Respiratory airway in brain and cardiopulmonary resuscitation

Authors

  • Idoris Cordero Escoba Hospital Clínico Quirúrgico "Hermanos Ameijeiras". La Habana
  • Marina Beatriz Vallongo Menéndez Clínica Central "Cira García". La Habana
  • Luis Ochoa Montes Hospital Clínico Quirúrgico "Hermanos Ameijeiras". La Habana

Keywords:

orotracheal intubation, facial mask or self-inflating bag ventilation

Abstract

Introduction: Accessing the airway is an element of vital importance in cases of cardiac arrest. Both when the basic principles established for resuscitation were the ABC (English acronym for airway, breathing and circulation), and for those of the current CAB (circulation, airway and breathing). There are controversies between the technique used to ensure ventilation the best way: orotracheal intubation or supraglottic devices?
Objective: To carry out an update on the techniques to access the airway in cardiopulmonary and cerebral resuscitation.
Method: We visited the website of the National Medical Library of the United States ( PubMed) with the following keywords in English: airway AND reanimation, and with the filter activated for the last five years, in humans and in full text.
Conclusions: Tracheal intubation requires regular training and practice to avoid complications. The untrained staff members do not always have enough skills to achieve it and should not waste time doing these procedures, but focus on high-quality chest compressions, the ventilation bag and mask, instead, until the arrival of rescuer experts.

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References

Gahan K, Studnek JR, Vandeventer S. King LT-D use by urban basic life support first responders as the primary airway device for out-of-hospital cardiac arrest. Resuscitation. 2011;82(12):1525-8.

Hasegawa K. Association of prehospital advanced airway management with neurologic outcome and survival in patients with out-of-hospital cardiac arrest. JAMA. 2013;309:257-66.

Díaz Alersi R. Relación entre manejo avanzado de la vía aérea y buen resultado neurológico en la PCR extrahospitalaria. REMI. 2013;13(6):1863.

Nolan JP. International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Resuscitation. 2010;81 S:e1-e25.

Soar J, Nolan JP. Airway management in cardiopulmonary resuscitation. Curr Opin Crit Care. 2013;19:181-7.

Wang HE, Yealy DM. Managing the airway during cardiac arrest. JAMA. 2013;309:285-6.

Bobrow BJ. Minimally Interrupted Cardiac Resuscitation by Emergency Medical Services for Out-of-Hospital Cardiac Arrest. JAMA. 2008;299:1158-65.

Fischer H. Performance of supraglotic airway devices and 12-month skill retention: a randomized controlled study with manikins. Resuscitation. 2011;82:326-31.

Shin SD. Out-of-hospital airway management and cardiac arrest outcomes: a propensity score matched analysis. Resuscitation. 2012;83:313-9.

Hasegawa K. Emergency airway management in Japan: interim analysis of a multi-center prospective observational study. Resuscitation. 2011;83:428-33.

Published

2017-09-06

How to Cite

1.
Cordero Escoba I, Vallongo Menéndez MB, Ochoa Montes L. Respiratory airway in brain and cardiopulmonary resuscitation. Rev Cub Anest Rean [Internet]. 2017 Sep. 6 [cited 2024 Dec. 24];16(3). Available from: https://revanestesia.sld.cu/index.php/anestRean/article/view/137

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Section

Review articles

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