Cardiac arrest & resuscitation

First attempt success with continued versus paused chest compressions during cardiac arrest in the emergency department

ResuscitationPublished Retrospective video review study

Authors' conclusion

It was common to continue CPR during tracheal intubation, with success comparable to that achieved in patients without cardiac arrest.

Study context

Population
Adult emergency department (ED) patients receiving chest compressions at the start of orotracheal intubationinstances of intubation
Participants
169 patients
Exposure
Continued vs paused cardiopulmonary resuscitation (CPR) during tracheal intubation
  • Continued CPRn = 143reference
  • Paused CPRn = 26
Outcome
First attempt intubation success

Main finding

As reported in the abstract

Difference, % (95% CI)
Continued CPR vs Paused CPR
22(3%–41%)
Adjusted odds ratio (95% CI)
Paused CPR vs Continued CPRmultivariable model
0.67(0.17–2.60)

Observational data: associations, not effects.

Further findings

Method of chest compressions

Paused CPR more likely to be receiving manual rather than mechanical chest compressions

Original publication

First attempt success with continued versus paused chest compressions during cardiac arrest in the emergency department. Resuscitation. Published 9 February 2023. doi:10.1016/j.resuscitation.2023.109726

Composed by AI from the published abstract and checked against it. How Briefs are made →

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