Acute cardiac care & resuscitationCohort study
The impact of tracheal intubation attempts on chest compression fraction during pediatric CPR: a report from the Videography in Pediatric Resuscitation (VIPER) collaborative
- Prospective observational cohort
- videorecorded CPR events
- network of emergency departments
Authors' conclusion
TI-associated CC pauses were often longer than recommended but did not reduce overall CCF. There were no significant differences in median pause duration or the frequency of prolonged pauses between events with and without pauses associated with TI. Further studies should explore respiratory parameters during pediatric CPR to clarify the optimal method for assisted ventilation.
Study context
- Population
- Pediatric CPR events in emergency departments of the Videography in Pediatric Resuscitation (VIPER) Collaborative
- Participants
- 183 CPR events
- Exposure
- Chest compression fraction (CCF) between events with tracheal intubation (TI)-associated chest compression (CC) pauses and those without such pauses
- Events with TI-associated CC pausesn = 29
Main finding
As reported in the abstract
Event duration and CCF (all events)
Median event duration
971 s (IQR 645-1432 s)
Median CCF
92% (IQR 90-95%)
Observational data: associations, not effects.
Further findings
Median
| Outcome | Events with TI-associated CC pauses | Events without TI-associated CC pauses | P value |
|---|---|---|---|
| CCF · no significant difference; Wilcoxon rank-sum test | 92% (IQR 89–94%) | 93% (IQR 89–94%) | P = 0.11 |
TI attempts
- Events with TI attempted
- 73 events (40%)
- Median laryngoscopy duration
- 34 s (IQR 24-53 s)
- Events with CC pauses during TI attempts
- 29 events
- Median pause duration (TI-associated pauses)
- 20 s (IQR 10-33 s)
- TI most commonly once per event
TI success rates
- TI success rates did not differ significantly between attempts with and without associated CC pauses
Original publication
The impact of tracheal intubation attempts on chest compression fraction during pediatric CPR: a report from the Videography in Pediatric Resuscitation (VIPER) collaborative. Resuscitation. Published 16 February 2026. doi:10.1016/j.resuscitation.2026.111018
Summarised from the published abstract; every number is checked against it