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Correspondence to Author: Iiattichai Gaorattanachai, 

Department of Emergency Medicine, Faculty of Medicine, ammasat University, Pathum ani 12120, Thailand.

Introduction: A serious condition that is observed in emergency rooms across the globe, cardiac arrest occurs at a rate of 330,000 in the US and 275,000 in the EU annually [1]. A vital component in the survival of patients experiencing cardiac arrest is providing high-quality cardiopulmonary resuscitation (CPR), which includes proper aided ventilation, minimal interruption of compression, and successful chest compression. About 20% of all non-cardiac causes of in-hospital cardiac arrest are hypoxic, making it the most common cause [2, 3]. During CPR, the ventilatory technique is crucial, particularly for nonshockable patients whose causes are primarily non-cardiac. Patients experiencing cardiac arrest are frequently given bag-mask ventilation (BMV) as an initial form of assisted breathing, either with or without basic airway adjunct. When performing CPR, certain patients require advanced airway management (AAM), which may involve endotracheal intubation or the placement of a supraglottic airway device. The best way to ventilate a person during cardiac arrest is still up for debate.The American Heart Association (AHA) 2020 guidelines state that In any situation where CPR is being performed, emergency cardiovascular care, BMV, or an AAM may be taken into consideration. A previous study that found 96.7% of tracheal intubation attempts were successful was published in [6]. According to current American Heart Association guidelines, advanced airway approach may be employed when tracheal intubation success rates are high. But as of right now, there’s no proof on the best timing to AAM. Survival at discharge is improved by AAM less than 5 minutes, according to Wong et al. [7]. The advantages of delayed AAM in the prehospital context were demonstrated by Bobrow et al. [8]. This study assessed the impact of early versus late AAM in patients presenting with non-shockable initial cardiac rhythm who were at risk of cardiac arrest.

Citation:

Iiattichai Gaorattanachai. Outcomes of Initial Non-Shockable Rhythm Cardiopulmonary Arrest in Emergency Department Patients with Early vs. Late Endotracheal Intubation. The American Journal of Public Health 2024.