The Impact of Integration of Ultrasound on CPR Quality - A Video Review Study

Completed

• Conditions: Cardiopulmonary Resuscitation
• Interventions: Behavioral: ultrasound use during resuscitation

• Registration Number: NCT03695536
• Lead Sponsor: National Taiwan University Hospital

Brief Summary

High-quality cardiopulmonary resuscitation (CPR) is essential for return of spontaneous circulation (ROSC) in patients with cardiac arrest. However, some factors are known to be related with delays in chest compressions such as bed transfer, setting of CPR device, pulse and rhythm checks. This study aims to evaluate the potential impact of ultrasound on CPR quality by using retrospective video analysis.

All CPR scenarios in our department were recorded and masked for the purpose of video analysis. The investigators will record in-scene resuscitation manpower, the factors to interrupt chest compressions and whether introducing ultrasound into resuscitation process is related with delays in chest compressions. In addition, the investigators collect the patient's sex, age, initial rhythm and prognosis, including ROSC, survival to admission and survival to discharge.

Detailed Description

Not available

Study Timeline

• Study Start: 2018-04-01
• Status Verified: 2018-09
• Study First Submitted: 2018-09-30
• Study First Submitted QC: 2018-10-03
• Study First Posted: 2018-10-04
• Primary Completion: 2019-09-30
• Study Completion: 2019-09-30
• Last Update Submitted: 2021-05-10
• Last Update Posted: 2021-05-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

adult patients (more than 20 years) non-traumatic cardiac arrest

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Exclusion Criteria

traumatic cardiac arrest age less than 20 years.

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
ultrasound use during resuscitation	ultrasound use during resuscitation	The group with ultrasound integrated into the resuscitation efforts.

Primary Outcome Measures

Name	Time	Method
Ultrasound use would not delay in chest compressions during resuscitation.	60 minutes	chest compression fraction (chest compression time/total resuscitation time) between two groups.

Secondary Outcome Measures

Name	Time	Method
Ultrasound use would not influence the rates of return of spontaneous circulation.	60 mintues	rates of return of spontaneous circulation.
Ultrasound use would not influence the rates of survival to discharge.	3 months.	rates of survival to discharge between two groups.
Ultrasound use would not influence the rates of survival to admission.	7 days.	rates of survival to admision between two groups.

Trial Locations

Locations (2)

Department of Emergency Medicine, National Taiwan University Hospital; 🇨🇳 Taipei, Taiwan

National Taiwan University Hospital; 🇨🇳 Taipei, Taiwan