Evidence map›Paper›PMID 31990926›Full record

ArticlePloS one2020

Duty cycle of 33% increases cardiac output during cardiopulmonary resuscitation.

Taegyun Kim, Kyung Su Kim, Gil Joon Suh, Woon Yong Kwon, Yoon Sun Jung, Jung-In Ko, So Mi Shin

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Taegyun KimDepartment of Emergency Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0002-3770-3944
Kyung Su KimDepartment of Emergency Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0002-3897-0278
Gil Joon SuhDepartment of Emergency Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Woon Yong KwonDepartment of Emergency Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Yoon Sun JungDivision of Critical Care Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Jung-In KoDepartment of Emergency Medicine, National Medical Center, Jung-gu, Seoul, Republic of Korea.
So Mi ShinDepartment of Emergency Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Seoul National University Hospital · KRSeoul National University · KRKangwon National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to investigate whether 33% duty cycle increases end-tidal carbon dioxide (ETCO2) level, a surrogate measurement for cardiac output during cardiopulmonary resuscitation (CPR), compared with 50% duty cycle.

methodsSix pigs were randomly assigned to the DC33 or DC50 group. After 3 min of induced ventricular fibrillation (VF), CPR was performed for 5 min with 33% duty cycle (DC33 group) or with 50% duty cycle (DC50 group) (phase I). Defibrillation was delivered until return of spontaneous circulation (ROSC) thereafter. After 30 min of stabilization, the animals were re-assigned to the opposite groups. VF was induced again, and CPR was performed (phase II). The primary outcome was ETCO2 during CPR, and the secondary outcomes were coronary perfusion pressure (CPP), systolic arterial pressure (SAP), diastolic arterial pressure (DAP), and right atrial pressure (RAP).

resultsMean ETCO2 was higher in the DC33 group compared with the DC50 group (22.5 mmHg vs 21.5 mmHg, P = 0.018). In a linear mixed model, 33% duty cycle increased ETCO2 by 1.0 mmHg compared with 50% duty cycle (P < 0.001). ETCO2 increased over time in the DC33 group [0.6 mmHg/min] while ETCO2 decreased in the DC50 group [-0.6 mmHg/min] (P < 0.001). Duty cycle of 33% increased SAP (6.0 mmHg, P < 0.001), DAP (8.9 mmHg, P < 0.001) RAP (2.6 mmHg, P < 0.001) and CPP (4.7 mmHg, P < 0.001) compared with the duty cycle of 50%.

conclusionDuty cycle of 33% increased ETCO2, a surrogate measurement for cardiac output during CPR, compared with duty cycle of 50%. Moreover, ETCO2 increased over time during CPR with 33% duty cycle while ETCO2 decreased with 50% duty cycle.

Indexed as

AnimalsArterial PressureAtrial PressureCapnographyCarbon DioxideCardiac OutputCardiopulmonary ResuscitationCerebrovascular CirculationDisease Models, AnimalMaleMonitoring, PhysiologicProspective StudiesSwineTidal VolumeVentricular FibrillationCarbon Dioxide

Identifiers

PMID31990926
PMCPMC6986725
OpenAlexW3004359069

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.