Early endotracheal intubation is not associated with the rate of return of spontaneous circulation following cardiac arrest at the emergency department:an exploratory analysis  

作　　者：Siwat Neamjun Phichayut Phinyo Borwon Wittayachamnankul Wachira Wongtanasarasin 

机构地区：[1]Department of Emergency Medicine,Faculty of Medicine,Chiang Mai University,Chiang Mai 50200,Thailand [2]Department of Family Medicine,Faculty of Medicine,Chiang Mai University,Chiang Mai 50200,Thailand [3]Center for Clinical Epidemiology and Clinical Statistics,Faculty of Medicine,Chiang Mai University,Chiang Mai 50200,Thailand [4]Department of Emergency Medicine,University of California Davis School of Medicine,Sacramento 95817,USA

出　　处：《World Journal of Emergency Medicine》2024年第4期297-300,共4页世界急诊医学杂志（英文）

基　　金：granted by the Faculty of Medicine,Chiang Mai University(Grant No.MC017-65);supported by the National Center for Advancing Translational Sciences,National Institutes of Health,through grant number UL1 TR001860(to WW).

摘　　要：Cardiac arrest poses a significant global public health challenge,manifesting in approximately 550,000 cases annually within the United States.[1]In-hospital cardiac arrest(IHCA)is commonly attributed to airways and respiratory issues.[2]Recommendations emphasize the expertise of responders in airway management.[3]Various options exist,such as chest compression-only cardiopulmonary resuscitation(CPR),bag-mask ventilation(BMV),and advanced airways.The BMV and advanced airways are not deemed equivalent or superior based on previous evidence.[4]Achieving consistency in choosing and timing the optimal airway approach during IHCA is crucial.The current American Heart Association guidelines suggest an advanced airway strategy when endotracheal intubation(ETI)success rates are high,but the optimal time for advanced airway management remains unclear.[5]Wong et al[6]revealed that survival improved by less than 5 min with advanced airway management.According to a subgroup analysis of IHCA patients in emergency departments(EDs),early intubation was associated with a 1.5-fold greater rate of return of spontaneous circulation(ROSC)than in other locations.[7]ED patients’constant monitoring and immediate management,with readily available intubation equipment,enhance early intubation and survival rates.[6]Nonetheless,IHCA patients intubated within the first 15 min had a lower ROSC rate.

关 键 词：INTUBATION RETURN annually 

分 类 号：R541.78[医药卫生—心血管疾病]