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Table 1 Circulatory and respiratory interventions

From: Impact of COVID-19-adapted guidelines using different airway management strategies on resuscitation quality in out-of-hospital-cardiac-arrest – a randomised manikin study

Parameter

ERC 2021

(n = 30)

COVID-19-Intubation

(n = 30)

COVID-19-laryngeal-mask

(n = 30)

COVID-19-shower-cap

(n = 30)

 

Non-VF

(n = 15)

VF

(n = 15)

Non-VF

(n = 15)

VF

(n = 15)

Non-VF

(n = 15)

VF

(n = 15)

Non-VF

(n = 15)

VF

(n = 15)

No-flow time (sec)

11 ± 3*

12 ± 3

17 ± 11 * ‡ $

19 ± 5 § † ***

11 ± 4

15 ± 5 *

11 ± 4

15 ± 3 *

Detection of cardiac arrest (sec)

23 ± 5

22 ± 5

19 ± 4 §

20 ± 4

19 ± 4 §

21 ± 4

18 ± 5 §

21 ± 4

Time to first chest compression (sec)

26 ± 6

24 ± 6

23 ± 4 *

26 ± 7 #

21 ± 4 §

26 ± 5

22 ± 5 §

26 ± 5

Time to first rhythm analysis (sec)

58 ± 24

52 ± 12

50 ± 13 #

53 ± 12

50 ± 12 #

52 ± 10

46 ± 10 *

49 ± 8

Time to second rhythm analysis (sec)

193 ± 28

197 ± 16

186 ± 16 ***

192 ± 18

184 ± 12

192 ± 12

117 ± 10 *

194 ± 27

Time to oxygen supply (sec)

129 ± 20

112 ± 28

18 ± 4 §

23 ± 7 §

18 ± 4 §

23 ± 4 §

17 ± 5 §

23 ± 6 §

Time to first ventilation (sec)

129 ± 20

114 ± 26

152 ± 33 * † $

144 ± 39 § † $

109 ± 22 *

116 ± 15

112 ± 21 #

118 ± 22

Time to first intubation attempt (sec)

92 ± 40

86 ± 19

95 ± 20

98 ± 22 *

87 ± 17

97 ± 17 *

87 ± 15

94 ± 18

Time to successful intubation (sec)

113 ± 42

109 ± 17

97 ± 82

137 ± 38 § † $

99 ± 20

110 ± 16

96 ± 32

111 ± 17

Duration of intubation (sec)

21 ± 9

19 ± 9

40 ± 19 § † $

33 ± 17 § † $

15 ± 7

13 ± 5

15 ± 5

17 ± 5

Total number of chest compressions (∑)

449 ± 33

438 ± 35

402 ± 82 * † $

380 ± 44 § ** $

460 ± 38

407 ± 40 *

465 ± 38

416 ± 37 #

Overall Resuscitation Quality (%)

48 ± 21

45 ± 20

26 ± 17 § ‡

28 ± 17 * **

40 ± 13

42 ± 16

31 ± 13

38 ± 19

  1. Legend: * p ≤ 0.01vs. Control Group; § p ≤ 0.001 vs. Control Group; # p ≤ 0.05 vs. Control Group
  2. † p ≤ 0.001 vs. COVID-19-Intubation; ‡ p = 0.002 vs. COVID-19-Intubation, ** p ≤ 0.01 vs. COVID-19-Intubation
  3. $ p ≤ 0.001 vs. COVID-19-shower-cap *** p = 0.002 vs. COVID-19-shower-cap
  4. COVID-19 = Corona-Virus-Disease 2019; ERC = European Resuscitation Council; mg = milligram; mm = millimeters; min = minute; Non-VF = Non-shockable initial rhythm; sec = second, VF = Shockable initial rhythm
  5. data are presented as mean ± standard deviation