Original scientific paper

https://doi.org/10.20471/acc.2021.60.04.04

Comparison of Different Out-of-Hospital Airway Management Techniques in Patients with Cardiac Arrest in Slavonia Region

Ivo Matić ; Department of Anesthesiology, Resuscitation and Intensive Care, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Ivana Pajić Matić ; Department of Ear, Head and Neck Surgery, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Marcel Marcikić ; Department for Neurosurgery, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia
Matija Jurjević ; Department of Anesthesiology, Resuscitation and Intensive Care, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Bojan Žanko ; Department of Anesthesiology, Resuscitation and Intensive Care, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Iva Došen ; Department of Anesthesiology, Resuscitation and Intensive Care, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia

Abstract

Endotracheal intubation is the gold standard in inpatient treatment of cardiac arrest
patients; however, there are conflicting research results in out-of-hospital conditions. This prospective
study included 92 patients with confirmed cardiac arrest occurring outside a hospital facility,
who fulfilled the inclusion criteria and whom the emergency ambulance team reached within 20
minutes from the event. Medical data on each patient (age, gender, cause of arrest, estimated time of
arrest, time to arrival of the ambulance team, resuscitation commenced prior to arrival of the ambulance
team, initial electrocardiographic rhythm, method of airway management, and success of resuscitation)
were recorded. The airway maintenance techniques applied in the patients were endotracheal
intubation and I-gel laryngeal mask (LMA). The rate of spontaneous circulation recovery resulting
from different techniques of airway management and the incidence of spontaneous circulation
recovery between the defibrillation rhythm and non-defibrillable rhythm groups were recorded for
each patient. Forty-seven patients received endotracheal tube and the rest of 45 patients I-gel LMA
treatment. The ratio of achieving spontaneous circulation with intubation versus I-gel LMA was 13
(28%) to 11 (24%) (p=0.725). The best return of spontaneous circulation results was recorded in patients
suffering from ventricular fibrillation; however, there was no statistically significant difference
between the intubation and I-gel LMA treatments (8 (47%) vs. 7 (41%); p=0.916). No statistically
significant difference was observed between the outcomes of patients resuscitated by endotracheal
intubation and I-gel LMA methods either.

Keywords

Cardiac arrest; Airway; Endotracheal intubation; Laryngeal mask airway

Hrčak ID:

275430

URI

https://hrcak.srce.hr/275430

Publication date:

1.12.2021.

Article data in other languages: croatian

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