Cardiac Arrest
Conditions
Keywords
Cardiac arrest, Cardiopulmonary resuscitation
Brief summary
To evaluate the effect of use of automated chest compression device on blood pressure in patients presenting with cardiac arrest. Higher systolic, diastolic and mean blood pressures are expected.
Detailed description
The protocol compares arterial pressures produced by an automated self-adjusting load-distributing band device (AutoPulse™ 100, Zoll®) with those of manual cardiopulmonary resuscitation in refractory out-of-hospital cardiac arrest. Each patient will receive first manual compressions and then automated resuscitation. Patients presenting with cardiac arrest are treated following standard advanced life support guidelines. They are intubated and ventilated, received epinephrine and defibrillation if appropriate. Manuel chest compressions are continued. An arterial catheter is placed to monitor hemodynamics continuously as we usually do in this case. Patients are included at this stage. Three blood pressure values (every 1 minutes) are recorded. Then, the automated band device is started up without any pause, following our procedure for refractory cardiac arrest. Three blood pressure values are recorded again, during automated cardiopulmonary resuscitation.
Interventions
Blood pressure recording before and after starting up the automated band device
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 * Refractory cardiac arrest
Exclusion criteria
* Defective invasive arterial blood pressure monitoring
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diastolic blood pressures produced by manual and then by automated chest compressions will be recorded for each patient | Instantaneously |
Secondary
| Measure | Time frame |
|---|---|
| Systolic blood pressures produced by manual and then by automated chest compressions will be recorded for each patient | Instantaneously |
| Mean blood pressures produced by manual and then by automated chest compressions will be recorded for each patient | Instantaneously |
Countries
France