Comparison of supraglottic airway versus endotracheal intubation for the pre-hospital treatment of out-of-hospital cardiac arrest

Kajino, Kentaro; Iwami, Taku; Kitamura, Tetsuhisa; Daya, Mohamud; Ong, Marcus E.H.; Nishiuchi, Tatsuya; Hayashi, Yasuyuki; Sakai, Tomohiko; Shimazu, Takeshi; Hiraide, Atsushi; Kishi, Masashi; Yamayoshi, Shigeru

doi:https://doi.org/10.1186/cc10483

Comparison of supraglottic airway versus endotracheal intubation for the pre-hospital treatment of out-of-hospital cardiac arrest

Kajino, Kentaro; Iwami, Taku; Kitamura, Tetsuhisa et al.

Critical Care, 2011, 15(5), R236

Number of Access:1,287（2025-10-21 09:36 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/78418

Link to primary information

File	Format	Terms of use	Size	Views	Date.Available	Description	information
CritCare_15_05_236	pdf	None	475 KB	121	2021.02.02

Creative Commons : Attribution

Item Information

Output File Export EndNote Basic Export Mendeley

Title	Comparison of supraglottic airway versus endotracheal intubation for the pre-hospital treatment of out-of-hospital cardiac arrest
Creator	CreatorName Kajino, Kentaro
	NRID 1000060437291 1000060437291 CreatorName Iwami, Taku
	NRID 1000030639810 1000030639810 ORCID 0000-0003-0107-0580 0000-0003-0107-0580 researchmap permalink Kitamura_T Kitamura_T Scopus Author ID 22234282700 22234282700 CreatorName Kitamura, Tetsuhisa
	CreatorName Daya, Mohamud
	CreatorName Ong, Marcus E.H.
	NRID 1000060588804 1000060588804 CreatorName Nishiuchi, Tatsuya
	CreatorName Hayashi, Yasuyuki
	NRID 1000050456985 1000050456985 researchmap permalink sakaitomohiko sakaitomohiko Scopus Author ID 35746769000 35746769000 CreatorName Sakai, Tomohiko
	NRID 1000050196474 1000050196474 CreatorName Shimazu, Takeshi
	NRID 1000020199037 1000020199037 CreatorName Hiraide, Atsushi
	CreatorName Kishi, Masashi
	CreatorName Yamayoshi, Shigeru
Subject	Advanced airway
	Cardiac arrest
	Endotracheal intubation
	Pre-hospital
	Resuscitation
	Supraglottic airway
Description	Kajino, K., Iwami, T., Kitamura, T. et al. Comparison of supraglottic airway versus endotracheal intubation for the pre-hospital treatment of out-of-hospital cardiac arrest. Crit Care 15, R236 (2011). https://doi.org/10.1186/cc10483
Abstract	Introduction: Both supraglottic airway devices (SGA) and endotracheal intubation (ETI) have been used by emergency life-saving technicians (ELST) in Japan to treat out-of-hospital cardiac arrests (OHCAs). Despite traditional emphasis on airway management during cardiac arrest, its impact on survival from OHCA and time dependent effectiveness remains unclear.Methods: All adults with witnessed, non-traumatic OHCA, from 1 January 2005 to 31 December 2008, treated by the emergency medical services (EMS) with an advanced airway in Osaka, Japan were studied in a prospective Utstein-style population cohort database. The primary outcome measure was one-month survival with neurologically favorable outcome. The association between type of advanced airway (ETI/SGA), timing of device placement and neurological outcome was assessed by multiple logistic regression.Results: Of 7,517 witnessed non-traumatic OHCAs, 5,377 cases were treated with advanced airways. Of these, 1,679 were ETI while 3,698 were SGA. Favorable neurological outcome was similar between ETI and SGA (3.6% versus 3.6%, P = 0.95). The time interval from collapse to ETI placement was significantly longer than for SGA (17.2 minutes versus 15.8 minutes, P < 0.001). From multivariate analysis, early placement of an advanced airway was significantly associated with better neurological outcome (Adjusted Odds Ratio (AOR) for one minute delay, 0.91, 95% confidence interval (CI) 0.88 to 0.95). ETI was not a significant predictor (AOR 0.71, 95% CI 0.39 to 1.30) but the presence of an ETI certified ELST (AOR, 1.86, 95% CI 1.04 to 3.34) was a significant predictor for favorable neurological outcome.Conclusions: There was no difference in neurologically favorable outcome from witnessed OHCA for ETI versus SGA. Early airway management with advanced airway regardless of type and rhythm was associated with improved outcomes.
Publisher	BioMed Central Ltd.
Source Title	Critical Care
Volume (Issue)	15(5)
Page	R236
Date of Issued	2011-10-10
Language	English
Handle URL	https://hdl.handle.net/11094/78418
PISSN	13648535
eISSN	1466609X
NCID	AA10617567
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1186/cc10483
Relation.isIdenticalTo	PMID 21985431
Access Rights	open access
CopyRight	© 2011 Kajino et al.; licensee BioMed Central Ltd. This article is licensed under a Creative Commons Attribution 2.0 Generic License.
oaire:version	Version of Record
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCMI Type	Text
DCTERMS.bibliographicCitation	Critical Care. 2011, 15(5), p. R236
DC.title	Comparison of supraglottic airway versus endotracheal intubation for the pre-hospital treatment of out-of-hospital cardiac arrest
DC.creator	Kajino, Kentaro
	Iwami, Taku
	Kitamura, Tetsuhisa
	Daya, Mohamud
	Ong, Marcus E.H.
	Nishiuchi, Tatsuya
	Hayashi, Yasuyuki
	Sakai, Tomohiko
	Shimazu, Takeshi
	Hiraide, Atsushi
	Kishi, Masashi
	Yamayoshi, Shigeru
DC.publisher	BioMed Central Ltd.
DC.language' scheme='DCTERMS.RFC1766	English
DC.type' scheme='DCTERMS.DCMIType	Text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2011-10-10
DC.identifier	https://doi.org/10.1186/cc10483
DC.subject	Advanced airway
	Cardiac arrest
	Endotracheal intubation
	Pre-hospital
	Resuscitation
	Supraglottic airway
DC.description	Kajino, K., Iwami, T., Kitamura, T. et al. Comparison of supraglottic airway versus endotracheal intubation for the pre-hospital treatment of out-of-hospital cardiac arrest. Crit Care 15, R236 (2011). https://doi.org/10.1186/cc10483
DCTERMS.abstract	Introduction: Both supraglottic airway devices (SGA) and endotracheal intubation (ETI) have been used by emergency life-saving technicians (ELST) in Japan to treat out-of-hospital cardiac arrests (OHCAs). Despite traditional emphasis on airway management during cardiac arrest, its impact on survival from OHCA and time dependent effectiveness remains unclear.Methods: All adults with witnessed, non-traumatic OHCA, from 1 January 2005 to 31 December 2008, treated by the emergency medical services (EMS) with an advanced airway in Osaka, Japan were studied in a prospective Utstein-style population cohort database. The primary outcome measure was one-month survival with neurologically favorable outcome. The association between type of advanced airway (ETI/SGA), timing of device placement and neurological outcome was assessed by multiple logistic regression.Results: Of 7,517 witnessed non-traumatic OHCAs, 5,377 cases were treated with advanced airways. Of these, 1,679 were ETI while 3,698 were SGA. Favorable neurological outcome was similar between ETI and SGA (3.6% versus 3.6%, P = 0.95). The time interval from collapse to ETI placement was significantly longer than for SGA (17.2 minutes versus 15.8 minutes, P < 0.001). From multivariate analysis, early placement of an advanced airway was significantly associated with better neurological outcome (Adjusted Odds Ratio (AOR) for one minute delay, 0.91, 95% confidence interval (CI) 0.88 to 0.95). ETI was not a significant predictor (AOR 0.71, 95% CI 0.39 to 1.30) but the presence of an ETI certified ELST (AOR, 1.86, 95% CI 1.04 to 3.34) was a significant predictor for favorable neurological outcome.Conclusions: There was no difference in neurologically favorable outcome from witnessed OHCA for ETI versus SGA. Early airway management with advanced airway regardless of type and rhythm was associated with improved outcomes.
DC.rights	© 2011 Kajino et al.; licensee BioMed Central Ltd. This article is licensed under a Creative Commons Attribution 2.0 Generic License.
DC.format	78418
citation_title	Comparison of supraglottic airway versus endotracheal intubation for the pre-hospital treatment of out-of-hospital cardiac arrest
citation_author	Kajino, Kentaro
	Iwami, Taku
	Kitamura, Tetsuhisa
	Daya, Mohamud
	Ong, Marcus E.H.
	Nishiuchi, Tatsuya
	Hayashi, Yasuyuki
	Sakai, Tomohiko
	Shimazu, Takeshi
	Hiraide, Atsushi
	Kishi, Masashi
	Yamayoshi, Shigeru
citation_publisher	BioMed Central Ltd.
citation_language	English
citation_date	2011-10-10
citation_journal_title	Critical Care
citation_volume	15
citation_issue	5
citation_firstpage	R236
citation_doi	https://doi.org/10.1186/cc10483
citation_pmid	21985431
citation_public_url	https://hdl.handle.net/11094/78418

Comparison of supraglottic airway versus endotracheal intubation for the pre-hospital treatment of out-of-hospital cardiac arrest

Link to primary information

Item Information

Show details