AHA/ ECC 2010 guidelines on CPR
under ACLS
recommends
QUANTITATIVE CONTINUOUS WAVEFORM CAPNOGRAPHY is mandatory in ACLS
for
Confirming ETT placement - Class I recommendation ( Level of Evidence A)
For monitoring effectiveness of CPR - Class IIa
FOr monitoring return of ROSC - Class IIa
For monitoring post cardiac arrest intensive care - Class IIb
How many of you on this forum beleive that we can comply with this recommendation
How many of us use ETCO2 for all GA cases as is recommended in minimum mandatory monitoring protocol
In fact how many of us use it for high risk surgeries like Laprascopic surgery and pts with COPD
If we cannot follow a Class I recommendation are we liable to negligence
This is of great importance what with medical tourism increasing in our country and we have to anaesthetize more and more of foreign nationals
Would like to hear your thoughts
regs