M Christ1, K I von Auenmüller2, T von den Benken2, S Fessaras2, W Dierschke2, H-J Trappe2. 1. Medizinische Klinik II, Schwerpunkt Kardiologie und Angiologie, Marien Hospital Herne, Ruhr-Universität Bochum, Hölkeskampring 40, 44625, Herne, Deutschland. martin.christ@elisabethgruppe.de. 2. Medizinische Klinik II, Schwerpunkt Kardiologie und Angiologie, Marien Hospital Herne, Ruhr-Universität Bochum, Hölkeskampring 40, 44625, Herne, Deutschland.
Abstract
INTRODUCTION: Only a little is known about the frequency of use of supraglottic airway devices (SADs) and intraosseous (IO) access in patients who have had out-of-hospital cardiac arrest (OHCA). MATERIALS AND METHODS: We analyzed data from all patients who had had OHCA admitted to our hospital between 1 January 2008 and 31 December 2017. RESULTS: A total of 135 (33.8%) patients who had had OHCA were admitted with a SAD, 223 (55.8%) with an endotracheal tube, 3 (0.8%) with mask ventilation, and 32 (8.0%) breathed spontaneously on admission to hospital. Three hundred and twenty-eight patients (82.0%) were admitted with a peripheral intravenous line, one (0.3%) with a central venous catheter, one (0.3%) with a port catheter, and 32 (8.0%) with IO access. CONCLUSIONS: Irrespective of an increasing number of studies that raise the question whether the airway management of patients who have had OHCA using an SGA might be inferior to that with endotracheal tubes, approximately one third of all patients who have had OHCA were admitted with an SAD in this study. On the other hand, IO access is significantly less frequently used, despite fewer critical study results overall.
INTRODUCTION: Only a little is known about the frequency of use of supraglottic airway devices (SADs) and intraosseous (IO) access in patients who have had out-of-hospital cardiac arrest (OHCA). MATERIALS AND METHODS: We analyzed data from all patients who had had OHCA admitted to our hospital between 1 January 2008 and 31 December 2017. RESULTS: A total of 135 (33.8%) patients who had had OHCA were admitted with a SAD, 223 (55.8%) with an endotracheal tube, 3 (0.8%) with mask ventilation, and 32 (8.0%) breathed spontaneously on admission to hospital. Three hundred and twenty-eight patients (82.0%) were admitted with a peripheral intravenous line, one (0.3%) with a central venous catheter, one (0.3%) with a port catheter, and 32 (8.0%) with IO access. CONCLUSIONS: Irrespective of an increasing number of studies that raise the question whether the airway management of patients who have had OHCA using an SGA might be inferior to that with endotracheal tubes, approximately one third of all patients who have had OHCA were admitted with an SAD in this study. On the other hand, IO access is significantly less frequently used, despite fewer critical study results overall.
Authors: Henry E Wang; Daniel Szydlo; John A Stouffer; Steve Lin; Jestin N Carlson; Christian Vaillancourt; Gena Sears; Richard P Verbeek; Raymond Fowler; Ahamed H Idris; Karl Koenig; James Christenson; Anushirvan Minokadeh; Joseph Brandt; Thomas Rea Journal: Resuscitation Date: 2012-06-01 Impact factor: 5.262
Authors: Charles D Deakin; Jerry P Nolan; Jasmeet Soar; Kjetil Sunde; Rudolph W Koster; Gary B Smith; Gavin D Perkins Journal: Resuscitation Date: 2010-10 Impact factor: 5.262
Authors: Jasmeet Soar; Clifton W Callaway; Mayuki Aibiki; Bernd W Böttiger; Steven C Brooks; Charles D Deakin; Michael W Donnino; Saul Drajer; Walter Kloeck; Peter T Morley; Laurie J Morrison; Robert W Neumar; Tonia C Nicholson; Jerry P Nolan; Kazuo Okada; Brian J O'Neil; Edison F Paiva; Michael J Parr; Tzong-Luen Wang; Jonathan Witt Journal: Resuscitation Date: 2015-10-15 Impact factor: 5.262
Authors: Jason McMullan; Ryan Gerecht; Jordan Bonomo; Rachel Robb; Bryan McNally; John Donnelly; Henry E Wang Journal: Resuscitation Date: 2014-02-18 Impact factor: 5.262