Cardiac Arrest Clinical Trial
Official title:
Reduction of no Flow Time During Out of Hospital Cardiac Arrest by Using Laryngeal Tube for Airway Management by Nurses.
International recommendations stress on the importance of no flow time reduction in cardiac
arrest management. In fact, no flow time is an independent factor of morbidity and
mortality.
In France, cardiac arrests are treated by first responders (including emergency nurses)
before the arrival of a mobile intensive care unit. Those first responders use
bag-valve-mask for ventilation and therefore practice conventional CPR (30 chest compression
/ 2 ventilation rhythm). Laryngeal tube is a safe and efficient device in cardiac arrest
ventilation. The purpose of our study is to compare the no flow time between two strategies
of out of hospital cardiac arrest management by first responders: conventional CPR with
bag-valve-mask ventilation vs. compression only CPR with Laryngeal Tube ventilation.
Multicentric, prospective, controlled, randomized study with parallel groups in single
blind.
Patients will be included in chronological periods to avoid selection biais (one month with
the first medical device the next month with the other one). The determination of these
periods will be centralized. The emergency vehicles will be supplied sufficiently with
devices. This design has been chosen in order to answer to the emergency problem.
Patients will be included and ventilated by paramedical staff (first responders) before
medical staff (Mobile Intensive Care Unit) intervention. Complete detailed information will
be given to the patient or to the family and consent asked.
The comparison of no flow time between the two strategies in out of hospital cardiac arrest
will be the following :
A : ventilation by bag valve mask and interrupted chest compression B : ventilation by
laryngeal tube and continuous chest compression
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Health Services Research
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