Improvement of Recovery of Spontaneous Circulation and Survival Using the Video-laryngoscopy for out-of Hospital Cardiac Arrest Patient
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 600
- 主要终点
- Survival with good neurologic outcome
研究概览
简要总结
This is a clinical study based on the analysis of video-clip data of cardiopulmonary resuscitation (CPR) and clinical data for out of hospital cardiac arrest patients between 2011 and 2015. Aim of study is to compare the endotracheal intubation performance and CPR outcomes between videolaryngoscopy (VL) and direct laryngoscopy (DL) users.
详细描述
Endotracheal intubation (ETI) has been considered to be the best method of airway management during cardiopulmonary resuscitation (CPR). However ETI during CPR is a highly skill-dependent procedure, then it should be attempted only highly trained physicians. Because of technical difficulty in using direct laryngoscopy (DL), various types of videolaryngoscopy (VL) devices using micro-camera technology have been designed to overcome the problems of DL.
This study tried to compare the recovery of spontaneous circulation (ROSC) and survival discharge between use of standard device (DL) and VL in a real clinical setting. In addition, this study also compare the first pass success rate of ETI,speed of ETI, incidences of complications, and chest compression interruptions during cardiopulmonary resuscitation between both device users.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 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 suffer sudden out-of hospital cardiac arrest
排除标准
- •Cardiac arrests from multiple trauma
- •Cases of requesting the do-not attempt resuscitation before ETI
- •Intubated cases before arrival to emergency department
研究组 & 干预措施
DL user
Experienced emergency physicians who primarily used the direct laryngoscopy (DL) for endotracheal intubation during cardiopulmonary resuscitation.
干预措施: Endotracheal Intubation (Procedure)
VL user
Experienced emergency physicians who primarily used the videolaryngoscopy (VL) for endotracheal intubation during cardiopulmonary resuscitation.
干预措施: Endotracheal Intubation (Procedure)
结局指标
主要结局
Survival with good neurologic outcome
时间窗: 6 months after emergency department visit
Survived patients who were conscious and able to perform independent activities of daily life (CPC1 or CPC2)
次要结局
- ROSC(within 1 hour after emergency department visit)
- total time to complete ETI from the beginning(within 1 hour after emergency department visit)
- complication(within 1 hour after emergency department visit)
研究者
Sang O, Park
Associate Professor
Konkuk University Medical Center