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Authors
Advisor(s)
Abstract(s)
Introdução: A Paragem Cárdio Respiratória (PCR) pré-hospitalar uma das principais
causas de morte e que afeta cerca de 300 000 pessoas por ano na Europa, pelo que se
torna um componente central da RCP a gestão eficaz da via aérea.
O objetivo do estudo foi de conhecer as diferenças existentes na sobrevivência e nos
outcomes neurológicos das vítimas que sofreram PCR pré-hospitalar e a quem foi
assegurada via aérea através de um tubo endotraqueal ou de um dispositivo supraglótico.
Métodos: Foi realizada uma revisão sistemática da literatura sobre estudos que
avaliavam o uso de entubação traqueal ou colocação de dispositivos supraglóticos em
vítimas que tinham sofrido PCR pré-hospitalar. A pesquisa foi realizada na PUBMED,
EBSCO, Google Académico e SciELO de estudos publicados entre Janeiro de 2011 e 31 de
Agosto de 2016 que foram depois avaliados respeitando os critérios de inclusão
previamente estabelecidos.
Resultados: Três RCT’s preenchiam os critérios de inclusão, envolvendo 24533
participantes, sendo 15757 do grupo que recebeu Entubação Traqueal (ET) e 8776 do grupo
a quem foi colocado um dispositivos supraglóticos (DSG). A análise dos estudos revela que
a utilização de DSG está associada a melhores resultados que a utilização de TET em todos
os outcomes de investigação, desde o RCE ao bom resultado neurológico à alta hospitalar.
Conclusão: Não existem diferenças estatisticamente significativas entre a utilização
de TET ou DSG na PCR pré-hospitalar. Contudo, os DSG apresentam melhores resultados
e estão associados a um melhor prognóstico que a utilização da TET a nível neurológico à
alta hospitalar.
PALAVRAS-CHAVE: Entubação, Dispositivos Supraglóticos, Paragem Cárdio
Respiratória, Pré-hospitalar.
Abstract Introduction - The out-of-hospital Cardiac Arrest (OHCA) is one of the leading causes of death and affects around 300,000 people per year in Europe, and effective airway management becomes a central component of CPR The objective of the study was to know the differences in survival and neurological outcomes of patients who underwent prehospital CRP and who were treated by an airway with an endotracheal tube or a supraglottic device. Methods: A systematic review of the literature on studies evaluating the use of tracheal intubation or placement of supraglottic devices was performed on victims who underwent extra-hospital CRP. We conducted research on PUBMED, EBSCO, Google Academic and SciELO from studies published between January 2011 and August 31, 2016 that were then in compliance with the inclusion criteria. Results: Three RCTs met the inclusion criteria, involving 24533 participants, of which 15,757 were from the tracheal intubation (ET) group and 8776 from the group to whom it was launched and supraglottic devices (DSG). An analysis of the studies reveals that the use of DSG is associated with better results than the use of TET in all the search results, from the RCE to the good neurological result to the hospital discharge Conclusion: There are no statistically significant differences between the use of TET or DSG in prehospital CRP. However, DSGs present better results and are associated with a better prognosis than the use of ETT at the neurological level at hospital discharge. KEYWORDS: Intubation, Supraglottic Devices, Cardiopulmonary Resuscitation, Prehospital.
Abstract Introduction - The out-of-hospital Cardiac Arrest (OHCA) is one of the leading causes of death and affects around 300,000 people per year in Europe, and effective airway management becomes a central component of CPR The objective of the study was to know the differences in survival and neurological outcomes of patients who underwent prehospital CRP and who were treated by an airway with an endotracheal tube or a supraglottic device. Methods: A systematic review of the literature on studies evaluating the use of tracheal intubation or placement of supraglottic devices was performed on victims who underwent extra-hospital CRP. We conducted research on PUBMED, EBSCO, Google Academic and SciELO from studies published between January 2011 and August 31, 2016 that were then in compliance with the inclusion criteria. Results: Three RCTs met the inclusion criteria, involving 24533 participants, of which 15,757 were from the tracheal intubation (ET) group and 8776 from the group to whom it was launched and supraglottic devices (DSG). An analysis of the studies reveals that the use of DSG is associated with better results than the use of TET in all the search results, from the RCE to the good neurological result to the hospital discharge Conclusion: There are no statistically significant differences between the use of TET or DSG in prehospital CRP. However, DSGs present better results and are associated with a better prognosis than the use of ETT at the neurological level at hospital discharge. KEYWORDS: Intubation, Supraglottic Devices, Cardiopulmonary Resuscitation, Prehospital.
Description
Keywords
Equipamentos e provisões Intubação intratraqueal Reanimação cardiopulmonar Revisão Serviços médicos de urgência Cardiopulmonary resuscitation Emergency medical services Equipment and supplies Intubatio, intratracheal Review