Out-of-hospital Cardiac Arrest
Conditions
Brief summary
The main purpose of this study is to test the hypothesis that continuous NMB could improve outcome in cardiac arrest patients treated with therapeutic hypothermia.
Interventions
Neuromuscular Blockade
Normal Saline
Sponsors
Study design
Eligibility
Inclusion criteria
1. Adult (older than 19) 2. OHCA with sustained ROSC 3. Comatose (i.e., not following commands) following ROSC 4. Undergoing targeted temperature management (TTM) 5. Time of enrollment ≤ 6hrs from ROSC
Exclusion criteria
1. Pre-existing dementia, brain injury, or dependence on others for ADLs (CPC \> 3) 2. Traumatic etiology for cardiac arrest 3. Protected population (pregnant, prisoner)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lactate levels 24 hours after initiation of study drug | 24 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lactate change over time | 0, 12, 24, 36 hrs | — |
| Survival | Duration of hospitalization, limit 180 days | in-hospital survival |
| Good neurological outcome | Duration of hospitalization, limit 180 days | Modified Rankin Scale |
| Length of intensive care unit stay | Duration of ICU stay, limit 180 days | — |
Countries
South Korea