New Method of Intubation Offers Better Chance of Surviving Out-of-Hospital Cardiac Arrest

MedicalResearch.com Interview with:

Henry E. Wang, MD, MS Professor and Vice Chair for Research University of Texas Health Science Center at Houston  Department of Emergency Medicine Houston, Texas 

Dr. Wang

Henry E. Wang, MD, MS
Professor and Vice Chair for Research
University of Texas Health Science Center at Houston
Department of Emergency Medicine
Houston, Texas

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: For over three decades, paramedics have performed endotracheal intubation (ETI) as the standard advanced airway management strategy in cardiac arrest. However, intubation is a difficult and error-prone intervention. Newer supraglottic airways such as the laryngeal tube (LT) offer easier insertion technique with comparable ventilation. However, intubation and laryngeal tubes have not been tested head-to-head in a randomized trial.

Our study – the Pragmatic Airway Resuscitation Trial (PART) – tested intubation vs laryngeal tube for airway management in adult out-of-hospital cardiac arrests. The trial included 27 EMS agencies from the Birmingham, Dallas-Fort Worth, Milwaukee, Portland and Pittsburgh communities. The trial randomized a total of 3,004 adult cardiac arrests to airway management with ETI or LT.

We found that compared with traditional ETI, LT was associated with almost 3% better survival. Out-of-hospital cardiac arrest survival in the US is less than 10%, so the observed difference is important.  Continue reading