|
ILCOR Code |
RECOVER Code |
Issue |
PICO Question |
Priority |
WS Author(s) |
Comments |
|---|---|---|---|---|---|---|
|
EIT-007 |
MON01 |
Monitoring to prevent CPA |
In dogs and cats at risk of cardiac arrest (P) does intense monitoring (ICU, telemetry, continuous BP, etc.) (I) compared with minimal monitoring (C), improve outcome (O) (reduction of incidence of cardiac arrest; survival to discharge)? |
1 |
Dr. Sergi Serrano |
Click |
|
Peds-006B |
Methods to diagnose CPA |
In dogs and cats with suspected cardiac arrest (P), is the evaluation of EtCO2 (I) vs. assessment for other signs of life (e.g. pupil size, agonal breathing, femoral pulse) (C) a reliable tool for diagnosis of cardiac arrest?(O) |
1 |
Dr. Debra Liu |
Click | |
|
Peds-002 |
|
In dogs and cats with suspected cardiac arrest (P), is the palpation of femoral pulses (I) vs. assessment for other signs of life (e.g. pupil size, agonal breathing, thoracic auscultation) (C) a reliable tool for diagnosis of cardiac arrest?(O) |
1 |
Dr. Dana Clarke |
Click | |
|
Peds-002 |
|
In dogs and cats with suspected cardiac arrest (P), is the evaluation of a doppler pulse (I) vs. assessment for other signs of life (e.g. pupil size, agonal breathing, femoral pulse) (C) a reliable tool for diagnosis of cardiac arrest?(O) |
1 |
Dr. Dana Clarke |
Click | |
|
Peds-002 |
|
In dogs and cats with suspected cardiac arrest (P), is the evaluation of an ECG (I) vs. assessment for other signs of life (e.g. pupil size, agonal breathing, femoral pulse) (C) a reliable tool for diagnosis of cardiac arrest?(O) |
1 |
Dr. Debra Liu |
Click | |
|
NRP-016, ALS-CPR&A-008A |
Monitoring/diagnosing endotracheal intubation |
In dogs and cats with cardiac or respiratory arrest (P), is the use of EtCO2 monitoring (I) vs. observance of chest wall motion (c) a more accurate tool for verification of endotracheal intubation? |
2a |
Dr. Teresa Cheng |
Click | |
|
Peds-005 |
|
In dogs and cats in cardiac arrest (P), does the use of EtCO2 (I), compared with clinical assessment (C), improve accuracy of diagnosis of a perfusing rhythm (O)? |
1 |
Dr. Ann Peruski |
Click | |
|
BLS-008B |
Pulse check (risk benefit of interruption of CPR) |
In dogs and cats undergoing resuscitation for cardiac arrest (P), does the interruption of CPCR to check circulation or ECG rhythm (I) as opposed to no interruption of CPCR (C), improve outcome (O) (e.g. ROSC, survival)? |
1 |
Dr. Tara Hammond |
Click | |
|
BLS-022 |
|
In dogs and cats with cardiac arrest (P), does the minimization of hands off time after defibrillation for rhythm check (I) as opposed to standard care (C), improve outcome (O) (e.g. ROSC, survival)? |
1 |
Dr. Tara Hammond |
Click | |
|
Peds-006 |
Utility of rhythm monitoring |
In dogs and cats in cardiac arrest (P), does the use of ECG monitoring during CPCR (I), compared with no ECG monitoring (C), improve outcome (e.g. ROSC, survival to discharge) (O)? |
1 |
Dr. Christine Guenther |
Click | |
|
ALS-CPR&A-001A |
Physiologic feedback (e.g. end tidal CO2) for CPCR quality |
For dogs and cats requiring resuscitation (P), does the use of physiological feedback regarding CPR quality (e.g. EtCO2 monitoring) (I) compared with no feedback (C), improve any outcomes (eg. ROSC, survival) (O)? |
1 |
Dr. Andrew Linklater Christine Iacovetta |
Click | |
|
BLS-020A |
General CPCR feedback |
For dogs and cats in cardiac arrest (P), does the use of feedback regarding the mechanics of CPR quality (e.g. rate and depth of compressions and/or ventilations) (I) compared with no feedback (C), improve any outcomes (eg. ROSC, survival) (O)? |
2a |
Dr. Julien Guillaumin |
Click | |
|
ALS-CPR&A-005C |
MON19 |
Monitoring ventilatory parameters during CPR |
For dogs and cats requiring resuscitation (P), does the monitoring and control of ventilatory parameters (eg. ventilation rate, minute ventilation and/or peak pressures) (I) as opposed to standard care (without ventilatory monitoring) (C), improve outcome (O) (eg. ROSC, survival)? |
2a |
|
Click |
|
|
General monitoring during CPR |
In dogs and cats with cardiac arrest (P), does the measurement of arterial blood gases during resuscitation (I) vs measuring venous blood gases (C) improve the chances of ROSC (O)? |
2a |
Dr. Raegan Wells |
Click | |
|
ALS-SC-076 |
|
In dogs and cats with cardiac arrest (P), does the measurement of arterial or venous electrolytes (Na, K, Ca) during resuscitation (I) vs not measuring electrolytes (C) improve the chances of ROSC (O)? |
2a |
Dr. Raegan Wells |
Click | |
|
ALS-D&P-014A, ALS-CPR&A-001A |
|
End-tidal CO2 to predict outcome of cardiac arrest |
In dogs and cats in cardiac arrest (P), does an EtCO2 value above 15 mm Hg during CPCR (I), compared with an EtCO2 value below 15 mm Hg (C), predict ROSC (O)? |
1
3 |
Dr. Beth Davidow |
Click
Click |
|
ALS-CPR&A-001A |
End-tidal CO2 to improve outcome of cardiac arrest |
In dogs and cats in cardiac arrest (P), does the use of EtCO2 monitoring during CPCR (I), compared with no EtCO2 monitoring (C), improve chances for ROSC (O)? |
1 |
Dr. Jamie Burkitt |
Click | |
|
ALS-D&P-015B |
Waveform analysis for predicting successful defibrillation; |
In dogs and cats with cardiac arrest (P), does the use of a technique for prediction of the likelihood of success of defibrillation (analysis of VF, etc) (I) compared with standard resuscitation (without such prediction) (C), improve outcomes (eg. successful defibrillation, ROSC, survival) (O)? |
1 |
Dr. Kathryn Crump |
Click | |
|
|
General post cpr monitoring |
For dogs and cats with ROSC after cardiac arrest (P) , does the use of intensive continuous monitoring (e.g. continuous ECG, blood pressure, temperature, pulse oximeter, ± ETCO2) (I) versus standard intermittent monitoring (C) improve outcome (e.g. survival)? |
1 |
Dr. Soren Boysen |
Click | |
| NOT COMPLETED AT THIS TIME | ||||||
|
NRP-016, ALS-CPR&A-008A |
MON07 |
|
In dogs and cats with respiratory or cardiac arrest (P) following attempted endotracheal intubation, is CO2 detection (using a CO2 analyzer or esophageal detection device) (I) superior to clinical assessment (C) for confirming endotracheal location (O)? |
3 |
|
|
|
BLS-008B |
MON08 |
Methods to diagnose perfusing rhythm: |
In dogs and cats in cardiac arrest (P), does the palpation of peripheral pulses (I), compared with clinical assessment (C), improve accuracy of diagnosis of a perfusing rhythm (O)? |
1 |
|
|
|
Peds-058B |
MON09 |
Invasive monitoring for diagnosing perfusing rhythm |
In dogs and cats with cardiac arrest (P), does the use of invasive arterial blood pressure monitoring (I) compared with clinical assessment (C), improve accuracy of diagnosis of a perfusing rhythm (O)? |
2b |
|
|
|
BLS-039 |
MON13 |
Analysis of rhythm during chest compressions |
In dogs and cats in cardiac arrest (P), does the analysis of cardiac rhythm during chest compressions (I) compared with standard care (analysis of cardiac rhythm during pauses in chest compressions) (C), optimize the time of appropriate chest compression by avoiding unnecessary interruptions and unnecessary prolongations (O)? |
2b |
|
|
|
ALS-CPR&A-003B |
MON17 |
Ultrasound during cardiac arrest |
In dogs and cats with cardiac arrest (P), does the use of ultrasound (including transthoracic and transesophageal echocardiography) during cardiac arrest (I) compared with standard CPR (C), improve any outcomes (eg. ROSC, survival) (O). |
3 |
|
|
|
|
MON18 |
|
In dogs and cats with cardiac arrest (P), does the use of ultrasound (including transthoracic and transesophageal echocardiography) during cardiac arrest (I) compared with standard CPR (C), improve the diagnosis of arrhythmias (e.g. PEA) (O). |
3 |
|
|
|
ALS-PA-052A (see also ALS-PA-056B re: early hemodynamic optimization) |
MON26 |
Post-resuscitation monitoring |
In dogs and cats who have experienced ROSC after cardiac arrest (P), does the measurement of biochemical markers or changes in biochemical markers of organ hypoperfusion (e.g. plasma lactate concentrations, urine output) (I) as opposed to standard care (C), allow accurate prediction of outcome (O) (eg. survival)? |
2b |
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MON27 |
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In dogs and cats who have experienced ROSC after cardiac arrest (P), does the measurement of biochemical markers or changes in biochemical markers of myocardial injury (e.g.cTnI, nt-proBNP, CK) (I) as opposed to standard care (C), allow accurate prediction of outcome (O) (eg. survival)? |
3 |
|
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|
MON28 |
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In dogs and cats who have experienced ROSC after cardiac arrest (P), does the monitoring of EtCO2 (I) as opposed to standard care (C), allow accurate prediction of outcome (O) (e.g. re-arrest, survival)? |
2b |
|
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|
|
MON29 |
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In dogs and cats who have experienced ROSC after cardiac arrest (P), is the monitoring of invasive or noninvasive blood pressure (I) as opposed to standard care (C), associated with improved outcome (O) (e.g. survival)? |
2b |
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|
MON30 |
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In dogs and cats who have experienced ROSC after cardiac arrest (P), is the monitoring of a continuous ECG (I) as opposed to not monitoring ECG (C), associated with improved outcome (O) (e.g. survival)? |
2b |
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