Acute cardiac care & resuscitation

Association between the presence of an advanced airway and ventilation rate during pediatric cardiopulmonary resuscitation (CPR): A report from the Videography in Pediatric Resuscitation (VIPER) collaborative

ResuscitationPublished Prospective observational study

Main finding · HyperventilationResult — go to the resultAdjusted odds ratio 9.3 95% CI 4.3–20.1

Authors' conclusion

During pediatric CPR, hyperventilation occurs more often with an AA in place than during CPR with NA.

Study context

Population
Patients ≤18 years receiving chest compressions for ≥2 minutes, January 2017 to June 2020779 CPR segments · 94 CPR events
Exposure
Advanced airway vs natural airway during pediatric CPR
Outcome
Ventilation rate per CPR segment and hyperventilation (>12 bpm, 2015 AHA guidelines)
Methodological detailsvideo review
  • Video review

Main finding

Hyperventilation

Adjusted odds ratio

9.3

95% CI 4.3–20.1

By group

AA vs NA
AOR 9.3 (95% CI 4.3–20.1)

As reported in the abstract

Mean ventilation rate across all events
22 bpm (±16 bpm)

Observational data: associations, not effects.

Original publication

Association between the presence of an advanced airway and ventilation rate during pediatric CPR: A report from the Videography in Pediatric Resuscitation (VIPER) collaborative. Resuscitation. Published 18 August 2023. doi:10.1016/j.resuscitation.2023.109923

Summarised from the published abstract; every number is checked against it

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