A RCT on Supraglottic Airway Versus Endotracheal Intubation in OHCA (SAVE)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Prehospital Airway Management in Patients With Cardiac Arrest
- Sponsor
- National Taiwan University Hospital
- Enrollment
- 852
- Primary Endpoint
- survival to admission
- Last Updated
- 9 years ago
Overview
Brief Summary
In this 3-year successive research plan, investigators will conduct a prehospital randomized controlled trial to address the following question: In adult patients with non-traumatic cause of out-of-hospital cardiac arrest resuscitated by emergency medical technician (paramedic level) in the prehospital setting, will receiving endotracheal tube intubation cause a better chance of sustained recovery of spontaneous circulation and other survival outcomes like neurologically favorable status, comparing to those who receiving supraglottic airway device.
Investigators
Eligibility Criteria
Inclusion Criteria
- •out-of-hospital cardiac arrest; OHCA
- •age ≥ 20 years old
- •non-traumatic cause
Exclusion Criteria
- •signs of obvious death, eg. decapitation or rigor mortis
- •theoretically not suitable for ETI, eg. facial deformity or third-trimester pregnancy
- •theoretically not suitable for SGA, eg. foreign-body airway obstruction
- •with "do not attempt resuscitation" order
- •the occurrence of OHCA during ambulance transport
- •ROSC in the field with clear consciousness and spontaneous adequate ventilation
- •advanced airway being established before the arrival of paramedics
Outcomes
Primary Outcomes
survival to admission
Time Frame: One month after event
Measurement of outcome by standard Utstein OHCA registry system in Taipei City
Secondary Outcomes
- survival to discharge(One month after event)
- favorable neurologic outcome(One month after event)
- any ROSC(One month after event)