Time used for ventilation in two-rescuer CPR with a bag-valve-mask device during out-of-hospital cardiac arrest

Odegaard, Silje; Pillgram, Magnus; Berg, Nicolas Erlend Vaugelade; Olasveengen, Theresa M.; Kramer‐Johansen, Jo

doi:10.1016/j.resuscitation.2007.11.005

Cited by 22 publications

(7 citation statements)

References 14 publications

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“…Several recent studies demonstrated that there is inadequate evidence to show a difference in survival and neurologic outcome with the use of BVM compared with AAM [ 17 , 18 ]. However, after starting the transportation, the longer the TTI, the more difficult it is to maintain the mask sealing of BVM, and the ventilation accuracy decreases [ 12 ]. Conversely, once AAM is initiated, it can supply more stable ventilation compared to BVM during transport.…”

Section: Discussionmentioning

confidence: 99%

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Association of prehospital airway management technique with survival outcomes of out-of-hospital cardiac arrest patients

Jung

Ryu

et al. 2022

PLoS ONE

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Introduction Despite numerous studies on airway management in out-of-hospital cardiac arrest (OHCA) patients, the choice of prehospital airway management technique remains controversial. Our study aimed to investigate the association between prehospital advanced airway management and survival outcomes according to a transport time interval (TTI) using nationwide OHCA registry database in Korea. Methods The inclusion criteria were patients with OHCA aged over 18 years old with a presumed cardiac etiology between January 2015 and December 2018. The primary outcome was survival to hospital discharge. The main exposure was the prehospital airway management technique performed by the emergency medical technicians (EMTs), classified as bag-valve mask (BVM), supraglottic airway (SGA), or endotracheal intubation (ETI).We performed multivariable logistic regression analysis and interaction analysis between the type of airway management and TTI for adjusted odds ratios (aORs) and 95% confidence intervals (CIs). Results Of a total of 70,530 eligible OHCA patients, 26,547 (37.6%), 38,391 (54.4%), and 5,592 (7.9%) were managed with BVM, SGA, ETI, respectively. Patients in the SGA and ETI groups had a higher odds of survival to discharge than BVM groups (aOR, 1.11 (1.05–1.16) and 1.13 (1.05–1.23)). And the rates of survival to discharge with SGA and ETI were significantly higher in groups with TTI more than 8 minutes (1.17 (1.08–1.27) and 1.38 (1.20–1.59)). Conclusion The survival to discharge was significantly higher among patients who received ETI and SGA than in those who received BVM. The transport time interval influenced the effect of prehospital airway management on the clinical outcomes after OHCA.

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Section: Discussionmentioning

confidence: 99%

“…Advanced airway management (AAM) can reduce complications commonly associated with BVM ventilation during transport. Therefore, pre-hospital AAM may improve survival outcomes for patients who require extended transport time interval (TTI) [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Association of prehospital airway management technique with survival outcomes of out-of-hospital cardiac arrest patients

Jung

Ryu

et al. 2022

PLoS ONE

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“…Our data are in line with Assar et al ,16 who found in trained lay rescuers pauses of chest compressions for 16 s during conventional CPR ventilation. Ødegaard et al 17 described a mean of 5±1 s for two BMV in a manikin study and a median of 5.5 s in out-of-hospital cardiac arrest 18. According to ERC 2005, 1 s is required to interrupt chest compressions, 2 s to perform two BMV, and 1 s to continue chest compressions, resulting in a total time of 4 s necessary for each interruption of BMV.…”

Section: Discussionmentioning

confidence: 99%

Comparative quality analysis of hands-off time in simulated basic and advanced life support following European Resuscitation Council 2000 and 2005 guidelines

Ilper

Kunz

Pfleger³

et al. 2010

Emerg Med J

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“…Die Maskenbeatmung trägt durch die Unterbrechung der Thoraxkompressionen zur Hands-off-Zeit bei [23,28]. Hingegen ermöglicht die definitive Atemwegssicherung kontinuierliche Thoraxkompressionen, ohne diese für die Beatmung unterbrechen zu müssen [1,21,27] und verkürzt daher weiter die Hands-off-Zeit [28].…”

Section: Atemwegssicherung Mithilfe Des Larynxtubusunclassified

Modifizierter Zweihelferreanimationsalgorithmus

et al. 2010

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During military missions of the German Armed Forces there are no other options to perform resuscitation than by performing this procedure with only two rescuers. Using the algorithm in a modified way securing of the airway with an LT, the performance of over-the-head chest compressions and an effective resuscitation with advanced cardiac life support according to the ERC guidelines of 2005 are feasible even with 2 rescuers. Using the LT instead of endotracheal intubation to secure the airway particularly contributed to shortening the hands-off time.

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Time used for ventilation in two-rescuer CPR with a bag-valve-mask device during out-of-hospital cardiac arrest

Cited by 22 publications

References 14 publications

Association of prehospital airway management technique with survival outcomes of out-of-hospital cardiac arrest patients

Association of prehospital airway management technique with survival outcomes of out-of-hospital cardiac arrest patients

Comparative quality analysis of hands-off time in simulated basic and advanced life support following European Resuscitation Council 2000 and 2005 guidelines

Modifizierter Zweihelferreanimationsalgorithmus

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