Evidence map›Paper›PMID 39539716›Full record

ArticleResuscitation plus2024

Impact of endotracheal intubation versus laryngeal tube on gasometry and lactate at emergency department admission after out-of-hospital cardiac arrest.

Olaf Aretz, Jana Vienna Rödler, Athina Gavriil, Marc Deussen, Emmanuel Chorianopoulos, Sebastian Bergrath

Erratum issuedAbstract read
In one paragraph

Article in Resuscitation plus, 2024. 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Olaf AretzDepartment of Clinical Acute and Emergency Medicine, Kliniken Maria Hilf Mönchengladbach, Academic Teaching Hospital of RWTH Aachen University, Germany.
Jana Vienna RödlerDepartment of Clinical Acute and Emergency Medicine, Kliniken Maria Hilf Mönchengladbach, Academic Teaching Hospital of RWTH Aachen University, Germany.
Athina GavriilDepartment of Cardiology and Internal Intensive Care Medicine, Kliniken Maria Hilf Mönchengladbach, Academic Teaching Hospital of RWTH Aachen University, Germany.
Marc DeussenEmergency Medical Service and Fire Department of the City of Mönchengladbach, Germany.
Emmanuel ChorianopoulosDepartment of Cardiology and Internal Intensive Care Medicine, Kliniken Maria Hilf Mönchengladbach, Academic Teaching Hospital of RWTH Aachen University, Germany.
Sebastian BergrathDepartment of Clinical Acute and Emergency Medicine, Kliniken Maria Hilf Mönchengladbach, Academic Teaching Hospital of RWTH Aachen University, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Guidelines recommend supraglottic airways (e.g. laryngeal tube, LT) for out-of-hospital cardiac arrest (OHCA) if providers are not skilled in endotracheal intubation (ETI). In prolonged cardiopulmonary resuscitation (CPR) LT led to asphyxial physiology. Therefore we evaluated the impact of LT vs. ETI on gasometry and lactate at admission. Methods: All patients from 1 January 2020 to 30 April 2023 with return of spontaneous circulation (ROSC) or ongoing CPR (no ROSC) were included in this retrospective cohort study.Continuous data were analysed using the Mann-Whitney-U-Test. Results: Overall, 147 patients were included: ETI, n = 104; LT, n = 33; other airways, n = 10. ROSC, n = 86; no ROSC, n = 61. ETI vs. LT (median) for all patients showed: arterial blood gas analyses (BGA) (n = 62 vs. n = 20): pH 7.01 vs. 7.07, p = 0.83; pCO Conclusion: The prehospital airway strategy had no impact on gasometry in this OHCA collective except a better pH with ETI in no ROSC. Due to small numbers and non-existent data about the exact prehospital ventilation parameters, further prospective studies are needed to evaluate this question.

Indexed as

Endotracheal intubationGasometryLaryngeal tubeOut-of-hospital cardiac arrestPhysiology

Identifiers

PMID39539716
PMCPMC11558623

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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.