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I-Gel in Out-of-hospital Cardiac Arrest in Norway

I-Gel Versus Current Practice in Out-of-hospital Cardiac Arrest by Paramedics in Norway - a Prospective Stepped Wedge Crossover Trial

Status
Terminated
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02090218
Acronym
I-CAN
Enrollment
550
Registered
2014-03-18
Start date
2014-02-28
Completion date
2016-06-30
Last updated
2024-02-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Out of Hospital Cardiac Arrest

Brief summary

The main objective of this trial is to compare the effectiveness of a newer supraglottic airway method (the i-Gel), compared to current airway management practice in out-of-hospital cardiac arrests treated by Norwegian ambulance services.

Interventions

DEVICEI-Gel

I-Gel supraglottic airway device

DEVICELTS, ETI or current airway management practice

Laryngeal tube, endotracheal tube, bag-mask-ventilation

Sponsors

Sykehuset Innlandet HF
CollaboratorOTHER
Helse Midt-Norge
CollaboratorOTHER
Helse Fonna
CollaboratorOTHER
Haukeland University Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Out-of-hospital cardiac arrest patients requiring and receiving advanced airway management on ambulance missions. Advanced airway management is defined as the attempted insertion of an airway adjunct (I-Gel, laryngeal tube or ETI) or the administration of ventilatory assistance/support (including bag-mask ventilation (BMV) or other ventilatory support. * Adult patients (\> 18 years).

Exclusion criteria

* Non-adult patients / minors (\< 18 years). * Traumatic cardiac arrest.

Design outcomes

Primary

MeasureTime frameDescription
ventilation successup to 24 hoursventilation success defined as successful insertion of device with visible chest movement with each ventilation, audible air passage on auscultation, and ETCO2 confirmation (if available) of tube placement

Secondary

MeasureTime frame
survival to hospital discharge / 30-day survivalup to 30 days
levels of ETCO2 related to the presence and quality of bystander CPRup to 24 hours
cerebral function assessed by Glascow Outcome Score at discharge from hospitalparticipants will be followed for the duration of hospital stay, an expected average of 4 weeks
insertion related complicationsup to 24 hours

Countries

Norway

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026