Continuous flow insufflation of oxygen compared with manual ventilation during out-of-hospital cardiac arrest: A survey of the paramedics.

Autor:	Groulx M; Centre de recherche du CHU de Québec, Université Laval, Québec, QC, Canada.; Faculté de médecine, Université Laval, Québec, QC, Canada., Nadeau A; Centre de recherche du CHU de Québec, Université Laval, Québec, QC, Canada.; Centre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL), Québec, QC, Canada., Émond M; Centre de recherche du CHU de Québec, Université Laval, Québec, QC, Canada.; Faculté de médecine, Université Laval, Québec, QC, Canada.; Centre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL), Québec, QC, Canada.; Département de médecine d'urgence, CHU de Québec, Québec, QC, Canada., Harrisson J; Direction des services préhospitaliers d'urgence, Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) de la Capitale-Nationale, Québec, QC, Canada., Blanchard PG; Centre de recherche du CHU de Québec, Université Laval, Québec, QC, Canada.; Faculté de médecine, Université Laval, Québec, QC, Canada., Eramian D; Département de médecine d'urgence, CHU de Québec, Québec, QC, Canada.; Direction des services préhospitaliers d'urgence, Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) de la Capitale-Nationale, Québec, QC, Canada., Mercier E; Centre de recherche du CHU de Québec, Université Laval, Québec, QC, Canada.; Faculté de médecine, Université Laval, Québec, QC, Canada.; Centre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL), Québec, QC, Canada.; Département de médecine d'urgence, CHU de Québec, Québec, QC, Canada.; Direction des services préhospitaliers d'urgence, Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) de la Capitale-Nationale, Québec, QC, Canada.
Jazyk:	angličtina
Zdroj:	SAGE open medicine [SAGE Open Med] 2021 Jun 30; Vol. 9, pp. 20503121211018105. Date of Electronic Publication: 2021 Jun 30 (Print Publication: 2021).
DOI:	10.1177/20503121211018105
Abstrakt:	Introduction: In 2018, a continuous flow insufflation of oxygen (CFIO) device (b-card™, Vygon (USA)) placed on a supraglottic airway (SGA) became the standard of care to ventilate patients during adult out-of-hospital cardiac arrest (OHCA) care in Quebec-Capitale-Nationale region, Canada. This study aims to assess the paramedics' perception as well as the disadvantages and the benefits relative to the use of CFIO during OHCA management. Methods: An invitation to complete an online survey (Survey Monkey™) was sent to all 560 paramedics who are working in our region. The survey included 22 questions of which 9 aimed to compare the traditional manual ventilation with a bag to the CFIO using a 5-point Likert-type scale. Results: A total of 244 paramedics completed the survey, of which 189 (77.5%) had used the CFIO device during an OHCA at least once. Most respondents felt that the intervention was faster (70.2%) and easier (86.5%) with the CFIO device compared with manual ventilation. CFIO was also associated with perceived increased patient safety (64.4%) as well as paramedic safety during the evacuation (88.9%) and the ambulance transport (88.9%). Paramedics reported that physical (48.1%) and cognitive (52.9%) fatigue were also improved with CFIO. The main reported barriers were the bending of the external SGA tube and the loss of capnography values. Conclusion: The use of CFIO during adult OHCA care allows a simplified approach and was perceived as safer for the patient and the paramedics compared with manual ventilation. Its impact on patient-centred outcomes needs to be assessed. Competing Interests: Declaration of conflicting interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: The b-card™ were provided by Vygon (USA) during the implementation phase. Vygon and their representatives were not involved in the study including its design, progress, analysis and reporting. The authors received no financial support, individually or as a group, by Vygon including no financial support for the authorship, and/or publication of this article. (© The Author(s) 2021.)
Databáze:	MEDLINE
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