+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Meta-analysis of the effects between endotracheal intubation and laryngeal mask airway for patients with out-of-hospital cardiac arrest



Meta-analysis of the effects between endotracheal intubation and laryngeal mask airway for patients with out-of-hospital cardiac arrest



Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 30(2): 128-133



To comprehensively evaluate the resuscitation effect of endotracheal intubation (ETI) ventilation and laryngeal mask airway (LMA) for out-of-hospital cardiac arrest (OHCA). Databases such as Cochrane Library, PubMed, Embase, Ebsco, Elsevier, OVID, Springer, Proquest, and China biomedical literature database (CBMdisc), CNKI, Wanfang database, Chinese Science and Technology Journal Full-text Database, VIP Chinese biomedical journal database were searched from the establishment of literature database to December 2017 to study the difference of effects between ETI and LMA for patients with OHCA. The effect determination indexes included the return of spontaneous circulation (ROSC) rate, 1-month survival and 1-month neurological recovery. After evaluation of the quality of included studies and extraction of the data, the software of RevMan 5.3 was used to analyze those outcomes. A total of 9 articles, including 7 English, 2 Chinese; 5 prospective studies and 4 retrospective studies were included. All of the literatures had high quality, and the Newcastle Ottawa scale (NOS) scored 7-9 points. The Meta-analysis showed that ETI was significantly more beneficial than LMA in improving the rate of ROSC [odds ratio (OR) = 1.51, 95% confidence interval (95%CI) = 1.42-1.62, Z = 12.35,P < 0.01], and 1-month survival (OR = 1.16, 95%CI = 1.06-1.26, Z = 3.41, P < 0.01), and there was no significant difference in 1-month neurological recovery (OR = 1.13, 95%CI = 0.96-1.32, Z = 1.49, P = 0.14). ETI has higher recovery success rate and survival rate than LMA for the rescue of OHCA adult patients, but the improvement of the nervous system is unclear.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 065310748

Download citation: RISBibTeXText

PMID: 29402361


Related references

Does tracheal intubation really matter? Discrepant survival between laryngeal mask and endotracheal intubation during out-of-hospital cardiac arrest. Journal of the Formosan Medical Association 116(2): 134-135, 2017

Towards evidence based emergency medicine: Best BETs from the Manchester Royal Infirmary. Bet 3. Laryngeal mask airway versus endotracheal intubation or bag-mask ventilation for cardiac arrest in adults. Emergency Medicine Journal 27(6): 477-479, 2010

Endotracheal intubation versus supraglottic airway placement in out-of-hospital cardiac arrest: A meta-analysis. Resuscitation 93: 20-26, 2015

Comparing no-flow time during endotracheal intubation versus placement of a laryngeal mask airway during a simulated cardiac arrest scenario. Simulation in Healthcare 9(3): 156-160, 2014

Airway equipment and its maintenance for a non difficult adult airway management (endotracheal intubation and its alternative: face mask, laryngeal mask airway, laryngeal tube). Annales Francaises d'Anesthesie et de Reanimation 22(Suppl. 1): 28s-40s, 2003

Can the laryngeal mask airway replace endotracheal intubation for airway control? The argument for the laryngeal mask airway. Israel Medical Association Journal 6(4): 240, 2004

Endotracheal intubation through laryngeal Ambu® Auragain™ mask airway mask in paediatric patients affected by congenital infiltrating lipomatosis. Revista Espanola de Anestesiologia Y Reanimacion 66(4): 222-225, 2019

Comparative study of heart rate responses to laryngoscopic endotracheal intubation and to endotracheal intubation using intubating laryngeal mask airway under general anaesthesia in patients with pure mitral stenosis for closed mitral commissurotomy. Journal of the Indian Medical Association 111(4): 239-40 242-4, 2013

Comparison of effectiveness of intubation by way of "Gum Elastic Bougie" and "Intubating Laryngeal Mask Airway" in endotracheal intubation of patients with simulated cervical trauma. Revista Brasileira de Anestesiologia 67(3): 238-245, 2017

Endotracheal intubation in patients with difficult airway: using laryngeal mask airway with bougie versus video laryngoscopy. Medical Gas Research 7(3): 150-155, 2017

Laryngeal mask airway as a rescue device for failed endotracheal intubation during scene-to-hospital air transport of combat casualties. European Journal of Emergency Medicine 26(1): 73-74, 2019

Laryngeal mask airway as a rescue device for failed endotracheal intubation during scene-to-hospital air transport of combat casualties. European Journal of Emergency Medicine 25(5): 368-371, 2018

Comparison of the effects of the laryngeal mask airway and endotracheal intubation on vocal function. British Journal of Anaesthesia 71(5): 648-650, 1993

The LMA CTrach, a new laryngeal mask airway for endotracheal intubation under vision: evaluation in 100 patients. British Journal of Anaesthesia 96(3): 396-400, 2006

Fiberoptic-Guided Endotracheal Intubation via the Laryngeal Mask Airway in Pediatric Patients. Anesthesia & Analgesia 82(6): 1287-1289, 1996