Airway management during in-hospital cardiac arrest : An international, multicentre, retrospective, observational cohort study

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dc.contributor.author Penketh, J. A.
dc.contributor.author Nolan, J. P.
dc.contributor.author Skrifvars, M. B.
dc.contributor.author Rylander, C.
dc.contributor.author Frenell
dc.contributor.author Tirkkonen, J.
dc.contributor.author Reynolds, E. C.
dc.contributor.author Parr, M. J. A.
dc.contributor.author Aneman, A.
dc.date.accessioned 2021-06-26T22:23:49Z
dc.date.available 2021-12-18T03:46:07Z
dc.date.issued 2020-08
dc.identifier.citation Penketh , J A , Nolan , J P , Skrifvars , M B , Rylander , C , Frenell , Tirkkonen , J , Reynolds , E C , Parr , M J A & Aneman , A 2020 , ' Airway management during in-hospital cardiac arrest : An international, multicentre, retrospective, observational cohort study ' , Resuscitation , vol. 153 , pp. 143-148 . https://doi.org/10.1016/j.resuscitation.2020.05.028
dc.identifier.other PURE: 144162008
dc.identifier.other PURE UUID: 8974f876-01b0-493a-b5fc-32ed4fcdf8a1
dc.identifier.other WOS: 000552386600027
dc.identifier.uri http://hdl.handle.net/10138/331868
dc.description Correction: Volume: 156 Pages: 194-195 DOI: 10.1016/j.resuscitation.2020.05.028 Published: NOV 2020
dc.description.abstract Aim: To determine the type of airway devices used during in-hospital cardiac arrest (IHCA) resuscitation attempts. Methods: International multicentre retrospective observational study of in-patients aged over 18 years who received chest compressions for cardiac arrest from April 2016 to September 2018. Patients were identified from resuscitation registries and rapid response system databases. Data were collected through review of resuscitation records and hospital notes. Airway devices used during cardiac arrest were recorded as basic (adjuncts or bag-mask), or advanced, including supraglottic airway devices, tracheal tubes or tracheostomies. Descriptive statistics and multivariable regression modelling were used for data analysis. Results: The final analysis included 598 patients. No airway management occurred in 36 (6%), basic airway device use occurred at any time in 562 (94%), basic airway device use without an advanced airway device in 182 (30%), tracheal intubation in 301 (50%), supraglottic airway in 102 (17%), and tracheostomy in 1 (0.2%). There was significant variation in airway device use between centres. The intubation rate ranged between 21% and 90% while supraglottic airway use varied between 1% and 45%. The choice of tracheal intubation vs. supraglottic airway as the second advanced airway device was not associated with immediate survival from the resuscitation attempt (odds ratio 0.81; 95% confidence interval 0.35-1.8). Conclusion: There is wide variation in airway device use during resuscitation after IHCA. Only half of patients are intubated before return of spontaneous circulation and many are managed without an advanced airway. Further investigation is needed to determine optimal airway device management strategies during resuscitation following IHCA. en
dc.format.extent 6
dc.language.iso eng
dc.relation.ispartof Resuscitation
dc.rights cc_by_nc_nd
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Airway management
dc.subject In-hospital cardiac arrest
dc.subject Resuscitation
dc.subject RESUSCITATION COUNCIL GUIDELINES
dc.subject CARDIOVASCULAR CARE SCIENCE
dc.subject CARDIOPULMONARY-RESUSCITATION
dc.subject ENDOTRACHEAL INTUBATION
dc.subject TRACHEAL INTUBATION
dc.subject MASK VENTILATION
dc.subject CONSENSUS
dc.subject STRATEGY
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology
dc.title Airway management during in-hospital cardiac arrest : An international, multicentre, retrospective, observational cohort study en
dc.type Article
dc.contributor.organization HUS Emergency Medicine and Services
dc.contributor.organization Department of Diagnostics and Therapeutics
dc.contributor.organization University of Helsinki
dc.contributor.organization Helsinki University Hospital Area
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1016/j.resuscitation.2020.05.028
dc.relation.issn 0300-9572
dc.rights.accesslevel openAccess
dc.type.version acceptedVersion

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