The Outcomes of Endotracheal Intubation versus Non-Endotracheal Intubation during Cardiopulmonary Arrest in the Emergency Department

  • Abdullah A. Bakhsh King Abdulaziz University https://orcid.org/0000-0003-1224-9367
  • Daniah S. Allali King Abdulaziz Medical City
  • Ahmad H. Bakhribah King Abdulaziz University
  • Ali A. Faydhi King Abdulaziz University
Keywords: Cardiopulmonary arrest, Airway management in cardiac arrest

Abstract

Airway management techniques during cardiopulmonary arrest in the emergency department may impact short and long-term outcomes of these patients. Prior studies addressing airway management of patients in cardiopulmonary arrest in the emergency department are limited. We aimed to evaluate the one-month neurological outcomes post cardiac arrest as a primary endpoint. Our secondary endpoint was to look at return of spontaneous circulation rates and survival to discharge. We retrospectively reviewed cardiac arrest flow sheets of patients sustaining in-emergency department cardiopulmonary arrest between January 2017 and September 2017. We looked at the different types of airway management techniques and their effect on patient outcomes. Patients who received non-endotracheal intubation during cardiopulmonary arrest had higher rates of good neurological outcome (GCS > 9) at one month when compared with patients who received endotracheal intubation: 8 (32%) vs. 2 (5.3%), respectively. Our results revealed a significant association of non-endotracheal intubation (bag-valve mask or laryngeal mask airway) with return of spontaneous circulation rates (p 0.044), survival to discharge (p < 0.001), and good neurological outcome (GCS > 9) (p 0.008). Although non-endotracheal intubation during cardiopulmonary arrest is not common, we encourage the increased use of bag-valve mask and laryngeal mask airways during cardiopulmonary arrest as they are associated with better outcomes.

Author Biographies

Abdullah A. Bakhsh, King Abdulaziz University

Department of Emergency Services, Assistant Professor

Daniah S. Allali, King Abdulaziz Medical City

Department of Emergency Medicine, Resident

Ahmad H. Bakhribah, King Abdulaziz University

Department of Emergency Medicine, Resident

Ali A. Faydhi, King Abdulaziz University

Department of Intensive Care Unit, Consultant

Published
2019-06-30
How to Cite
Bakhsh, A. A., Allali, D. S., Bakhribah, A. H., & Faydhi, A. A. (2019). The Outcomes of Endotracheal Intubation versus Non-Endotracheal Intubation during Cardiopulmonary Arrest in the Emergency Department. Journal of King Abdulaziz University - Medical Sciences, 26(1), 3-10. https://doi.org/10.4197/Med.26-1.2
Section
Articles