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Brain Oxygenation During Cardiopulmonary Resuscitation

Completed
Conditions
Cardiac Arrest, Out-Of-Hospital
Registration Number
NCT03464123
Lead Sponsor
Helsinki University Central Hospital
Brief Summary

The study is aimed to assess (a) the incidence of hyperoxia at the point of return of spontaneous circulation (ROSC) and (b) the role of arterial blood oxygen partial pressure to brain oxygenation during out-of-hospital cardiac arrest. 80 adult patients will be recruited in a physician staffed helicopter emergency medical services. Brain regional oxygen saturation and invasive blood pressure are monitored until hospital admission and arterial blood gases are analyzed immediately when the unit arrives to the patient and again at the time of ROSC.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • out-of-hospital cardiac arrest of presumed cardiac origin
  • resuscitation will be continued at least 5 minutes (if return of spontaneous circulation not achieved earlier) after arrival of physician team
Exclusion Criteria
  • do-not-attempt-resuscitation (DNAR) order or withdrawal of treatment by prehospital critical care physician
  • return of spontaneous circulation achieved before physician-led critical team arrives
  • external cause for cardiac arrest (e.g. trauma, suffocation)
  • workload too high or environment too dangerous to perform study procedures

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Arterial oxygen partial pressure5-60 minutes

Arterial oxygen partial pressure at the time of return of spontaneous circulation (ROSC)

Secondary Outcome Measures
NameTimeMethod
Forehead regional oxygen saturation during resuscitation0-60 minutes

Oxygen saturation measured using near-infrared spectroscopy

Trial Locations

Locations (1)

FinnHEMS 10, Emergency Medicine and Services, Helsinki University Hospital

🇫🇮

Vantaa, Finland

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