Pulm CCM - July 8, 2017
..."There was serious concern that prioritizing airway and breathing led to inadequate circulation, sacrificing precious brain and other organs' health for the sake of an unneeded advanced airway. The 2015 AHA guidelines (and their European counterparts) further downplayed any advantage of endotracheal intubation over bag-mask ventilation during CPR...
Anyway, don't sacrifice immediacy or quality of chest compressions to intubate during CPR, is what I think this paper (and AHA) are trying to tell us.
- There's likely no advantage to achieving high blood oxygen saturations after cardiac arrest; in fact, it might be harmful. So who are you trying to impress, really?
- Association Between Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival. JAMA 2017;317(5):494-506.
- Whether to Intubate During Cardiopulmonary Resuscitation. Conventional Wisdom vs Big Data. JAMA. 2017;317(5):477-478.