
MON02 |
ETCO2 |
In intubated and ventilated dogs and cats, the use of ETCO2 is recommended in patients at risk of CPA. |
I |
A |
Click |
| G-MON-02 | MON02 | The immediate post-intubation ETCO2 should not be used for diagnosis of CPA in dogs and cats. | III | B | Click | |
| G-MON-03 | MON06 | The use of ETCO2 alone for verification of correct ET tube placement in dogs and cats with CPA is not recommended. | III | B | Click | |
| G-MON-04 | MON06 | The use of ETCO2 monitoring as an adjunct measure with direct visualization, auscultation, or observation of chest excursions in dogs and cats with CPA to verify correct ET tube placement is reasonable. | IIa | B | Click | |
| G-MON-05 | MON10 MON15 MON22A/B |
The use of ETCO2 monitoring during CPR is recommended as an early indicator of ROSC. | I | A | Click | |
| G-MON-06 | MON15 MON23 |
The use of ETCO2 monitoring as a measure of efficacy of CPR in conditions of consistent minute ventilation is reasonable. |
IIa | B | Click | |
| G-MON-07 | MON24 | VF Waveform Analysis |
The use of VF waveform analysis in dogs and cats with CPA may be considered, with coarse VF potentially associated with a better prognosis for ROSC than fine VF. |
IIb | B | Click |
| G-MON-08 | MON03 | Pulse palpation | In unresponsive, apneic dogs and cats, the use of pulse palpation to support a diagnosis of CPA before initiating CPR is not recommended. | III | B | Click |
| G-MON-09 | MON11 MON12 MON14 |
Interruption of chest compressions specifically to palpate the pulse or check the ECG is not recommended. | III | B | Click | |
| G-MON-10 | Palpation of the pulse for detection of ROSC during inter-cycle pauses in CPR is reasonable, but should not delay resumption of chest compressions. | IIb | C | Click | ||
| G-MON-11 | MON04 | Doppler blood pressure | In unresponsive, apneic dogs and cats, the use of Doppler to support a diagnosis of CPA before initiating CPR is not recommended. | III | C | Click |
| G-MON-12 | MON04 |
In dogs and cats at risk of CPA, the use of continuous Doppler monitoring of peripheral arterial blood flow for early identification of CPA is reasonable. |
IIa | C | Click | |
| G-MON-13 | MON05 | ECG | In unresponsive, apneic dogs and cats, the use of ECG to support a diagnosis of CPA before initiating CPR is not recommended. | III | B | Click |
| G-MON-14 | MON05 | In dogs and cats at risk of CPA, the use of continuous ECG monitoring for early identification of rhythm changes suggestive of CPA is reasonable. | IIa | C | Click | |
| G-MON-15 | MON11 MON12 MON14 |
Evaluation of the ECG during inter-cycle pauses in CPR is recommended, but should not delay resumption of chest compressions. | I | C | Click | |
| G-MON-16 | MON12 | Rapid assessment of the ECG to determine if VF has resolved immediately after defibrillation is reasonable, but should minimally delay resumption of chest compressions. | IIa | B | Click | |
| G-MON-17 | MON15 MON16 |
Feedback devices | The use of prompting or feedback devices to improve quality of CPR is reasonable. | IIa | C | Click |
| G-MON-18 | MON20 | Blood gases | In dogs and cats with CPA, the use of central/mixed venous blood gases to evaluate effectiveness of CPR may be considered. | IIb | B | Click |
| G-MON-19 | MON20 | In dogs and cats with CPA, arterial blood gases are not recommended for evaluation of effectiveness of CPR. | III | A | Click | |
| G-MON-20 | MON21 | Electrolytes | Routine monitoring of electrolytes during CPR may be considered. | IIb | B | Click |
| G-MON-21 | MON21 | In the case of CPA known or suspected to be due to underlying electrolyte derangements, electrolytes should be monitored during CPR to inform therapeutic decisions. | I | C | Click | |
| G-MON-22 | MON25 | Post-resuscitation monitoring |
Post-resuscitation monitoring should be sufficient to detect impending re-occurrence of CPA. |
I | C | Click |
| G-MON-23 | MON25 | Post-resuscitation monitoring should be sufficient to guide therapy appropriate for the patient's condition. | I | C | Click | |
| G-MON-24 | MON25 | Minimum post-resuscitation monitoring should include continuous ECG, intermittent arterial blood pressure monitoring, and assessment of oxygenation and ventilation. | I | B | Click | |
| G-MON-25 | MON25 | Post-resuscitation monitoring of glucose, body temperature, and blood lactate may be considered. | IIb | B | Click |