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Advanced airway management in out-of-hospital cardiac arrest – to intubate or not to intubate: a narrative review of the existing literature

Restoring partial flow of oxygenated blood is a fundamental goal of cardiopulmonary resuscitation. The ideal devices used for this purpose should have features such as low incidence of complications, high survival rate, rapid control of the airway, and adequate ventilation. Besides limiting the freq...

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Detalles Bibliográficos
Autores principales: Saracoglu, Ayten, Saracoglu, Kemal Tolga
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10183986/
https://www.ncbi.nlm.nih.gov/pubmed/33242937
http://dx.doi.org/10.5114/ait.2020.101182
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author Saracoglu, Ayten
Saracoglu, Kemal Tolga
author_facet Saracoglu, Ayten
Saracoglu, Kemal Tolga
author_sort Saracoglu, Ayten
collection PubMed
description Restoring partial flow of oxygenated blood is a fundamental goal of cardiopulmonary resuscitation. The ideal devices used for this purpose should have features such as low incidence of complications, high survival rate, rapid control of the airway, and adequate ventilation. Besides limiting the frequency and duration of interruptions in chest compressions, they can improve the survival and clinical outcomes of return of spontaneous circulation during cardiopulmonary resuscitation. The overall rates of survival from out-of-hospital cardiac arrest have improved dramatically in recent years. However, optimal airway management during out-of-hospital cardiac arrest is a controversial issue. The proposed standard of care, i.e. endotracheal intubation, may have paradoxical adverse effects on intended outcomes by interrupting cardiopulmonary resuscitation and by reduction of coronary and cerebral perfusion pressure during resuscitation. The aim of this narrative review is to provide health care providers with an overview of relevant studies in the area, with a focus on alternative advanced airway techniques.
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spelling pubmed-101839862023-05-17 Advanced airway management in out-of-hospital cardiac arrest – to intubate or not to intubate: a narrative review of the existing literature Saracoglu, Ayten Saracoglu, Kemal Tolga Anaesthesiol Intensive Ther Review Articles Restoring partial flow of oxygenated blood is a fundamental goal of cardiopulmonary resuscitation. The ideal devices used for this purpose should have features such as low incidence of complications, high survival rate, rapid control of the airway, and adequate ventilation. Besides limiting the frequency and duration of interruptions in chest compressions, they can improve the survival and clinical outcomes of return of spontaneous circulation during cardiopulmonary resuscitation. The overall rates of survival from out-of-hospital cardiac arrest have improved dramatically in recent years. However, optimal airway management during out-of-hospital cardiac arrest is a controversial issue. The proposed standard of care, i.e. endotracheal intubation, may have paradoxical adverse effects on intended outcomes by interrupting cardiopulmonary resuscitation and by reduction of coronary and cerebral perfusion pressure during resuscitation. The aim of this narrative review is to provide health care providers with an overview of relevant studies in the area, with a focus on alternative advanced airway techniques. Termedia Publishing House 2020-11-25 2020-12 /pmc/articles/PMC10183986/ /pubmed/33242937 http://dx.doi.org/10.5114/ait.2020.101182 Text en Copyright © Polish Society of Anaesthesiology and Intensive Therapy https://creativecommons.org/licenses/by-nc-sa/4.0/This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/ (https://creativecommons.org/licenses/by-nc-sa/4.0/) ), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Review Articles
Saracoglu, Ayten
Saracoglu, Kemal Tolga
Advanced airway management in out-of-hospital cardiac arrest – to intubate or not to intubate: a narrative review of the existing literature
title Advanced airway management in out-of-hospital cardiac arrest – to intubate or not to intubate: a narrative review of the existing literature
title_full Advanced airway management in out-of-hospital cardiac arrest – to intubate or not to intubate: a narrative review of the existing literature
title_fullStr Advanced airway management in out-of-hospital cardiac arrest – to intubate or not to intubate: a narrative review of the existing literature
title_full_unstemmed Advanced airway management in out-of-hospital cardiac arrest – to intubate or not to intubate: a narrative review of the existing literature
title_short Advanced airway management in out-of-hospital cardiac arrest – to intubate or not to intubate: a narrative review of the existing literature
title_sort advanced airway management in out-of-hospital cardiac arrest – to intubate or not to intubate: a narrative review of the existing literature
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10183986/
https://www.ncbi.nlm.nih.gov/pubmed/33242937
http://dx.doi.org/10.5114/ait.2020.101182
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