Cardiopulmonary Arrest
Conditions
Keywords
intubation, Cardiopulmonary Resuscitation
Brief summary
This is a clinical study based on the analysis of video-clip data of cardiopulmonary resuscitation (CPR) and clinical data for out of hospital cardiac arrest patients between 2011 and 2015. Aim of study is to compare the endotracheal intubation performance and CPR outcomes between videolaryngoscopy (VL) and direct laryngoscopy (DL) users.
Detailed description
Endotracheal intubation (ETI) has been considered to be the best method of airway management during cardiopulmonary resuscitation (CPR). However ETI during CPR is a highly skill-dependent procedure, then it should be attempted only highly trained physicians. Because of technical difficulty in using direct laryngoscopy (DL), various types of videolaryngoscopy (VL) devices using micro-camera technology have been designed to overcome the problems of DL. This study tried to compare the recovery of spontaneous circulation (ROSC) and survival discharge between use of standard device (DL) and VL in a real clinical setting. In addition, this study also compare the first pass success rate of ETI,speed of ETI, incidences of complications, and chest compression interruptions during cardiopulmonary resuscitation between both device users.
Interventions
PROCEDUREEndotracheal Intubation
Insertion of endotracheal tube into the trachea and supply oxygen using the Ambu-bagging during cardiopulmonary resuscitation
Sponsors
Konkuk University Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients who suffer sudden out-of hospital cardiac arrest
Exclusion criteria
* Cardiac arrests from multiple trauma * Cases of requesting the do-not attempt resuscitation before ETI * Intubated cases before arrival to emergency department
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Survival with good neurologic outcome | 6 months after emergency department visit | Survived patients who were conscious and able to perform independent activities of daily life (CPC1 or CPC2) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ROSC | within 1 hour after emergency department visit | Recovery of spontaneous circulation by successful resuscitation |
| total time to complete ETI from the beginning | within 1 hour after emergency department visit | time from the advancement of the blade into the patient's mouth to the delivery of the first successful ventilation using the bag |
| complication | within 1 hour after emergency department visit | Presence of chest compression interruption, esophageal intubation and dental injuries |
Outcome results
None listed