SavedAdd your journal

Journals / Annals of Medical Research / 2019 / Cilt: 26 - Sayı: 12

Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients

Levent ALBAYRAK
Mehmet Tahir GÖKDEMİR
Pages
2738–2742
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Logistic regression modelling did not find an association between type of airway management, epinephrineuse and 30-day discharge survival.Conclusion: The results of this study show that epinephrine had no effect on patient survival or hospital discharge in OHCA patients.Additionally, the effects of EI and BVM on 30-day survival and hospital discharge were similar.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The purpose of this study was to determine the effects of using a bag-valve-mask (BVM) or endotracheal intubation (EI), andadministering epinephrine during the transfer of Out-of-hospital Cardiac Arrests (OHCA) cases, and to show the effects of BVM or EI,and epinephrine use on discharge from the hospital and patient survival.Material and Methods: Totally 109 OHCA patients were included in the study.
📊
Key Findings & Data:Group 1 included patients in whom return of spontaneouscirculation was achieved after Cardiopulmonary resuscitation (CPR) and who were then discharged from the hospital within 30 days.Group 2 included patients who died after emergency CPR or hospitalization.
💡
Conclusion & Impact:Logistic regression modelling did not find an association between type of airway management, epinephrineuse and 30-day discharge survival.Conclusion: The results of this study show that epinephrine had no effect on patient survival or hospital discharge in OHCA patients.Additionally, the effects of EI and BVM on 30-day survival and hospital discharge were similar.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: The purpose of this study was to determine the effects of using a bag-valve-mask (BVM) or endotracheal intubation (EI), andadministering epinephrine during the transfer of Out-of-hospital Cardiac Arrests (OHCA) cases, and to show the effects of BVM or EI,and epinephrine use on discharge from the hospital and patient survival.Material and Methods: Totally 109 OHCA patients were included in the study. Group 1 included patients in whom return of spontaneouscirculation was achieved after Cardiopulmonary resuscitation (CPR) and who were then discharged from the hospital within 30 days.Group 2 included patients who died after emergency CPR or hospitalization. A Student’s t-test was used for normally distributedcontinuous values, and a Chi-square (χ2) test was used for numerical data.Results: Sixteen (14.7%) of the OHCA cases survived and were discharged within 30 days, and 93 (85.3%) died. The outcomes weresimilar between those who received endotracheal intubation (EI) and BVM during hospital transfer (p = 0.569). Epinephrine wasadministered to 15 (19.2%) patients in group 2 and 5 (45.4%) patients in group 1 during the transfer period, but this difference was notsignificant (p = 0.167). Logistic regression modelling did not find an association between type of airway management, epinephrineuse and 30-day discharge survival.Conclusion: The results of this study show that epinephrine had no effect on patient survival or hospital discharge in OHCA patients.Additionally, the effects of EI and BVM on 30-day survival and hospital discharge were similar.

🔖

Cite This Article

ALBAYRAK, L., GÖKDEMİR, M. T. (2022). Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients. Annals of Medical Research, Cilt: 26 - Sayı: 12, 2738–2742. https://ajindex.com/articles/446751

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Gokdemir MT, Kaya H, Sogut O, et al. The role of oxidative stress and inflammation in the early evaluation of acute non-ST-elevation myocardial infarction: an observational study. J Anatolian Cardiology 2013;13:131-6
  2. Al-Dury N, Rawshani A, Israelsson J, et al.Characteristics and outcome among 14,933 adult cases of in hospital cardiac arrest: a nationwide study with the emphasis on gender and age. Am J Emerg Med 2017;35:1839–44 3. Lewis RJ,Gausche-Hill M.Airway Management During Out-of-Hospital Cardiac Arrest. JAMA 2018;319:771- 2 4. Fisk CA,Olsufka M,Yin L, et al. Lower-dose epinephrine administration and out-of hospital cardiac arrest outcomes.Resuscitation 2018;124:43-8
  3. Ozkan AS, Akbas S. Nasotracheal Intubation in Children for Outpatient Dental Surgery: Is Fiberoptic Bronchoscopy Useful? Niger J Clin Pract 2018;21:183- 8
  4. White L, Melhuish T, Holyoak R, et al. Advanced airway management in out of hospital cardiac arrest: A systematic review and meta-analysis.Am J Emerg Med 2018;36:2298-306
  5. Perkins GD,Ji C, Deakin CD, et al.A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. N Engl J Med 2018;379:711-21
  6. Caltekin I, Savrun A, Gökcen E, et al. Comparison of the factors affecting neurological outcome in outof vs in-hospital cardiac arrest cases. J Pak Med Assoc.2016;66:1412-7
  7. Gaieski DF, Band RA, Abella BS, et al. Early goaldirected hemodynamic optimization combined with therapeutic hypothermia in comatose survivors of out-of-hospital cardiac arrest. Resuscitation 2009;80:418-24
  8. Kornegay, Von Foerster N, Laurie A, et al.Does Accelerometer Use Lead to Higher Quality CPR for Advanced Cardiac Life Support Providers? A Prospective Randomized Study. EAJEM 2018;17:153- 8
  9. Soar J, Nolan JP, Böttiger BW, et al. On behalf of the Adult advanced life support section Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015 Section 3. Adult advanced life support. Resuscitation 2015;95:100–47
  10. Tiah L, Kajino K, Alsakaf O, et al. Does pre-hospital endotracheal intubation improve survival in adults with non-traumatic out-ofhospital cardiac arrest? A systematic review. West J Emerg Med 2014;15:749- 57
  11. Benoit JL, Gerecht RB, Steuerwald MT, et al. Endotracheal intubation versus supraglottic airway placement in out-of-hospital cardiac arrest: a metaanalysis. Resuscitation 2015;93:20-6
  12. Andersen LW, Granfeldt A, Callaway CW, et al. Association between tracheal intubation during adult in-h