p.19 抽出テキスト

October 21, 2025 Circulation. 2025;152(suppl 2):S538–S577. DOI: 10.1161/CIR.0000000000001376 S556

Wigginton et al Advanced Life Support: 2025 AHA Guidelines for CPR and ECC

with pulseless electrical activity: A systematic review and meta-analysis. PLoS One. 2018;13:e0191636. doi: 10.1371/journal.pone.0191636 18.	 Kedan I, Ciozda W, Palatinus JA, Palatinus HN, Kimchi A. Prognostic value of point-of- care ultrasound during cardiac arrest: a systematic review. Cardiovasc Ultrasound. 2020;18:1. doi: 10.1186/s12947-020-0185-8 19.	 Albaroudi O, Albaroudi B, Haddad M, Abdle-Rahman ME, Kumar TSS, Jarman RD, Harris T. Can absence of cardiac activity on point-of-care echocardiography predict death in out-of-hospital cardiac arrest? A systematic review and meta-analysis. Ultrasound J. 2024;16:10. doi: 10.1186/s13089-024-00360-x 20.	 Tsou PY, Kurbedin J, Chen YS, Chou EH, Lee MG, Lee MC, Ma MH, Chen SC, Lee CC. Accuracy of point-of-care focused echocardiography in predicting outcome of resuscitation in cardiac arrest patients: A systematic review and meta-analysis. Resuscitation. 2017;114:92–99. doi: 10.1016/j.resuscitation.2017.02.021 21.	 Reynolds JC, Issa MS, T CN, Drennan IR, Berg KM, O’Neil BJ, Welsford M; Advanced Life Support Task Force of the International Liaison Committee on R. Prognostication with point-of-care echocardiography during cardiac arrest: A systematic review. Resuscitation. 2020;152:56–68. doi: 10.1016/j.resuscitation.2020.05.004 22.	 Lalande E, Burwash-Brennan T, Burns K, Atkinson P, Lambert M, Jarman B, Lamprecht H, Banerjee A, Woo MY; Investigators SH. Is point-of-care ultrasound a reliable predictor of outcome during atraumatic, non-shockable cardiac arrest? A systematic review and metaanalysis from the SHoC investigators. Resuscitation. 2019;139:159–166. doi: 10.1016/j.resuscitation.2019.03.027 23.	 Dudek M, Szarpak L, Peacock FW, Gasecka A, Michalski T, Wroblewski P, Kaminska H, Borkowska G, Skrzypek E, Smereka A, et al. Diagnostic performance of point-of-use ultrasound of resuscitation outcomes: A systematic review and meta-analysis of 3265 patients. Cardiol J. 2023;30:237–246. doi: 10.5603/CJ.a2021.0044 24.	 Chardoli M, Heidari F, Rabiee H, Sharif-Alhoseini M, Shokoohi H, Rahimi-Movaghar V. Echocardiography integrated ACLS protocol versus conventional cardiopulmonary resuscitation in patients with pulseless electrical activity cardiac arrest. Chin J Traumatol. 2012;15:284–287. 25.	 Thandar S, Sahu AK, Sinha TP, Bhoi S. Role of initial cardiac activity assessed by point-of-care ultrasonography in predicting cardiac arrest outcomes: A prospective cohort study. Turk J Emerg Med. 2023;23:24–29. doi: 10.4103/2452-2473.366482 26.	 Spindelboeck W, Schindler O, Moser A, Hausler F, Wallner S, Strasser C, Haas J, Gemes G, Prause G. Increasing arterial oxygen partial pressure during cardiopulmonary resuscitation is associated with improved rates of hospital admission. Resuscitation. 2013;84:770–775. doi: 10.1016/j.resuscitation.2013.01.012 27.	 Patel JK, Schoenfeld E, Parikh PB, Parnia S. Association of Arterial Oxygen Tension During In-Hospital Cardiac Arrest With Return of Spontaneous Circulation and Survival. J Intensive Care Med. 2018;33:407–414. doi: 10.1177/0885066616658420 28.	 Izawa J, Komukai S, Nishioka N, Kiguchi T, Kitamura T, Iwami T. Outcomes associated with intra-arrest hyperoxaemia in out-of-hospital cardiac arrest: A registry-based cohort study. Resuscitation. 2022;181:173–181. doi: 10.1016/j.resuscitation.2022.11.008 29.	 Calbay A, Cakir Z, Bayramoglu A. Prognostic value of blood gas parameters and end-tidal carbon dioxide values in out-of-hospital cardiopulmonary arrest patients. Turk J Med Sci. 2019;49:1298–1302. doi: 10.3906/sag-1812-156 30.	 Kim YJ, Lee YJ, Ryoo SM, Sohn CH, Ahn S, Seo DW, Lim KS, Kim WY. Role of blood gas analysis during cardiopulmonary resuscitation in outof-hospital cardiac arrest patients. Medicine (Baltim). 2016;95:e3960. doi: 10.1097/MD.0000000000003960 31.	 Wang CH, Wu MC, Wu CY, Huang CH, Tsai MS, Lu TC, Chou E, Wu YW, Chang WT, Chen WJ. Blood gas phenotyping and tracheal intubation timing in adult in-hospital cardiac arrest: a retrospective cohort study. Sci Rep. 2021;11:10480. doi: 10.1038/s41598-021-89920-y 32.	 Wang CH, Chang WT, Huang CH, Tsai MS, Yu PH, Wu YW, Chen WJ. Associations between early intra-arrest blood acidaemia and outcomes of adult in-hospital cardiac arrest: A retrospective cohort study. J Formos Med Assoc. 2020;119:644–651. doi: 10.1016/j.jfma.2019.08.020 33.	 Shin J, Lim YS, Kim K, Lee HJ, Lee SJ, Jung E, You KM, Yang HJ, Kim JJ,

Kim J, et al. Initial blood pH during cardiopulmonary resuscitation in out-ofhospital cardiac arrest patients: a multicenter observational registry-based study. Crit Care. 2017;21:322. doi: 10.1186/s13054-017-1893-9 34.	 Nalbant E, A M, Çelik A, Yavaşi O, Ersunan G, Bilir O, Altuntaş G. Early Pre-

dictors of Return of Spontaneous Circulation in Patients Undergoing Cardiopulmonary Resuscitation. J Exp Clin Med. 2022;39:1157–1162. 35.	 Matsuyama T, Ohta B, Kiyohara K, Kitamura T. Intra-arrest partial carbon dioxide level and favorable neurological outcome after out-of-hospital cardiac arrest: a nationwide multicenter observational study in Japan (the JAAM- OHCA registry). Eur Heart J Acute Cardiovasc Care. 2023;12:14–21. doi: 10.1093/ehjacc/zuac152 36.	 Hong SI, Kim JS, Kim YJ, Kim WY. Dynamic changes in arterial blood gas during cardiopulmonary resuscitation in out-of-hospital cardiac arrest. Sci Rep. 2021;11:23165. doi: 10.1038/s41598-021-02764-4 37.	 Farzi S, H F, Wallner S, Spindelböck W, Prause G, Gemes G. Prehospital measurement of arterial base excess and its role as a possible predictor of outcome after out-of hospital cardiac arrest. Emergencias. 2013;25:47–50. 38.	 Lin CH, Yu S, Chen CY, Huang FW, Chen WK, Shih HM. Early blood pH as an independent predictor of neurological outcome in patients with out-ofhospital cardiac arrest: A retrospective observational study. Medicine (Baltim). 2021;100:25724. doi: 10.1097/MD.0000000000025724 39.	 Sutton RM, French B, Meaney PA, Topjian AA, Parshuram CS, Edelson DP, Schexnayder S, Abella BS, Merchant RM, Bembea M, et al; American Heart Association's Get With The Guidelines–Resuscitation Investigators. Physiologic monitoring of CPR quality during adult cardiac arrest: A propensity-matched cohort study. Resuscitation. 2016;106:76–82. doi: 10.1016/j.resuscitation.2016.06.018 40.	 Murphy RA, Bobrow BJ, Spaite DW, Hu C, McDannold R, Vadeboncoeur TF. Association between Prehospital CPR Quality and End-Tidal Carbon Dioxide Levels in Out-of-Hospital Cardiac Arrest. Prehosp Emerg Care. 2016;20:369–377. doi: 10.3109/10903127.2015.1115929 41.	 De Roos E, Vanwulpen M, Hachimi-Idrissi S. Chest compression release velocity: An independent determinant of end-tidal carbon dioxide in out-of-hospital cardiac arrest. Am J Emerg Med. 2022;54:71–75. doi: 10.1016/j.ajem.2022.01.053 42.	 Sheak KR, Wiebe DJ, Leary M, Babaeizadeh S, Yuen TC, Zive D, Owens PC, Edelson DP, Daya MR, Idris AH, et al. Quantitative relationship between end-tidal carbon dioxide and CPR quality during both in-hospital and out-of-hospital cardiac arrest. Resuscitation. 2015;89:149–154. doi: 10.1016/j.resuscitation.2015.01.026 43.	 Paiva EF, Paxton JH, O’Neil BJ. The use of end-tidal carbon dioxide (ETCO(2)) measurement to guide management of cardiac arrest: A systematic review. Resuscitation. 2018;123:1–7. doi: 10.1016/j.resuscitation.2017.12.003 44.	 Rivers EP, Lozon J, Enriquez E, Havstad SV, Martin GB, Lewandowski CA, Goetting MG, Rosenberg JA, Paradis NA, Nowak RM. Simultaneous radial, femoral, and aortic arterial pressures during human cardiopulmonary resuscitation. Crit Care Med. 1993;21:878–883. doi: 10.1097/00003246-199306000-00016 45.	 Paradis NA, Martin GB, Rivers EP, Goetting MG, Appleton TJ, Feingold M, Nowak RM. Coronary perfusion pressure and the return of spontaneous circulation in human cardiopulmonary resuscitation. JAMA. 1990;263:1106– 1113. 46.	 Varney J, Motawea KR, Mostafa MR, AbdelQadir YH, Aboelenein M, Kandil OA, Ibrahim N, Hashim HT, Murry K, Jackson G, et al. Efficacy of headsup CPR compared to supine CPR positions: Systematic review and metaanalysis. Health Sci Rep. 2022;5:e644. doi: 10.1002/hsr2.644 47.	 Jaeger D, Kosmopoulos M, Voicu S, Kalra R, Gaisendrees C, Schlartenberger G, Bartos JA, Yannopoulos D. Cerebral hemodynamic effects of headup CPR in a porcine model. Resuscitation. 2023;193:110039. doi: 10.1016/j.resuscitation.2023.110039 48.	 Pepe PE, Scheppke KA, Antevy PM, Crowe RP, Millstone D, Coyle C, Prusansky C, Garay S, Ellis R, Fowler RL, et al. Confirming the Clinical Safety and Feasibility of a Bundled Methodology to Improve Cardiopulmonary Resuscitation Involving a Head-Up/Torso-Up Chest Compression Technique. Crit Care Med. 2019;47:449–455. doi: 10.1097/CCM.0000000000003608 49.	 Moore JC, Pepe PE, Scheppke KA, Lick C, Duval S, Holley J, Salverda B, Jacobs M, Nystrom P, Quinn R, et al. Head and thorax elevation during cardiopulmonary resuscitation using circulatory adjuncts is associated with improved survival. Resuscitation. 2022;179:9–17. doi: 10.1016/j.resuscitation.2022.07.039 50.	 Bachista KM, Moore JC, Labarere J, Crowe RP, Emanuelson LD, Lick CJ,

Debaty GP, Holley JE, Quinn RP, Scheppke KA, et al. Survival for Nonshockable Cardiac Arrests Treated With Noninvasive Circulatory Adjuncts and Head/Thorax Elevation. Crit Care Med. 2024;52:170–181. doi: 10.1097/CCM.0000000000006055

Downloaded from http://ahajournals.org by on October 7, 2026