Original scientific paper
https://doi.org/10.20471/acc.2023.62.s1.04
Is Cardiopulmonary Resuscitation Outcome in Pre-Hospital Emergency Medicine Related to Airway Management Technique?
Ana Brundula
orcid.org/0000-0002-6192-1044
; Emergency Medicine Institute of Krapina-Zagorje County, Krapina, Croatia
Frane Paleka
orcid.org/0009-0006-0476-099X
; Emergency Medicine Institute of Krapina-Zagorje County, Krapina, Croatia
Josip Vrdoljak
; University of Split School of Medicine, Split, Croatia
Morena Milić
; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Dubrava University Hospital, Zagreb, Croatia; University of Dubrovnik, Dubrovnik, Croatia
Ada Barić Grgurević
orcid.org/0000-0001-6409-7065
; Srebrnjak Children’s Hospital, Zagreb, Croatia;
Krunoslav Fučkar
orcid.org/0000-0002-2723-8356
; Krapinske Toplice Special Hospital for Medical Rehabilitation, Krapinske Toplice, Croatia
Abstract
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).
Keywords
Arrest; Cardiopulmonary resuscitation; Endotracheal intubation
Hrčak ID:
307446
URI
Publication date:
1.4.2023.
Visits: 302 *