MedPath

A RCT on Supraglottic Airway Versus Endotracheal Intubation in OHCA

Not Applicable
Conditions
Prehospital Airway Management in Patients With Cardiac Arrest
Registration Number
NCT02967952
Lead Sponsor
National Taiwan University Hospital
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
852
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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
survival to admissionOne month after event

Measurement of outcome by standard Utstein OHCA registry system in Taipei City

Secondary Outcome Measures
NameTimeMethod
survival to dischargeOne month after event

Measurement of outcome by standard Utstein OHCA registry system in Taipei City

favorable neurologic outcomeOne month after event

Favorable neurologic outcome was defined by CPC (cerebral performance category) 1 and 2.

Measurement of outcome by standard Utstein OHCA registry system in Taipei City

any ROSCOne month after event

Measurement of outcome by standard Utstein OHCA registry system in Taipei City

MedPath

Empowering clinical research with data-driven insights and AI-powered tools.

© 2025 MedPath, Inc. All rights reserved.