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Risk factors for failure of the first intubation attempt during cardiopulmonary resuscitation in out-of-hospital emergency settings: What about chest compression?

dc.rights.licenseopenen_US
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorGALINSKI, Michel
dc.contributor.authorTAZI, Georges
dc.contributor.authorWROBEL, Marion
dc.contributor.authorBOYER, Romain
dc.contributor.authorREUTER, Paul Georges
dc.contributor.authorRUSCEV, Mirko
dc.contributor.authorDEBATY, Guillaume
dc.contributor.authorBAGOU, Gilles
dc.contributor.authorDEHOURS, Emilie
dc.contributor.authorBOSC, Juliane
dc.contributor.authorLORENDEAU, Jean-Paul
dc.contributor.authorGODDET, Sybille
dc.contributor.authorMAROUF, Kamelia
dc.contributor.authorSIMONNET, Bruno
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorGIL-JARDINE, Cedric
dc.date.accessioned2025-07-08T09:36:31Z
dc.date.available2025-07-08T09:36:31Z
dc.date.issued2025-04-26
dc.identifier.issn1873-1570en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/207264
dc.description.abstractEnINTRODUCTION: Previous studies have described interactions between the success rate of tracheal intubation (TI) and chest compression during resuscitation from cardiac arrest. However, it is not clear if chest compression increases the complexity of TI. The aim of this study was to determine the risk factors for difficulty with tracheal intubation during resuscitation of patients with out-of-hospital cardiac arrest, focusing in particular on the impact of ongoing chest compressions on the success of the first intubation attempt. METHODS: We performed a secondary analysis of data obtained during an observational, prospective multicenter study. After each TI, the operator provided information on both the operator and the patient, and the TI environment. We included only OHCA data. The primary endpoint was failure of the first intubation attempt. RESULTS: Data on a total of 848 OHCA patients were analyzed. A total of 291 first TI attempts failed (34.3%). Multivariate analysis revealed that six variables were associated with an increased risk of failure: an operator who had performed ≤ 50 prior intubations (odds ratio [OR] [95% confidence interval] = 2.0 [1.4-2.9]), male patient gender (OR = 1.5 [1.0-2.3]), a small inter-incisor space (OR = 3.4 [2.2-5.4]), ear, nose, and throat disease (OR = 2.8 [1.8-4.4]), vomiting (OR = 2.1 [1.4-3.2]), and continued chest compression during the TI attempt (OR = 1.6 [1.1-2.3]). CONCLUSION: The first intubation attempt failed in 34% of cases, and ongoing chest compressions during intubation was one of six variables associated with the risk of failure. However, this must be weighed against the need for invasive airway management and the negative effects of interrupting chest compressions.
dc.language.isoENen_US
dc.subject.enDifficult intubation
dc.subject.enFirst tracheal intubation attempt
dc.subject.enOut-of-hospital cardiac arrest
dc.subject.enRisk factors
dc.title.enRisk factors for failure of the first intubation attempt during cardiopulmonary resuscitation in out-of-hospital emergency settings: What about chest compression?
dc.title.alternativeResuscitationen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.resuscitation.2025.110623en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed40294839en_US
bordeaux.journalResuscitationen_US
bordeaux.page110623en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamAHEAD_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-05150319
hal.version1
hal.date.transferred2025-07-08T09:36:34Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Resuscitation&rft.date=2025-04-26&rft.spage=110623&rft.epage=110623&rft.eissn=1873-1570&rft.issn=1873-1570&rft.au=GALINSKI,%20Michel&TAZI,%20Georges&WROBEL,%20Marion&BOYER,%20Romain&REUTER,%20Paul%20Georges&rft.genre=article


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