Airway Management During Cardiac Arrest; Should You Intubate?
1Faculty of Health and Applied Sciences, University of the West of England, Bristol, United Kingdom
Despite the central role of "airway" in the resuscitation of acutely ill and injured patients, there is surprisingly little information regarding the optimal approach to airway management during out of hospital cardiac arrest (OHCA). Large observational studies consistently favour basic over advanced techniques, but despite various compensatory statistics there remains a significant risk of residual confounding in these observational studies; patients with a short duration of OHCA are much more likely to survive, and also much less likely to receive advanced airway interventions.
Over the past 18 months three large randomised trials of advanced airway management in OHCA have been published, two from Europe and one from North America. These provide the first high quality randomised evidence as to whether you should intubate during cardiac arrest, and taken together are game-changing in their implications.
This presentation describes and synthesises these three landmark studies, setting them in the context of previous research work to provide a clear rationale for the optimal approach to future airway management during cardiac arrest.