HeliCAT (Helicopter Cardiac Arrest Team) - optimized individualized CPR - HeliCAT
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 40
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
- 分配方式
- N/a: Single Arm Study
- 干预模型
- Single Group
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（—）
- 性别
- All
入选标准
- •Cardiac arrest due to internal causes (ECG rhythm ventricular fibrillation, pulseless electrical activity, asystole)
- •Age >=18 years
- •time from collapse to start of CPR < 10min
- •no signs of death
- •Inclusion due to discretion of the HEMS physician on duty
排除标准
- •traumatic cardiac arrest
- •Stopping of CPR by the HEMS team due to bad prognosis ( >10 Minutes no flow, no lay CPR, unwitnessed arrest) in 5min Minutes after HEMS arrival
- •Known esophageal pathology
- •No admission to the university hospitals Mannheim or Heidelberg possible
- •Signs of death
研究组 & 干预措施
Group 1: After Team-Arrival at a patient with cardiac arrest the standardized treatment according to the ERC guidelines (as ventilation, chest compression, defibrillationn) is continued. If the patient matches the inclusion criteria a transesophageal probe is placed after endotracheal intubation. First we try to show a mid esophageal 4 chamber and the mid esophageal long axis view at 30cm insertion depth. Now the evaluation takes place following the Assess-Improve-Detect mode. Initially we would like to assess the rhythm (fine ventricular fibrillation) and the place and depth of the chest compressions. We want to improve the compression depth to reach an optimal compression of the left ventricle. Afterwards we aim for detecting reversible causes as pulmonary embolism or pericardial tamponade. In parallel we continue to treat as usual in our unit with applying a NIRS-measurement and establishing invasive blood pressure monitoring.
干预措施: Group 1: After Team-Arrival at a patient with cardiac arrest the standardized treatment according to the ERC guidelines (as ventilation, chest compression, defibrillationn) is continued. If the patient matches the inclusion criteria a transesophageal probe is placed after endotracheal intubation. First we try to show a mid esophageal 4 chamber and the mid esophageal long axis view at 30cm insertion depth. Now the evaluation takes place following the Assess-Improve-Detect mode. Initially we would like to assess the rhythm (fine ventricular fibrillation) and the place and depth of the chest compressions. We want to improve the compression depth to reach an optimal compression of the left ventricle. Afterwards we aim for detecting reversible causes as pulmonary embolism or pericardial tamponade. In parallel we continue to treat as usual in our unit with applying a NIRS-measurement and establishing invasive blood pressure monitoring.