Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management. Part I.

The Airway Management section of the Spanish Society of Anesthesiology, Resuscitation, and Pain Therapy (SEDAR), the Spanish Society of Emergency Medicine (SEMES), and the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) present the Guide for the comprehensive management of difficult airway in adult patients. Its principles are focused on the human factors, cognitive processes for decision-making in critical situations, and optimization in the progression of strategies application to preserve adequate alveolar oxygenation in order to enhance safety and the quality of care. The document provides evidence-based recommendations, theoretical-educational tools, and implementation tools, mainly cognitive aids, applicable to airway management in the fields of anesthesiology, critical care, emergencies, and prehospital medicine. For this purpose, an extensive literature search was conducted following PRISMA-R guidelines and was analyzed using the GRADE methodology. Recommendations were formulated according to the GRADE methodology. Recommendations for sections with low-quality evidence were based on expert opinion through consensus reached via a Delphi questionnaire.

Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management. Part II.

The Airway Management section of the Spanish Society of Anesthesiology, Resuscitation, and Pain Therapy (SEDAR), the Spanish Society of Emergency Medicine (SEMES), and the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) present the Guide for the comprehensive management of difficult airway in adult patients. Its principles are focused on the human factors, cognitive processes for decision-making in critical situations, and optimization in the progression of strategies application to preserve adequate alveolar oxygenation in order to enhance safety and the quality of care. The document provides evidence-based recommendations, theoretical-educational tools, and implementation tools, mainly cognitive aids, applicable to airway management in the fields of anesthesiology, critical care, emergencies, and prehospital medicine. For this purpose, an extensive literature search was conducted following PRISMA-R guidelines and was analyzed using the GRADE methodology. Recommendations were formulated according to the GRADE methodology. Recommendations for sections with low-quality evidence were based on expert opinion through consensus reached via a Delphi questionnaire.

El control de la calidad en las compresiones torácicas y su relación con la recuperación de pulso / Feedback on chest compression quality variables and their relationship to rate of return of spontaneous circulation

Objetivos: Varios estudios demuestran el incumplimiento de las recomendaciones internacionales en la ejecución de las compresiones torácicas durante la reanimación cardiopulmonar(RCP). Existen dispositivos de ayuda para la realización de la RCP y SAMUR Protección Civil ha implementado uno de ellos (Q-CPR®). El presente estudio analiza si existe asociación entre uso del dispositivo y la recuperación de pulso (RP), describe la ejecución de las compresiones en relación a los estándares de calidad y verifica si alguno de los parámetros medidos puede relacionarse con la RP. Método: Estudio prospectivo de cohortes. El periodo de reclutamiento fue de noviembre de 2007 a diciembre de 2010. Se incluyó a todo paciente atendido por una parada cardiorrespiratoria (PCR), y el factor de exposición fue el uso de dispositivo Q-CPR®. Resultados: Se atendieron 892 PCR: 108 con Q-CPR® y 784 sin Q-CPR®. Las dos poblaciones fueron comparables en cuanto a las variables predictoras analizadas. Se encontró (..) (AU)

Background: Studies have revealed failure to follow international guidelines for performing chest compressions in cardiopulmonary resuscitation (CPR). Certain feedback devices are available for use. One such device (the Q-CPR) has been used in the Madrid Emergency and Rescue Service (SAMUR).Objectives. To analyze whether there is an association between the rate of return of spontaneous circulation (ROSC) and the use of a feedback device, to describe the performance of compressions in comparison with quality standards, and to determine whether any of the measured variables are related to the rate of ROSC. Methods: Prospective cohort study. Recruitment period: November 2007 to December 2010. Inclusion criteria: patients with cardiorespiratory arrest attended by the SAMUR. Exposure factor: use of a CPR measurement and feedback device. Results: SAMUR attended 892 cases of cardiorespiratory arrest: the Q-CPR was used in 108 patients and 784 were given (AU)