Cardiopulmonary resuscitationMonitoring the quality of cardiopulmonary resuscitationMorley, Peter TAuthor Information Intensive Care Unit, Royal Melbourne Hospital, Parkville, Victoria, Australia Correspondence to Peter T. Morley, Intensive Care Unit, Royal Melbourne Hospital, Grattan Street, Parkville, Victoria, Australia 3050 Tel: +61 3 9342 7000; e-mail: email@example.com Current Opinion in Critical Care: June 2007 - Volume 13 - Issue 3 - p 261-267 doi: 10.1097/MCC.0b013e32814b05bd Buy Metrics Abstract Purpose of review Numerous recent reports have described limitations in the quality of cardiopulmonary resuscitation. Thus, there has been increasing interest in the techniques available to monitor quality. This review focuses on the major publications since the review published by the International Liaison Committee on Resuscitation in 2005. Some key articles published prior to this time period have also been included. Recent findings A number of devices can monitor various components of the quality of cardiopulmonary resuscitation. End-tidal CO2 measurement assists in confirming placement of endotracheal tubes, correlates with cardiac output and detects the return of spontaneous circulation. Turbine flow-meters monitor respiratory rate and tidal volume. Transthoracic impedance monitoring measures respiratory rate, and may assist in confirmation of endotracheal tube placement. A new mechanical device (CPREzy) and a new defibrillator/monitor allow estimation of depth (and rate) of compressions. Ventricular-fibrillation waveform analysis may facilitate better timing of defibrillation. Echocardiography detects conditions that may impair the quality of cardiopulmonary resuscitation. Summary Many options are available to monitor the quality of cardiopulmonary resuscitation. Some have significant limitations, and others are only readily available in hospital. The use of the information from this more intensive monitoring promises to improve outcomes of cardiopulmonary resuscitation. © 2007 Lippincott Williams & Wilkins, Inc.