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Duration of exposure to a prehospital advanced airway and neurological outcome for out-of-hospital cardiac arrest: a retrospective cohort study

Resuscitation Jan 22, 2021

Benoit JL, Stolz U, McMullan JT, et al. - Researchers tested the theory that more time in the chaotic prehospital environment following intra-arrest advanced airway placement results in lower patient survival. They conducted a secondary analysis of adult, non-traumatic, out-of-hospital cardiac arrest (OHCA) patients with an advanced airway placed in the PRIMED trial. Adjusted odds ratios were calculated by using multivariable logistic regression, adjusted for Utstein variables and resuscitation-associated time intervals. A total of 4,779 patients were included in this cohort. The median time exposed to a prehospital advanced airway was 27 minutes. The findings revealed that longer time intervals exposed to a prehospital advanced airway are not correlated with reduced patient survival in OHCA patients who receive an intra-arrest advanced airway.

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