Usefulness of the Evaluation of the Return of Spontaneous Circulation(ROSC) With Carotid Ultrasound During Cardiopulmonary Resuscitation(CPR)
试验速览
- 阶段
- 不适用
- 入组人数
- 23
- 试验地点
- 2
- 主要终点
- Time spent assessing
研究概览
简要总结
The current cardiopulmonary resuscitation(CPR) guidelines recommend that the heart rhythm be checked every two minutes during CPR for cardiac arrest patients. Also it is very important to stop compressing the chest in less than 10 seconds when checking heart rhythm and pulse.
However, manual palpation, which is used as a standard for return of spontaneous circulation(ROSC), has been reported that the accuracy is not high in several studies. It is quite often necessary to perform pulse palpation for longer than the 10 second recommended by the guidelines to make a judgment.
Recently, a case study was published in which the presence of spontaneous circulation was confirmed by evaluating the carotid artery compressibility and pulsatility with an ultrasound probe when checking the rhythm of cardiac arrest patients. However, there has been no clinical study on actual cardiac arrest patients.
详细描述
The current cardiopulmonary resuscitation(CPR) guidelines recommend that the heart rhythm be checked every two minutes during CPR for cardiac arrest patients. Also it is very important to stop compressing the chest in less than 10 seconds when checking heart rhythm and pulse.
However, manual palpation, which is used as a standard for return of spontaneous circulation(ROSC), has been reported that the accuracy is not high in several studies. It is quite often necessary to perform pulse palpation for longer than the 10 second recommended by the guidelines to make a judgment.
Ultrasound is a key technique that guides to discern and treat causes of cardiac arrest patients. Recently, a case study was published in which the presence of spontaneous circulation was confirmed by evaluating the carotid artery compressibility and pulsatility with an ultrasound probe when checking the rhythm of cardiac arrest patients.
However, this is just a case study. There has been no clinical study on actual cardiac arrest patients whether it is possible to accurately determine the ROSC by evaluating the carotid artery compressibility and pulsatility by ultrasound. Also there has been no clinical studies on actual cardiac arrest patients comparing the time taken to evaluate the ROSC of carotid ultrasound and manual palpation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who underwent CPR among cardiac arrest patients 18 years of age or older who visit the emergency room
- •Patients who applied carotid ultrasound to determine the presence of carotid artery compression and pulse
排除标准
- •Patients who have stated their intention to do not resuscitation for future treatment (including cardiopulmonary resuscitation)
- •Patients who have difficulty applying carotid ultrasound due to head and neck trauma
- •Patients who have difficulty applying carotid ultrasound due to deformed neck structure by surgery or head and neck cancer
- •Return of spontaneous circulation before ultrasound application
- •Patients who could not evaluate carotid artery compressibility and pulsatility by ultrasound
结局指标
主要结局
Time spent assessing
时间窗: Procedure (during chest compression)
Time spent assessing return of spontaneous circulation using two methods (manual pulse palpation and carotid ultrasound)
次要结局
- Agreement of return of spontaneous circulation(Procedure (during chest compression))