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临床试验/NCT06789978
NCT06789978招募中不适用

Prehospital Extracorporeal Cardiopulmonary Resuscitation: a Pilot Study in Prague

General University Hospital, Prague2 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2025年1月20日最近更新:

试验速览

阶段
不适用
状态
招募中
发起方
入组人数
20
试验地点
2
主要终点
Time from collapse to ECPR

研究概览

简要总结

A prospective pilot feasibility study of prehospital ECPR in patients with refractory OHCA

详细描述

The aim of this pilot prospective study is to assess the feasibility and effectiveness of a prehospital extracorporeal cardiopulmonary resuscitation (ECPR) system for refractory out-of-hospital cardiac arrest (OHCA) in Prague, compared to a historical cohort of in-hospital ECPR recipients from the Prague OHCA trial.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Estimated age 18-70 years
  • Refractory out-of-hospital cardiac arrest (3 unsuccessful defibrillations and/or at least 10 minutes of resuscitation in case of pulseless electrical activity)
  • Witnessed cardiac arrest
  • ECPR team available
  • ECPR team alert within 20 minutes from the emergency call

排除标准

  • Unwitnessed cardiac arrest
  • ETCO2 less than 10 mmHg upon ECPR team arrival
  • Known limitations of intensive care (Do Not Resuscitate - DNR status)
  • Known severe neurological impairment prior to cardiac arrest (mRS 4-6)
  • Suspected or known pregnancy

结局指标

主要结局

Time from collapse to ECPR

时间窗: Time from estimated collapse to start of VA ECMO flow (estimated range: 20-100 minutes)

Time from collapse to start of VA ECMO flow

次要结局

  • All cause survival at 30-days(30-days)
  • Modified Rankin Scale at 30-days(30-days)

研究者

发起方
General University Hospital, Prague
申办方类型
Other
责任方
Principal Investigator
主要研究者

Jan Bělohlávek

MD, PhD, professor

General University Hospital, Prague

研究点 (2)

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