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Case Quality first

Nihon Kohden’s defibrillators come with unique standby charging and our continuous ventricular fibrillation analysis technology (VF/VT analysis). This helps you significantly cut heartrate analysis time, and reduce the pre-shock pause. As a result, you can minimize interruptions to all-important chest compressions. In addition, our noiseless pads reduce artifacts during CPR, giving you a clearer view of underlying ECG signal even during compressions, helping you shorten the pre-shock pause, also in manual defibrillation mode.

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What’s more, in contrast to other defibrillators that charge only on demand, our machines charge on a standby basis. This means as soon as the device
detects the need to shock, a charge is present. If the shock is not required, it is automatically disarmed. Concurrent charging and Nihon Kohden’s continuous VF/VT analysis technology can help you meet ERC guidelines for keeping hands-off time to a minimum.

ERC Guidelines 2015 on reducing the pre-shock pause
“The importance of uninterrupted chest compressions cannot be overemphasized. Even short interruptions to chest compressions are disastrous for outcome and every effort must be made to ensure that continuous, effective chest compression is maintained throughout the resuscitation attempt. Chest compressions should commence at the beginning of a resuscitation attempt and continue uninterrupted unless they are paused briefly for a specific intervention (e.g. rhythm check). Most interventions can be performed without interruptions to chest compressions.”
European Resuscitation Council Guidelines for Resuscitation 2015. Section 1. Executive summary. P16.

Minimize the pre-shock pause
The ERC recommends giving manual chest compressions of at least 5 cm but no more than 6 cm at a rate of 100 to 120 compressions a minute. Hands-off pauses to deliver targeted interventions such as ventilation and defibrillation should not be longer than five seconds. How do you meet these requirements while ensuring high-quality resuscitation care?

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How is my patient responding?
As the ERC guidelines state, measuring end-tidal CO2 using waveform capnography during CPR is a useful way of gauging the quality of resuscitation. It can help you confirm correct placement of a tracheal tube and delivers valuable insight to aid decision making.

ERC Guidelines 2015 on the use of waveform capnography

“There is a new section on monitoring during ALS with an increased emphasis on the use of waveform capnography to confirm and continually monitor tracheal tube placement, quality of CPR and to provide an early indication of return of spontaneous circulation (ROSC).”1

“The role of waveform capnography during CPR includes2:

  • Ensuring tracheal tube placement in the trachea;
  • Monitoring ventilation rate during CPR and avoiding hyperventilation;
  • Monitoring the quality of chest compressions during CPR. EtCO2 values are associated with compression depth and ventilation rate: a greater depth of chest compression will increase the value;
  • Identifying ROSC during CPR.”

1 European Resuscitation Council Guidelines for Resuscitation 2015. Section 3. Adult advanced life support. P101.
2 European Resuscitation Council Guidelines for Resuscitation 2015. Section 3. Adult advanced life support. P112.

During CPR, EtCO2 values are generally low. Higher values may indicate better quality CPR, so keeping a close eye on these readings can help you adjust your efforts accordingly. An increase in EtCO2 may also indicate return of spontaneous circulation (ROSC). Having this information early means you can avoid administering potentially harmful doses of adrenaline.

Our Cardiolife TEC series defi brillators are equipped with Nihon Kohden’s unique capONE technology. This is the world’s smallest, lightest, fastest, and most durable mainstream EtCO2 sensor for intubated and non-intubated patients. Designed for oral and nasal breathers, capONE helps you get a clear EtCO2 reading and take the right action. Its unique oxygen delivery system is ideal for patients receiving continuous oxygen.

capONE
End-tidal CO2 monitoring during CPR

 

  • Only mainstream EtCO2 sensor for intubated and non-intubated patients, and oral and nasal breathers
  • Sturdy, compact, and reliable
  • Provides rapid insight into correct tracheal tube placement
  • Delivers early indication of ROSC and lets you monitor CPR quality
Our solution for enhancing quality of CPR
A short pre-shock pause and continuous EtCO2 monitoring using waveform capnography help improve resuscitation quality. Our VF/VT analysis, noiseless pads, and capONE sensor support excellent quality care.