Evidence map›Paper›PMID 34422100›Full record

ArticleJournal of the Intensive Care Society2021

Airway management during in-hospital cardiac arrest in adults: UK national survey and interview study with anaesthetic and intensive care trainees.

Laura Goodwin, Katie Samuel, Behnaz Schofield, Sarah Voss, Stephen J Brett, Keith Couper, Doug Gould, David Harrison, Ranjit Lall, Jerry P Nolan and 5 more

Erratum issuedOpen access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the Intensive Care Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 1 country.

Laura GoodwinFaculty of Health and Applied Sciences, University of the West of England, Bristol, UK.ORCID https://orcid.org/0000-0002-9118-4620
Katie SamuelNorth Bristol NHS Trust, Bristol, UK.
Behnaz SchofieldFaculty of Health and Applied Sciences, University of the West of England, Bristol, UK.
Sarah VossFaculty of Health and Applied Sciences, University of the West of England, Bristol, UK.
Stephen J BrettFaculty of Medicine, Department of Surgery & Cancer, Imperial College London, London, UK.ORCID https://orcid.org/0000-0003-4545-8413
Keith CouperWarwick Clinical Trials Unit, University of Warwick, Coventry, UK.
Doug GouldIntensive Care National Audit and Research Centre (ICNARC), London, UK.ORCID https://orcid.org/0000-0003-4148-3312
David HarrisonIntensive Care National Audit and Research Centre (ICNARC), London, UK.ORCID https://orcid.org/0000-0002-9002-9098
Ranjit LallWarwick Clinical Trials Unit, University of Warwick, Coventry, UK.
Jerry P NolanWarwick Clinical Trials Unit, University of Warwick, Coventry, UK.
Gavin D PerkinsWarwick Clinical Trials Unit, University of Warwick, Coventry, UK.
Jasmeet SoarNorth Bristol NHS Trust, Bristol, UK.
Matthew ThomasUniversity Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Jonathan BengerFaculty of Health and Applied Sciences, University of the West of England, Bristol, UK.
Research and Audit Federation of Trainees (RAFT) network
University of the West of England · GBIntensive Care National Audit & Research Centre · GBNorth Bristol NHS Trust · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBUniversity of Warwick · GBImperial College London · GBUniversity Hospitals Bristol NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal airway management strategy for in-hospital cardiac arrest is unknown.

methodsAn online survey and telephone interviews with anaesthetic and intensive care trainee doctors identified by the United Kingdom Research and Audit Federation of Trainees. Questions explored in-hospital cardiac arrest frequency, grade and specialty of those attending, proportion of patients receiving advanced airway management, airway strategies immediately available, and views on a randomised trial of airway management strategies during in-hospital cardiac arrest.

resultsCompleted surveys were received from 128 hospital sites (76% response rate). Adult in-hospital cardiac arrests were attended by anaesthesia staff at 40 sites (31%), intensive care staff at 37 sites (29%) and a combination of specialties at 51 sites (40%). The majority (123/128, 96%) of respondents reported immediate access to both tracheal intubation and supraglottic airways. A bag-mask technique was used 'very frequently' or 'frequently' during in-hospital cardiac arrest by 111/128 (87%) of respondents, followed by supraglottic airways (101/128, 79%) and tracheal intubation (69/128, 54%). The majority (60/100, 60%) of respondents estimated that ≤30% of in-hospital cardiac arrest patients undergo tracheal intubation, while 34 (34%) estimated this to be between 31% and 70%. Most respondents (102/128, 80%) would be 'likely' or 'very likely' to recruit future patients to a trial of alternative airway management strategies during in-hospital cardiac arrest. Interview data identified several barriers and facilitators to conducting research on airway management in in-hospital cardiac arrest.

conclusionsThere is variation in airway management strategies for adult in-hospital cardiac arrest across the UK. Most respondents would be willing to take part in a randomised trial of airway management during in-hospital cardiac arrest.

Indexed as

Airway managementcardiac arrestin-hospital cardiac arrestsupraglottic airwaytracheal intubation

Identifiers

PMID34422100
PMCPMC8373281
OpenAlexW3069085681

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.