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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, RESULTS. Meshes: Aged, Aged, 80 and over, Cardiopulmonary Resuscitation, Female, Heart Arrest, Hospitalization, Hospitals, Teaching, Humans, Japan, Logistic Models, Male, Masks, Middle Aged, Nervous System Physiological Phenomena, Respiration, Artificial, Retrospective Studies, Treatment Outcome.
user
Does bag-valve-mask ventilation with airway adjuncts improve neurological outcomes of in-hospital cardiac arrest? Context: The present study was undertaken to determine the characteristics and outcome of in-hospital cardiac arrests and the effectiveness of BVM ventilation with airway adjuncts including the oropharyngeal airways and nasopharyngeal airways. Information about in-hospital cardiac arrests over a period of 6 years was retrospectively collected, and the effectiveness of BVM ventilation with airway adjuncts was analyzed using a multivariate logistic regression model. During the study period, 105 (male, n=70; age, 68.6 ± 14.2 years) cardiac arrests occurred, of which 95.2% developed among inpatients and 21.0% of them were witnessed. The initial rhythm of cardiac arrests was pulseless electrical activity in 63.8% (67/105) and respiratory failure (44.8%) was the most common cause. Overall, a return of spontaneous circulation occurred in 76.2% of in-hospital cardiac arrests, 31.4% survived to discharge, and the neurological outcome was good (cerebral performance category-1) in 66.7% of them. Bag-valve-mask ventilation with airway adjuncts improved the neurological outcome (OR 3.52, 95%CI 1.07, 11.5).
assistant
Bag-valve-mask ventilation with airway adjuncts improved neurological outcomes. Final Decision: yes