Confirmed cardiac output on emergency medical

services arrival as confounding by indication: an

observational study of prehospital airway
management in patients with out-of-hospital
Atsushi Sakurai,  1 Kosaku Kinoshita,1 Yukihiro Maeda,2 Yosuke Homma,  3 Yoshio Tahara,4 Naohiro
cardiac arrest
Yonemoto,5 Ken Nagao,6 Arino Yaguchi,7 Naoto Morimura,8 SOS-KANTO 2012 Study Group

JOURNAL READING Kelompok 5

1. Christi N.S
Pembimbing: 2. Mega R.D
Dr. Sri Wahyuni, Sp. An 3. Mustofa
4. Veny Anisya

KEPANITERAAN KLINIK ANESTESIOLOGI DAN TERAPI INTENSIF

FAKULTAS KEDOKTERAN UNIVERSITAS LAMPUNG
RSUD Dr. H. ABDUL MOELOEK PROVINSI LAMPUNG
2019
 INTERVENTION
1. Advanced-Airway-management (AAM)
METHODS AAM hanya diindikasikan pada pasien dengan henti
jantung atau henti napas, terdiri dari :
-supraglottic airway
-intubasi

2. Bag-ventilation-mask (BVM)
RESULT
 All four had positive intravenous provocation leading
to reproduc tion of hypersensitivity symptoms
experienced during the original reaction, mainly
pruritus, flushing and swelling.
Only one patient had positive skin tests and an
elevated serum tryptase,
which might indicate an IgE-mediated allergy to
propofol.
RESULT

When questioned, none of the four patients reported

clinical re-
actions to egg, soy or peanut and all had negative
specific IgE for
egg or soy.
RESULT STUDY B
 Of the 214 procedures, propofol was used in 171
(80%), exposing in total 99 of 115 patients. Of the 99
exposed pa-
tients, 44 (44%) reported having a clinical allergy to
egg and/or soy
and/or peanut.
Of the 171 procedures using propofol, 65 were
performed (in
RESULT

39 patients) after identified egg, soy or peanut

sensitisation. Ex-
posure was repeated (on average 2.8 times) in 13
patients. Of
the 39 patients, 5 reported a clinical allergy to egg, 6
to soy and
 In 17 cases, one of the criteria for a possible allergic
reaction
was met. None of them were considered relevant
and, all to-
gether, no indication of an allergic reaction was
found:
• In 10 cases, antihistamine pretreatment was given
due to
RESULT

other known allergies, thus masking of a potential

allergic re-
action cannot be ruled out but is considered unlikely.
• In 3 cases, corticosteroid was given during
anaesthesia on
specific non-allergic indications, such as to reduce