• Critical care clinics · Oct 2020

    Review

    Optimal Airway Management in Cardiac Arrest.

    • Jestin N Carlson and Henry E Wang.
    • Department of Emergency Medicine, Saint Vincent Hospital, Allegheny Health Network, 232 West 25th Street, Erie, PA 16544, USA. Electronic address: jcarlson@ahn-emp.com.
    • Crit Care Clin. 2020 Oct 1; 36 (4): 705-714.

    AbstractAirway management during cardiac arrest has undergone several advancements. Endotracheal intubation (ETI) often is considered the gold standard for airway management in cardiac arrest; however, other options exist. Recent prospective randomized trials have compared outcomes in bag-valve mask ventilation and supraglottic airways to ETI in out-of-hospital cardiac arrest. ETI, if performed early in resuscitation, is associated with worse patient outcomes and has been de-emphasized so as not to interfere with other aspects of the resuscitation. Hyperventilation has multiple theoretic harms during cardiac arrest, and methods, such as compression-adjusted ventilation, may be utilized to help reduce the incidence of hyperventilation.Copyright © 2020 Elsevier Inc. All rights reserved.

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