Intern Emerg Med. 2026 Jan 16. doi: 10.1007/s11739-025-04258-x. Online ahead of print.
ABSTRACT
This retrospective cohort study, conducted between December 2022 and December 2023, aims to observe the efficacy of bedside ultrasound-informed cardiopulmonary resuscitation (CPR) in determining the possible etiology of cardiac arrest, increase the success rate of CPR, shorten the recovery of spontaneous circulation (ROSC) time, and improve the prognosis. The patients were placed into two groups: ultrasound and conventional, to find the causes of cardiac arrest and promptly address them. The differences in the discovery rate of the possible causes of cardiac arrest, CPR success rate, and ROSC time between the two groups of patients were statistically significant (P < 0.05). The effect of the right-sided peak systolic velocity (PSV) of the common carotid artery (CCA) (CCA-PSV) on the success rate of CPR was statistically significant (P < 0.05). The difference between the mean hospital stay and 28-day survival rate of the two groups was not statistically significant (P > 0.05). The use of bedside ultrasound-informed CPR can help in determining the possible causes of cardiac arrest in some patients and can improve the success rate of CPR and shorten the time of ROSC. However, there was no significant difference in shortening the mean hospital stay and increasing the 28-day survival rate. A correlation was noted between the right-sided CCA-PSV and the CPR success rate and ROSC time in patients in the ultrasound group.
PMID:41543793 | DOI:10.1007/s11739-025-04258-x
