Airway management in-out -of hospital cardiopulmonary resuscitation

Cilj: Cilj je istraživanja utvrditi učestalost upotrebe pojedinih metoda zbrinjavanja dišnog puta u bolesnika kod kojih je provedena kardiopulmonalna reanimacija. Nacrt studije: Retrospektivna kohortna studija. Ispitanici i metode: Retrospektivna studija obuhvatila je 266 ispitanika kod kojih su timovi izvanbolničkog HMS-a proveli KPR u razdoblju od 1. siječnja 2010. do 31. prosinca 2016. Istraživanje je provedeno prikupljanjem podataka iz medicinske dokumentacije Hitne medicinske pomoći Doma zdravlja Čakovec te programa e-Hitna ZHMMŽ-a i iz programa BIS-a Županijske bolnice Čakovec. Rezultati: U 266 ispitanika kod kojih je proveden postupak KPR 80,8 % imalo je zbrinut dišni put. Do dolaska u bolnicu preživjelo je 49 (18,5 %) ispitanika, od kojih je 48 (22,4 %) imalo zbrinut dišni put. Rezultati su pokazali da nema značajne razlike u ishodu, odnosno preživljavanju do bolnice s obzirom na način zbrinjavanja dišnog puta. Od ukupno 48 ispitanika koji su preživjeli do dolaska u bolnicu, njih 28 (58 %) preživjelo je i sljedećih 24 sata. Također nije bilo značajne razlike u preživljavanju 24 sata nakon IBSZ-a s obzirom na način zbrinjavanja dišnog puta. Zaključak: Istraživanje je pokazalo da odabir načina zbrinjavanja dišnog puta ne utječe na ishod KPR-a kod bolesnika koji su doživjeli IBSZ.Aim: The aim of research was to determine the frequency of use of particular airway management methods in patients who underwent cardiopulmonary resuscitation (CPR). Study design: Retrospective cohort study. Subjects and methods: A retrospective study included 266 patients on which emergency medical service teams performed CPR during the period from 1st January 2010 to 31st December 2016. The research was conducted by collecting data from medical archives of the Čakovec Health Centre Emergency Medical Care (Hitna medicinska pomoć Doma zdravlja Čakovec), e-Hitna programme of the Institute of Emergency Medicine of Međimurje County (Zavod za hitnu medicinu Međimurske županije – ZHMMŽ) and Hospital Information System (Bolnički informacijski sustav – BIS) programme of the County Hospital Čakovec. Results: Out of 266 subjects who underwent CPR, 80.8 per cent had their airway secured. Forty-nine patients (18.5%) survived on hospital arrival, of which 48 (22.4%) had their airway secured. The results have shown that there is no significant difference in the outcome, i.e. survival upon hospital arrival, in correlation to airway managment treatment. Out of 48 subjects who survived to the hospital, 28 (58%) survived the next 24 hours. There was also no significant difference in surviving 24 hours after an out-of-hospital cardiac arrest (OHCA) in relation to used airway management methods. Conclusion: The research has shown that the choice of airway managing methods does not affect the outcome of CPR in patients who have suffered OHCA