Improving in-hospital cardiac resuscitation

Capnography: It’s more than ventilation.


Nicole Kupchik

Nicole Kupchik Consulting, Inc.


This program is approved for 1.0 Contact hour for Nurses and Respiratory Therapists. After watching the video, you may go to and register to take the test. Once you have sucessfully completed the test, you may print out your certificate immediately. You may view a pdf of the presentation by clicking here.


Capnography continues to be an important tool in measuring expired CO2. Most recent ACLS guidelines now recommend using capnography to ascertain the effectiveness of chest compressions and duration of CPR. This third webinar in the Cardiac Resuscitation Series will include an overview of ACLS guidelines regarding continuous waveform capnography, a discussion on physiology of CO2 production, transport and metabolism, and its effect on the ventilation/perfusion relationship. The clinical indicators for capnography will be discussed including the use of EtCO2 as a marker of perfusion for fluid responsiveness, CPR effectiveness, and identification of return of spontaneous circulation.




Upon completion of this activity, the participant will be able to:

  1. Discuss the 2015 ACLS & BLS Guidelines specific to continuous waveform capnography
  2. Discuss normal and abnormal V/Q relationships
  3. Describe capnography as an indicator of fluid responsiveness
  4. Discuss the integration of capnography into a resuscitation program


Nicole Kupchik has practiced as a critical care nurse for over twenty years. After joining Harborview Medical Center, Nicole was part of a multidisciplinary team that was one of the first in the US to implement therapeutic hypothermia after cardiac arrest.  As part of this effort, Nicole was responsible for protocol development and has published numerous papers on this topic.

In 2008, Nicole lead a team that implemented a formalized Sepsis program at Harborview Medical Center that led to a reduction in mortality, hospital length of stay and a significant cost avoidance.  For this collaborative efforts,  she was awarded three Patient Safety & Clinical Leadership awards.

Currently she works as a staff nurse at Harborview Medical Center in Seattle, WA.  In 2013 Nicole founded Nicole Kupchik Consulting & Education


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