None
Conditions
Interventions
CQI group:hest compressions performed with real-time CQI = 60 as the target to guide and optimize compression quality (adjusting compression position, depth, and rate)
ETCO2 group:Chest compressions performed with real-time ETCO? > 10 mmHg as the target to guide and optimize compression quality (adjusting compression position, depth, and rate)
Sponsors
Northern Jiangsu People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Patients with out-of-hospital cardiac arrest (OHCA) admitted to the emergency center, with an established artificial airway; 2.Time from cardiac arrest to initiation of CPR does not exceed 10 minutes (if the arrest occurred prehospital and the patient was transported by ambulance, information regarding whether CPR duration exceeded 10 minutes will be obtained from ambulance medical staff). 3.Age >=18 years;
Exclusion criteria
Exclusion criteria: 1. Age < 18 years; 2.Pregnant women; 3.Chest trauma affecting chest compressions; 4. Patient family refusal of cardiopulmonary resuscitation (DNR); 5.Patients with malignant tumors under palliative care; 6.Patients deemed unsuitable for resuscitation by the research team; 7. Patients receiving ECMO therapy during resuscitation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of ROSC;CQI index within 2 minutes before the end; | — |
Secondary
| Measure | Time frame |
|---|---|
| CQI index within 2 minutes of compression onset;ETCO2 value within 2 minutes of compression onset;ETCO? value within 2 minutes before the end;Time from start of resuscitation to ROSC;Vital signs at ROSC;NSE levels at 24, 48, and 72 hours after ROSC;ICU length of stay;Total hospital length of stay;7-day and 30-day survival rates;CPC score at 7 and 30 days; | — |
Countries
China
Contacts
Public ContactDingyu Tan
Northern Jiangsu People's Hospital
Outcome results
None listed