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

Autor: Ivo, Matić, Ivana, Pajić Matić, Marcel, Marcikić, Matija, Jurjević, Bojan, Žanko, Iva, Došen
Rok vydání: 2021
Předmět:
Zdroj: Acta clinica Croatica
Volume 60.
Issue 4.
ISSN: 0353-9466
1333-9451
DOI: 10.20471/acc.2021.60.04.04
Popis: 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.
Endotrahealna intubacija je „zlatni standard“ u liječenju bolesnika sa srčanim zastojem u bolnici, ali rezultati istraživanja u izvanbolničkim uvjetima su proturječni. U ovo istraživanje bila su uključena 92 bolesnika sa srčanim zastojem doživljenim u izvanbolničkim uvjetima, koji su ispunjavali kriterije uključenja u studiju te kod kojih je hitna medicinska pomoć stigla unutar 20 minuta od srčanog zastoja. Bilježeni su sljedeći podatci: spol, dob, uzrok srčanog zastoja, vrijeme srčanog zastoja, vrijeme do dolaska ekipe hitne pomoći, započinjanje reanimacije prije dolaska ekipe hitne pomoći, početni elektrokardiografski ritam, metoda osiguravanja dišnog puta te uspješnost postupka reanimacije. Od tehnika održavanja dišnog puta rabila se I-gel laringealna maska te endotrahealni tubus. Bilježeni su rezultati povrata spontane cirkulacije kod pojedine metode održavanja dišnog puta te razlike između skupina s obzirom na ritmove koji se defibriliraju i one koji se ne defibriliraju. Bila su 47 bolesnika s endotrahealnim tubusom, dok je 45 bolesnika imalo laringealnu masku. Omjer povrata spontane cirkulacije između skupine s intubacijom i skupine s laringealnom maskom bio je 13 (28%) prema 11 (24%) (p=0,725). Najbolji rezultati oživljavanja zabilježeni su u skupini bolesnika s ventrikulskom fibrilacijom, ali bez statistički značajne razlike između skupine s endotrahealnom intubacijom i skupine s laringealnom maskom (8 (47%) prema 7 (41%); p=0,916). Nije pronađena statistički značajna razlika u uspješnosti oživljavanja između skupine bolesnika s endotrahealnom intubacijom i skupine s laringealnom maskom.
Databáze: OpenAIRE
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