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- W2168245512 abstract "The optimal method for managing the airway during cardiac arrest remains controversial. 1 Deakin C.D. Nolan J.P. Soar J. et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 4. Adult advanced life support. Resuscitation. 2010; 81: 1305-1352 Abstract Full Text Full Text PDF PubMed Scopus (859) Google Scholar In this issue, Wang and colleagues from the North American Resuscitation Outcomes Consortium (ROC) compare out-of-hospital cardiac arrest (OHCA) patients managed with tracheal intubation to those managed with one of three supraglottic airway (SGA) devices: laryngeal tube (LT), Combitube, or laryngeal mask airway (LMA). The primary finding was better survival to discharge with favourable neurological status among those who were intubated. In an era when most out-of-hospital studies indicate that tracheal intubation provides no benefit, 2 Gausche M. Lewis R.J. Stratton S.J. et al. Effect of out-of-hospital pediatric endotracheal intubation on survival and neurological outcome: a controlled clinical trial. JAMA. 2000; 283: 783-790 Crossref PubMed Scopus (703) Google Scholar , 3 Egly J. Custodio D. Bishop N. et al. Assessing the impact of prehospital intubation on survival in out-of-hospital cardiac arrest. Prehosp Emerg Care. 2011; 15: 44-49 Crossref PubMed Scopus (28) Google Scholar and may be harmful, 4 Hanif M.A. Kaji A.H. Niemann J.T. Advanced airway management does not improve outcome of out-of-hospital cardiac arrest. Acad Emerg Med. 2010; 17: 926-931 Crossref PubMed Scopus (76) Google Scholar , 5 Wang H.E. Simeone S.J. Weaver M.D. Callaway C.W. Interruptions in cardiopulmonary resuscitation from paramedic endotracheal intubation. Ann Emerg Med. 2009; 54: 645-652 Abstract Full Text Full Text PDF PubMed Scopus (204) Google Scholar , 6 von Elm E. Schoettker P. Henzi I. Osterwalder J. Walder B. Pre-hospital tracheal intubation in patients with traumatic brain injury: systematic review of current evidence. Br J Anaesth. 2009; 103: 371-386 Crossref PubMed Scopus (71) Google Scholar , 7 Studnek J.R. Thestrup L. Vandeventer S. et al. The association between prehospital endotracheal intubation attempts and survival to hospital discharge among out-of-hospital cardiac arrest patients. Acad Emerg Med. 2010; 17: 918-925 Crossref PubMed Scopus (57) Google Scholar this paper is likely to be cited widely as evidence that tracheal intubation is beneficial. However, it is important to understand the intricacies of interpreting complex interactions within the study and the limitations of this methodology. Our enthusiasm for the findings must be tempered by careful analysis of the methods and results." @default.
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- W2168245512 date "2012-09-01" @default.
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- W2168245512 title "ROC, paper, scissors: Tracheal intubation or supraglottic airway for out-of-hospital cardiac arrest?" @default.
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- W2168245512 doi "https://doi.org/10.1016/j.resuscitation.2012.07.001" @default.
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