Out-Of-Hospital Cardiac Arrest
Conditions
Keywords
Out-Of-Hospital Cardiac Arrest, Chest compression site, transesophageal echocardiography, end-tidal CO2
Brief summary
The purpose of this single center, randomized clinical control trial is to determine that changing chest compression site during cardiopulmonary resuscitation according to the examination of the TEE could increase the level of end-tidal CO2, which represents the quality of cardiopulmonary resuscitation, or not in adult patients with non-traumatic out-of-hospital cardiac arrest while comparing to those who don't receive examination of transesophageal echocardiography during cardiopulmonary resuscitation.
Interventions
DEVICEtransesophageal echocardiography examination during cardiopulmonary resuscitation
Perform transesophageal echocardiography in patients with out-of-hospital cardiac arrest during cardiopulmonary resuscitation and adjust the chest compression site to compress the left ventricle and avoid left ventricular outflow tract.
Sponsors
Far Eastern Memorial Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Masking description
This is an open label study
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Age ≥ 20 years-old 2. Out-of-hospital cardiac arrest 3. Non-trauma
Exclusion criteria
1. Obvious signs of death appears, such as separation of head and body, rigor mortis, livor mortis, cankered corpse......etc. 2. Family members clearly express the willing of do not attempt resuscitation or patients who have registered advance care planning not to attempt resuscitation. 3. Patients not suitable for transesophageal ultrasound, such as patients with esophageal tumor, those whose probe cannot be placed......etc. 4. Received Extracorporeal CPR. 5. Achieving sustained ROSC before ED arrival
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of sustained return of spontaneous circulation (ROSC) | 20 minutes after ROSC | successful restoration and maintenance of a patient's heartbeat and blood circulation after undergoing cardiopulmonary resuscitation (CPR) for at least 20 minutes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of any return of spontaneous circulation | 1 minutes after ROSC | successful restoration and maintenance of a patient's heartbeat and blood circulation after undergoing cardiopulmonary resuscitation (CPR) |
| Rate of survival to ICU admission | 48 hours after ROSC | Successful restoration and stabilization of a patient's heartbeat and circulation, enabling safe transfer to the ICU. |
| Rate of survival to discharge | 6 months after ROSC | successful restoration and maintenance of a patient's heartbeat and blood circulation and able to complete treatment course till discharge |
| Rate of discharge with favorable neurological outcomes | 6 months after ROSC | using cerebral performance category score to measure neurologic outcomes of the patient at the time while patient's discharge. CPC1 and 2 are consider as favorable neurological outcomes, CPC3 and 4 are consider as unfavorable neurological outcomes |
| end-tidal carbon dioxide (EtCO2) | During resuscitation | measuring end-tidal carbon dioxide during resuscitation |
Countries
Taiwan
Outcome results
None listed