Advanced airway management in out of hospital cardiac arrest: A systematic review and meta‐analysis

@article{White2018AdvancedAM,
  title={Advanced airway management in out of hospital cardiac arrest: A systematic review and meta‐analysis},
  author={Leigh White and Thomas Melhuish and Rhys S. Holyoak and Thomas Ryan and Hannah R. Kempton and Ruan Vlok},
  journal={American Journal of Emergency Medicine},
  year={2018},
  volume={36},
  pages={2298–2306}
}

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References

SHOWING 1-10 OF 106 REFERENCES
Advanced airway management does not improve outcome of out-of-hospital cardiac arrest.
  • M. Hanif, A. Kaji, J. Niemann
  • Medicine
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
  • 2010
TLDR
In this cohort, when compared to BVM ventilation, advanced airway methods were associated with decreased survival to hospital discharge among adult nontraumatic OOHCA patients.
Airway management in out-of-hospital cardiac arrest in Finland: current practices and outcomes
TLDR
This study showed acceptable ETI and SAD success rates among Finnish patients with OHCA, and overall survival was 17.8 % at hospital discharge and 14.0 % after 1 year.
The impact of airway strategy on the patient outcome after out-of-hospital cardiac arrest: A propensity score matched analysis
TLDR
The use of a laryngeal tube for airway management in cardiac arrest was significantly associated with poor 30-day survival rates and unfavourable neurological outcome, and a primary endotracheal airway Management needs to be considered at the scene.
Association of prehospital advanced airway management with neurologic outcome and survival in patients with out-of-hospital cardiac arrest.
TLDR
Among adult patients with OHCA, any type of advanced airway management was independently associated with decreased odds of neurologically favorable survival compared with conventional bag-valve-mask ventilation.
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