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

• Published in: Resuscitation 2023-10, Vol.191, p.109923-109923, Article 109923
• Main Authors: O'Connell, Karen J., Dutta, Anuj, Myers, Sage, Neubrand, Tara, Sandler, Alexis, Keane, Ryan, Kerrey, Benjamin, Donoghue, Aaron
• Format: Article
• Language: English
• Subjects: Assisted ventilation; Cardiopulmonary resuscitation; Pediatrics
• ISSN: 0300-9572; 1873-1570
• DOI: 10.1016/j.resuscitation.2023.109923

To determine the association between presence of an advanced airway during pediatric cardiopulmonary resuscitation (CPR) and ventilation rates. Prospective observational study, January 2017 to June 2020. Patients ≤18 years receiving CC for ≥2 minutes were enrolled. Ventilation rate and type of airway (advanced airway (AA), either endotracheal tube (ETT) or supraglottic airway (SGA); or natural airway (NA)) were collected from video review and analyzed in ‘CPR segments’ (periods of CPR by individual providers). Ventilation rate (breaths per minute, bpm) was calculated for each segment; hyperventilation was defined as >12 bpm according to 2015 American Heart Association guidelines. Univariate analysis between airway type was done by χ2 testing. Multivariate regression was used to determine the association between the presence of AA with hyperventilation while controlling for within-patient covariance. 779 CPR segments from 94 CPR event were analyzed. The mean ventilation rate per CPR segment across all events was 22 bpm (±16 bpm)). Mean ventilation rates were higher with AA, either ETT (24 ± 17 bpm) or SGA (34 ± 19 bpm), than with NA (17 ± 14, p