Effect of Placement of a Supraglottic Airway Device vs Endotracheal Intubation on Return of Spontaneous Circulation in Adults With Out-of-Hospital Cardiac Arrest in Taipei, Taiwan: A Cluster Randomized Clinical Trial. Lee A, Chien Y, Lee B, et al. JAMA Netw Open. 2022;5(2):e2148871. doi:10.1001/jamanetworkopen.2021.48871

        Every year hundreds of thousands of people suffer from out-of-hospital-cardiac arrest (OHCA), and fewer than 5% of these patients survive until hospital discharge. These patients are managed with basic and advanced life support, and a crucial part of these measures is ensuring proper oxygenation through airway management. Options for this include tools like supraglottic airway (SGA) devices and endotracheal intubation (ETI). The best option for airway management in the pre-hospital setting remains unclear in literature. This study aims to determine the best approach for advanced airway management in patients with OHCA by comparing the effectiveness of ETI and SGA on achievement of sustained return of spontaneous circulation (ROSC).
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