Is Cardiopulmonary Resuscitation Outcome in Pre-Hospital Emergency Medicine Related to Airway Management Technique?
According to current European Resuscitation Council guidelines, priorities in advanced life support in adult are chest compression with minimal interruption and early defibrillation. Endotracheal intubation is still considered the gold standard in airway management, but guidelines suggest that se...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2023-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/443843 |
| _version_ | 1827281739871944704 |
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| author | Ana Brundula Frane Paleka Josip Vrdoljak Morena Milić Ada Barić Grgurević Krunoslav Fučkar |
| author_facet | Ana Brundula Frane Paleka Josip Vrdoljak Morena Milić Ada Barić Grgurević Krunoslav Fučkar |
| author_sort | Ana Brundula |
| collection | DOAJ |
| description | According to current European Resuscitation Council guidelines, priorities in advanced
life support in adult are chest compression with minimal interruption and early defibrillation.
Endotracheal intubation is still considered the gold standard in airway management, but guidelines
suggest that securing the airway be incremental, ranging from basic techniques to more complex
ones. Doctors who work in pre-hospital emergency medicine teams (EMT) in Croatia usually lack
sufficient education and expertise. The aim of this study was to determine whether there was a significant
difference in recovery of spontaneous circulation during cardiopulmonary resuscitation (CPR)
in out-of-hospital setting depending on the EMT airway management technique of choice. This
retrospective analysis included data collected during a 10-year period at the Krapina-Zagorje County
Emergency Medicine Institute on all patients with CPR performed by EMTs 20 minutes from initial
emergency call. The airway management groups included oropharyngeal tube, i-gel supraglottic
device, and endotracheal tube. There were 968 patients, mean age 70. In 74.61% of patients, the cause
of arrest was of cardiac etiology. Our study did not find a statistically significant in difference of CPR
success among the three groups analyzed according to the airway management technique of choice
(p=0.74, χ2-test). |
| first_indexed | 2024-04-24T09:06:18Z |
| format | Article |
| id | doaj.art-8f81c32ca96c4d699e2bfc3411f2e295 |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:06:18Z |
| publishDate | 2023-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-8f81c32ca96c4d699e2bfc3411f2e2952024-04-15T18:50:19ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512023-01-0162.Supplement 1354110.20471/acc.2023.62.s1.04Is Cardiopulmonary Resuscitation Outcome in Pre-Hospital Emergency Medicine Related to Airway Management Technique?Ana Brundula0Frane Paleka1Josip Vrdoljak2Morena Milić3Ada Barić Grgurević4Krunoslav Fučkar5Emergency Medicine Institute of Krapina-Zagorje County, Krapina, CroatiaEmergency Medicine Institute of Krapina-Zagorje County, Krapina, CroatiaUniversity of Split School of Medicine, Split, CroatiaDepartment of Anesthesiology, Resuscitation and Intensive Care Medicine, Dubrava University Hospital, Zagreb, Croatia; University of Dubrovnik, Dubrovnik, CroatiaSrebrnjak Children’s Hospital, Zagreb, Croatia;Krapinske Toplice Special Hospital for Medical Rehabilitation, Krapinske Toplice, CroatiaAccording to current European Resuscitation Council guidelines, priorities in advanced life support in adult are chest compression with minimal interruption and early defibrillation. Endotracheal intubation is still considered the gold standard in airway management, but guidelines suggest that securing the airway be incremental, ranging from basic techniques to more complex ones. Doctors who work in pre-hospital emergency medicine teams (EMT) in Croatia usually lack sufficient education and expertise. The aim of this study was to determine whether there was a significant difference in recovery of spontaneous circulation during cardiopulmonary resuscitation (CPR) in out-of-hospital setting depending on the EMT airway management technique of choice. This retrospective analysis included data collected during a 10-year period at the Krapina-Zagorje County Emergency Medicine Institute on all patients with CPR performed by EMTs 20 minutes from initial emergency call. The airway management groups included oropharyngeal tube, i-gel supraglottic device, and endotracheal tube. There were 968 patients, mean age 70. In 74.61% of patients, the cause of arrest was of cardiac etiology. Our study did not find a statistically significant in difference of CPR success among the three groups analyzed according to the airway management technique of choice (p=0.74, χ2-test).https://hrcak.srce.hr/file/443843ArrestCardiopulmonary resuscitationEndotracheal intubation |
| spellingShingle | Ana Brundula Frane Paleka Josip Vrdoljak Morena Milić Ada Barić Grgurević Krunoslav Fučkar Is Cardiopulmonary Resuscitation Outcome in Pre-Hospital Emergency Medicine Related to Airway Management Technique? Acta Clinica Croatica Arrest Cardiopulmonary resuscitation Endotracheal intubation |
| title | Is Cardiopulmonary Resuscitation Outcome in Pre-Hospital Emergency Medicine Related to Airway Management Technique? |
| title_full | Is Cardiopulmonary Resuscitation Outcome in Pre-Hospital Emergency Medicine Related to Airway Management Technique? |
| title_fullStr | Is Cardiopulmonary Resuscitation Outcome in Pre-Hospital Emergency Medicine Related to Airway Management Technique? |
| title_full_unstemmed | Is Cardiopulmonary Resuscitation Outcome in Pre-Hospital Emergency Medicine Related to Airway Management Technique? |
| title_short | Is Cardiopulmonary Resuscitation Outcome in Pre-Hospital Emergency Medicine Related to Airway Management Technique? |
| title_sort | is cardiopulmonary resuscitation outcome in pre hospital emergency medicine related to airway management technique |
| topic | Arrest Cardiopulmonary resuscitation Endotracheal intubation |
| url | https://hrcak.srce.hr/file/443843 |
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