Abstract 283: Cerebral Regional Oxygen Saturation (rSO 2 ) Will Support to Evaluate an Oxygenation for Emergency Patients Who Can Not Measure SpO 2 at the Scene (original) (raw)

Circulation, 2019

Abstract

Introduction: There are some critical ill patients who cannot measure oxygen saturation (SpO 2 ) by pulse oximeter at the pre-hospital settings. For example, among emergency patients who were treated by emergency medical service (EMS) personnel of Osaka Municipal Fire Department in 2016, there were 3,571 patients who had urgent conditions judged by on-scene EMS personnel but did not have cardiopulmonary arrest (CPA), but the measurement of SpO 2 at the scene could not be measured for 395 patients. On the other hand, the measurement of cerebral regional oxygen saturation (rSO 2 ) during resuscitation has been recently paid to attention. Purpose: To evaluate whether rSO 2 could be measured for these patients.Materials and Methods: We developed portable rSO 2 monitors and equipped them in nine ambulances (There are 63 ambulances in Osaka City). We measured serial changes in cerebral rSO 2 among emergency patients who had urgent conditions judged by on-scene EMS personnel and could not ...

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