Acute cardiac care & resuscitation
Tracheal intubation vs. supraglottic airway devices during mechanical intra-arrest-ventilation with volume-controlled-ventilation in out-of-hospital cardiac arrest: a cohort study
Main finding · VTset−VTeResult — go to the resultRegression coefficient −128.3 ml 95 % CI −252.3 ml; −4.3 mlAuthors' conclusion
In OHCA cases receiving mechanical intra-arrest-ventilation with VCV, TI was associated with higher delivered VTe, less deviation from VTset, and significantly lower VLeak compared to SGA.
Study context
- Population
- Adults with out-of-hospital cardiac arrest (OHCA) receiving intra-arrest ventilation with volume-controlled ventilation, Gütersloh district EMS, Germany, 01/2019–08/2023682 min ventilation
- Participants
- 27 adults
- Exposure
- Tracheal intubation (TI) vs supraglottic airway (SGA) during mechanical intra-arrest ventilation with volume-controlled-ventilation (VCV)
- TIn = 14
- SGAn = 13reference
- Outcome
- Difference VTset−VTe (set minus measured expiratory tidal volume)
Methodological detailsregistry-linked, single EMS district
- Registry-linked
- Single EMS district
Main finding
VTset−VTe
Regression coefficient
−128.3 ml
95 % CI −252.3 ml; −4.3 ml
P = 0.0427
As reported in the abstract
Observational data: associations, not effects.
Further findings
Measured expiratory tidal volume (VTe)
Set tidal volume (VTset)
Leakage volume (VLeak)
regression coefficient (%) −32.3 (−46.1 %; −18.4 %) · P < 0.0001
Original publication
Tracheal intubation vs. supraglottic airway devices during mechanical intra-arrest-ventilation with volume-controlled-ventilation in out-of-hospital cardiac arrest: a cohort study. Resuscitation. Published 4 December 2025. doi:10. 1016/ j. resuscitation. 2025. 110918
Summarised from the published abstract; every number is checked against it