Paediatric anaesthesia & critical care
The impact of tracheal intubation attempts on chest compression fraction during pediatric CPR: a report from the Videography in Pediatric Resuscitation (VIPER) collaborative
Authors' conclusion
TI-associated CC pauses were often longer than recommended but did not reduce overall CCF.
Study context
- Population
- Pediatric CPR events in a network of EDs (VIPER Collaborative)
- Participants
- 183 CPR events
- Exposure
- CPR events with vs without tracheal intubation (TI)-associated chest compression pauses
- TI-associated chest compression (CC) pausesn = 29
- Outcome
- Chest compression fraction (CCF; proportion of time compressions were delivered during each event)
Methodological detailsmulticentre, videorecorded CPR events
- Multicentre
- Videorecorded CPR events
Main finding
As reported in the abstract
CCF
P = 0.11
Observational data: associations, not effects.
Further findings
Event duration and chest compression fraction (CCF), all events
- Median event duration
- 971 s (IQR 645-1432 s)
- Median CCF
- 92% (IQR 90-95%)
TI attempts
- Events with TI attempted
- 73 events (40%)
- Median laryngoscopy duration
- 34 s (IQR 24-53 s)
- Median TI-associated CC pause duration
- 20 s (IQR 10-33 s)
- Most commonly once per event
TI success
- TI success rates did not differ significantly between attempts with and without associated CC pauses
Original publication
The impact of tracheal intubation attempts on chest compression fraction during pediatric CPR: a report from the Videography in Pediatric Resuscitation (VIPER) collaborative. Resuscitation. Published 16 February 2026. doi:10.
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