Out of Hospital Cardiac Arrest
Conditions
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
I-Gel supraglottic airway device
Laryngeal tube, endotracheal tube, bag-mask-ventilation
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| ventilation success | up to 24 hours | ventilation 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
| Measure | Time frame |
|---|---|
| survival to hospital discharge / 30-day survival | up to 30 days |
| levels of ETCO2 related to the presence and quality of bystander CPR | up to 24 hours |
| cerebral function assessed by Glascow Outcome Score at discharge from hospital | participants will be followed for the duration of hospital stay, an expected average of 4 weeks |
| insertion related complications | up to 24 hours |
Countries
Norway