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Airway management during in-hospital cardiac arrest in adults : UK national survey and interview study with anaesthetic and intensive care trainees
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Goodwin, Laura, Samuel, Katie, Schofield, Behnaz, Voss, Sarah, Brett, Stephen J., Couper, Keith, Gould, Doug, Harrison, David, Lall, Ranjit, Nolan, Jerry P., Perkins, Gavin D., Soar, Jasmeet, Thomas, Matthew and Benger, Jonathan (2020) Airway management during in-hospital cardiac arrest in adults : UK national survey and interview study with anaesthetic and intensive care trainees. Journal of the Intensive Care Society . 175114372094945. doi:10.1177/1751143720949458 (In Press)
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WRAP-Airway-management-during-in-hospital-cardiac-arrest-Couper-2020.pdf - Accepted Version - Requires a PDF viewer. Download (1220Kb) | Preview |
Official URL: https://doi.org/10.1177/1751143720949458
Abstract
Background The optimal airway management strategy for in-hospital cardiac arrest is unknown. Methods An online survey and telephone interviews with anaesthetic and intensive care trainee doctors identified by the United Kingdom Research and Audit Federation of Trainees. Questions explored in-hospital cardiac arrest frequency, grade and specialty of those attending, proportion of patients receiving advanced airway management, airway strategies immediately available, and views on a randomised trial of airway management strategies during in-hospital cardiac arrest. Results Completed surveys were received from 128 hospital sites (76% response rate). Adult in-hospital cardiac arrests were attended by anaesthesia staff at 40 sites (31%), intensive care staff at 37 sites (29%) and a combination of specialties at 51 sites (40%). The majority (123/128, 96%) of respondents reported immediate access to both tracheal intubation and supraglottic airways. A bag-mask technique was used ‘very frequently’ or ‘frequently’ during in-hospital cardiac arrest by 111/128 (87%) of respondents, followed by supraglottic airways (101/128, 79%) and tracheal intubation (69/128, 54%). The majority (60/100, 60%) of respondents estimated that ≤30% of in-hospital cardiac arrest patients undergo tracheal intubation, while 34 (34%) estimated this to be between 31% and 70%. Most respondents (102/128, 80%) would be ‘likely’ or ‘very likely’ to recruit future patients to a trial of alternative airway management strategies during in-hospital cardiac arrest. Interview data identified several barriers and facilitators to conducting research on airway management in in-hospital cardiac arrest. Conclusions There is variation in airway management strategies for adult in-hospital cardiac arrest across the UK. Most respondents would be willing to take part in a randomised trial of airway management during in-hospital cardiac arrest.
| Item Type: | Journal Article | |||||||||
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| Subjects: | R Medicine > RC Internal medicine R Medicine > RF Otorhinolaryngology |
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| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
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| SWORD Depositor: | Library Publications Router | |||||||||
| Library of Congress Subject Headings (LCSH): | Airway (Medicine), Cardiac arrest , Cardiac arrest -- Treatment, Respiratory therapy, Trachea -- Intubation | |||||||||
| Journal or Publication Title: | Journal of the Intensive Care Society | |||||||||
| Publisher: | SAGE Publications | |||||||||
| ISSN: | 1751-1437 | |||||||||
| Official Date: | 18 August 2020 | |||||||||
| Dates: |
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| Date of first compliant deposit: | 2 September 2020 | |||||||||
| Article Number: | 175114372094945 | |||||||||
| DOI: | 10.1177/1751143720949458 | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | In Press | |||||||||
| Publisher Statement: | 1. Goodwin L, Samuel K, Schofield B, et al. Airway management during in-hospital cardiac arrest in adults: UK national survey and interview study with anaesthetic and intensive care trainees. Journal of the Intensive Care Society. August 2020. doi:10.1177/1751143720949458. Copyright © 2020 by [The Authors]. Reprinted by permission of SAGE Publications. DOI: https://doi.org/10.1177/1751143720949458 | |||||||||
| Access rights to Published version: | Open Access | |||||||||
| RIOXX Funder/Project Grant: |
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