Pilot Study of the Effect of Cardio First Angel (CFA) Device on CPR Outcomes:
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 80
- 主要终点
- Sustained Return of Spontaneous Circulation
研究概览
简要总结
The investigators conducted a randomized, controlled, single-blinded study of patients undergoing CPR for cardiac arrest in the mixed medical-surgical ICUs of four academic teaching hospitals in Tehran, Iran from June 1 to October 31, 2014. Patients were randomized to receive CPR with either standard manual compression, or compression with real-time audiovisual feedback using the Cardio First Angel™ device.
详细描述
The investigators sought to determine if the addition of a CPR feedback device to routine manual CPR would impact the quality and consistency of chest compression and patient survival. We conducted a randomized, controlled, single-blinded study of patients undergoing CPR for cardiac arrest in the mixed medical-surgical ICUs of four academic teaching hospitals. Patients were randomized to receive either standard manual CPR or CPR using the Cardio First Angel™ (CFA; INOTECH, Nubberg, Germany) feedback device. Recorded variables included return of spontaneous circulation, adherence to CPR guidelines and quality of CPR, nurse satisfaction and CPR associated morbidity.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 18 years
- •Admitted to the intensive care unit (ICU)
- •Full-code status
- •Informed consent was obtained from the patient, legal guardian, or healthcare surrogate upon ICU admission (prior to cardiac arrest event)
排除标准
- •Patients with any limitation of code status including but not limited to "no code" or"do not resuscitate" (DNR) and"do not intubate" (DNI), were excluded from study participation
研究组 & 干预措施
Compression with Feedback
CPR performed according to established international standards with chest compressions performed with the assistance of the Cardio First Angel™ (CFA; INOTECH, Nubberg, Germany) compression feedback device.
干预措施: Compression with Feedback (Device)
Standard chest compression
CPR performed according to established international standards with standard manual chest compression
干预措施: Standard chest compression (Other)
结局指标
主要结局
Sustained Return of Spontaneous Circulation
时间窗: through resuscitation completion, an average of 30 to 60 minutes
ROSC lasting \> 30 minutes
次要结局
- CPR Duration(through resuscitation completion, an average of 30 to 60 minutes)
- Nurse Satisfaction Score(upon resuscitation completion, an average of 30 to 60 minutes)
- New post-resuscitation Sternum or Rib Fractures(through resuscitation completion, an average of 30 to 60 minutes)
- CPR Evaluation Score(upon resuscitation completion, an average of 30 to 60 minutes)
- CPR Guideline Observation Score(upon resuscitation completion, an average of 30 to 60 minutes)
研究者
Amir Vahedian-Azimi
Senior intensivist nurse, Respiratory therapist, Research Fellow, PhD, RN, FCCS
Baqiyatallah Medical Sciences University