Outcome of cardiopulmonary resuscitation with different ventilation modes in adults: A meta-analysis

Tang, Yangyang; Sun, Mengxue; Zhu, Aiqun

doi:10.1016/j.ajem.2022.04.027

Cited by 2 publications

(4 citation statements)

References 39 publications

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“…In our study, we demonstrated a significant association between endotracheal intubation and favorable CPR outcomes, which is in line with a study done in China [ 26 ]. However, in a study done in Saudi Arabia, they found endotracheal intubation during CPR in the ED was associated with worse ROSC and survival to hospital discharge at 28 days [ 27 ].…”

Section: Discussionsupporting

confidence: 92%

Outcomes of Cardiopulmonary Resuscitation and Predictors of Its Outcomes in the Emergency Department in King Saud Medical City, Saudi Arabia

Zeen¹,

Aburisheh²,

Alshehri³

et al. 2023

Cureus

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Background: Cardiac arrest is a medical emergency marked by the cessation of cardiac mechanical activity and insufficient blood flow. CPR (cardiopulmonary resuscitation) is a life-saving method that involves restoring the essential functions of two vital organs: the heart and lungs. This study was conducted to identify the outcome of CPR in cardiac arrest patients presented to the emergency department (ED) and to identify predictors of CPR outcomes. Methodology: This was a retrospective, descriptive study. All in-hospital cardiac arrest patients who underwent CPR in the King Saud Medical City (KSMC) ED between January 2017 and January 2020 were analyzed, with a sample size of 351 patients. Results: Overall return of spontaneous circulation (ROSC) and survival to discharge (STD) were achieved in 106 (30.2%) and 40 (11.39%) patients, respectively. When assessing the predictors of ROSC, the analyses showed that patient age, pre-arrest intubation, the method used to deliver oxygen, and CPR duration were all statistically significant predictors for ROSC. Similarly, when assessing predictors associated with STD, the analyses showed that patient age, pre-arrest intubation, the method used to deliver oxygen, and CPR duration were positively associated with STD. Conclusion: Comparing the study's findings to those of similar studies, it shows a CPR outcome rate within the range of similar studies. It also highlights that CPR outcomes are highly associated with CPR duration (a maximum of 30 minutes), younger age, and endotracheal intubation.

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Section: Discussionsupporting

confidence: 92%

Outcomes of Cardiopulmonary Resuscitation and Predictors of Its Outcomes in the Emergency Department in King Saud Medical City, Saudi Arabia

Zeen¹,

Aburisheh²,

Alshehri³

et al. 2023

Cureus

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“…Survival to discharge was reported in 14 studies and tended to be higher in the tracheal intubation group (14%; 95% CI 10–17%) compared with the BMV group (9%; 95% CI 4–14%), SGA group (8%; 95% CI 5–10%) and SGA + ETI group (9%; 95% CI 6–12%) [9 ▪ ]. Given that only one of the included studies was an randomized controlled trial (RCT), these findings are subject to a serious risk of bias.…”

Section: Systematic Reviews and Meta-analysesmentioning

confidence: 96%

“…Tracheal intubation was associated with the highest rate of ROSC (49%; 95% CI 38–59%) compared with the BMV group (ES = 24%; 95% CI 17–31%), SGA group (27%; 95% CI 20–34%) and SGA + tracheal intubation group (ES = 46%; 95% CI 18–75%). In the 14 studies that reported functional outcome, the tracheal intubation group (6%, 95% CI 4–8%) and SGA + tracheal intubation groups (4%, 95% CI 1–8%) were associated with higher rates of favourable functional outcome [cerebral performance category (CPC) 1 or 2 or Modified Rankin Scale (mRS) ≤3] than the BMV group (5%, 95% CI 3–8%) and SGA groups (4%, 95% CI 3–5%) [9 ▪ ].…”

Section: Systematic Reviews and Meta-analysesmentioning

confidence: 99%

“…Another meta-analysis of the use of BMV, SGA and tracheal intubation in cardiac arrest included 25 studies [22 OHCA and 3 in-hospital cardiac arrest (IHCA)] between 2010 and 2021 [9 ▪ ]. Tracheal intubation was associated with the highest rate of ROSC (49%; 95% CI 38–59%) compared with the BMV group (ES = 24%; 95% CI 17–31%), SGA group (27%; 95% CI 20–34%) and SGA + tracheal intubation group (ES = 46%; 95% CI 18–75%).…”

Section: Systematic Reviews and Meta-analysesmentioning

confidence: 99%

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Airway management during cardiac arrest

Penketh

Nolan

2023

Current Opinion in Critical Care

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Purpose of reviewDespite improvements over time, cardiac arrest continues to be associated with high rates of mortality and morbidity. Several methods can be used to achieve airway patency during cardiac arrest, and the optimal strategy continues to be debated. This review will explore and summarize the latest published evidence for airway management during cardiac arrest. Recent findingsA large meta-analysis of out-of-hospital cardiac arrest (OHCA) patients found no difference in survival between those receiving tracheal intubation and those treated with a supraglottic airway (SGA). Observational studies of registry data have reported higher survival to hospital discharge in patients receiving tracheal intubation or an SGA but another showed no difference. Rates of intubation during inhospital cardiac arrest have decreased in the United States, and different airway strategies appear to be used in different centres.

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Outcome of cardiopulmonary resuscitation with different ventilation modes in adults: A meta-analysis

Cited by 2 publications

References 39 publications

Outcomes of Cardiopulmonary Resuscitation and Predictors of Its Outcomes in the Emergency Department in King Saud Medical City, Saudi Arabia

Outcomes of Cardiopulmonary Resuscitation and Predictors of Its Outcomes in the Emergency Department in King Saud Medical City, Saudi Arabia

Airway management during cardiac arrest

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