Cardiac Arrest
Conditions
Keywords
epinephrine
Brief summary
To determine the pharmacokinetics of epinephrine during cardiac arrest.
Detailed description
The aim of out study is to determine the pharmacokinetics in humans during cardiac arrest, following a single dose of epinephrine. Venous samples will be withdrawn every minute the first five minutes following a single dose. The aim of the study is to determine T1/2 in a clinical setting and to determine time to peak concentration.
Interventions
This is truly an observational study to determine T1/2 for epinephrine and time to peak concentration following a single dose of epinephrine in a cardiac arrest setting
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18-85 yrs * Witnessed non-traumatic cardiac arrest. * Probable cardiac origin * Treated by Bergen Emergency Medical Services
Exclusion criteria
* Terminal illness * Residents of nursery homes * Obvious dead * Hypothermic patients * Epinephrine administered before arrival of study physician
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Concentration of epinephrine (ng/mL) as a function of time the first five minutes following administration | Blood samples will be drawn within minutes, and the survivors transported to hospital. The data according to Utstein-style, will also be collected. Blood samples will be analysed within weeks.Total timeframe for the study is estimated to one year. | Blood concentration of epinephrine will be determined the first five minutes following administration. For every minute starting With administration of epinephrine, blood samples will be drawn to determine the concentration (ng/mL). In total, six samples will be drawn. The administered dose (1 mg) will also be related to the patients weight, either estimated, or for those survivors admitted to hospital, measured in the Intensive Care Unit. Further, data according to the Utstein-template will be recorded.However, the primary outcome is to determine the plasma concentrations in every patients the first five minutes. |
Countries
Norway