Maintaining CPR Quality During Advanced Airway Insertion in Patients with Cardiac Arrest

Use of an endotracheal tube or laryngeal mask airway significantly reduced interruptions in chest compressions.

Current resuscitation guidelines emphasize minimizing interruptions in chest compressions, especially early in the process. In a prospective observational study, researchers measured the effects of advanced airway use on cardiopulmonary resuscitation (CPR) quality in consecutive adults with medical cardiac arrest at a single hospital in England from 2008 to 2011. A compression sensor device was used to measure CPR quality, including no-flow ratio (the proportion of time without compressions), before and after placement of an endotracheal tube (ETT; 50 patients), laryngeal mask airway (LMA; 25 patients), or bag-valve mask (BVM; 25 patients).

Median time to insertion was 16 seconds for the ETT and 8 seconds for the LMA. After insertion of the …

Reviewing Author

Kristi L. Koenig, MD, FACEP, FIFEM

Disclosures

Editorial boardsKoenig & Schultz's Disaster Medicine: Comprehensive Principles and Practices

Kristi L. Koenig, MD, FACEP, FIFEM

Disclosures

Editorial boardsKoenig & Schultz's Disaster Medicine: Comprehensive Principles and Practices

Maintaining CPR Quality During Advanced Airway Insertion in Patients with Cardiac Arrest

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Reviewing Author