Intubation in cardiac arrest: a routine or rational lifesaving act?

Conflict of interest statement

The authors declare no conflict of interest.

Author contributions

The study was conceptualized and supervised by Semedi BP. Utami NP conducted data analysis and drafted the manuscript. Both authors contributed to critical revision of the manuscript and approved the final version for submission.

Funding

None.

Ethical approval of studies and informed consent

Not applicable.

Acknowledgments

None.

References

[1] Patel K, Hipskind JE. Cardiac Arrest. Treasure Island, FL: StatPearls Publishing; 2025: Accessed May 19, 2025. https://www.ncbi.nlm.nih.gov/books/NBK534866/

[2] Hessulf F, Bhatt DL, Engdahl J, et al. Predicting survival and neurological outcome in out-of-hospital cardiac arrest using machine learning: the SCARS model. EBioMedicine. 2023; 89:104464. doi:10.1016/j.ebiom.2023.104464

[3] American Heart Association. Part 6: Advanced Cardiovascular Life Support: Section 1: Introduction to ACLS 2000: overview of recommended changes in ACLS from the Guidelines 2000 Conference. Circulation. 2000; 102(suppl_1):86-89. doi:10.1161/circ.102.suppl_1.I-95

[4] Ubaradka RS, Bhat M. Endotracheal intubation: gold standard of airway care. In: Techniques in Anesthesia, Intensive Care and Emergency Medicine. Springer Nature Singapore. Springer Nature Singapore; 2024:41-54. doi:10.1007/978-981-96-1202-4_5

[5] Andersen LW, Granfeldt A, Callaway CW, et al. Association between tracheal intubation during adult in-hospital cardiac arrest and survival. JAMA. 2017; 317(5):494-506. doi:10.1001/jama.2016.20165

[6] Dumot JA, Burval DJ, Sprung J, et al. Outcome of adult cardiopulmonary resuscitations at a tertiary referral center including results of “limited” resuscitations. Arch Intern Med. 2001; 161(14):1751-1758. doi:10.1001/archinte.161.14.1751

[7] Darmawan RE, Sujianto U, Rochana N. Implementation of chest compression for cardiac arrest patient in Indonesia: true or false. Jurnal Ners. 2021; 16(1):13-16. doi:10.20473/jn.v16i1.17508

[8] Gunnarsson L. Practical procedures in anaesthesia and critical care. Anaesthesia. 2011; 66(6):536-537. doi:10.1111/j.1365-2044.2011.06749.x

[9] Olatunji G, Kokori E, Aderinto N, Alsabri MAH. Emergency airway management in resource limited setting. Int J Emerg Med. 2024; 17(1):41. doi:10.1186/s12245-024-00607-3

[10] Rafique Z, Peacock F, Armstead T, et al. Hyperkalemia management in the emergency department: an expert panel consensus. J Am Coll Emerg Physicians Open. 2021; 2(5):e12572. doi:10.1002/emp2.12572

[11] Abbas KA. Transportation and the use of oxygen. Indones J Anesthesiol Reanim. 2020; 1(2):58. doi:10.20473/ijar.V1I22019.58-63

[12] Hooper A, Nolan JP, Rees N, Walker A, Perkins GD, Couper K. Drug routes in out-of-hospital cardiac arrest: a summary of current evidence. Resuscitation. 2022; 181:70-78. doi:10.1016/j.resuscitation.2022.10.015

[13] Rath S, Abdelraouf MR, Hassan W, et al. The impact of intraosseous vs intravenous vascular access during resuscitation in out-of-hospital cardiac arrest: a comprehensive systematic review and meta-analysis. Heart Lung. 2025; 72:20-31. doi:10.1016/j.hrtlng.2025.03.005

[14] Guy A, Kawano T, Besserer F, et al. The relationship between no-flow interval and survival with favourable neurological outcome in out-of-hospital cardiac arrest: implications for outcomes and ECPR eligibility. Resuscitation. 2020; 155:219-225. doi:10.1016/j.resuscitation.2020.06.009

[15] Benger JR, Kirby K, Black S, et al. Supraglottic airway device versus tracheal intubation in the initial airway management of out-of-hospital cardiac arrest: the AIRWAYS-2 cluster RCT. Health Technol Assess. 2022; 26(21):1-158. doi:10.3310/VHOH9034