What does agonal breathing refer to?

Agonal breathing refers to the irregular gasps that can occur early in a cardiac arrest. This type of breathing is often characterized by a slow, ineffective attempt to breathe and may be accompanied by gasping sounds. It does not constitute effective ventilation or adequate respiratory effort, and it may not be a reflection of the individual's true respiratory state. Recognizing agonal breathing is critical in emergency situations, as it often indicates severe medical distress and the need for immediate intervention, including CPR.

In the context of cardiac arrest, the presence of agonal breaths can mislead observers into thinking that the person may still be breathing adequately, when in reality, the individual requires urgent assistance. Proper training in recognizing this sign is essential for timely and effective life-saving measures. Understanding agonal breathing is crucial for responders in distinguishing between a patient who is maintaining some level of consciousness and those who are in urgent need of resuscitation efforts.