Effect of ETI Performance on CPR Outcomes

Cardiopulmonary Arrest Clinical Trial

Official title:

Effect of Endotracheal Intubation Performance on the Outcomes in out-of Hospital Cardiac Arrest Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04451733
• Other study ID #: INTU_CPRoutcome
• Status: Completed
• Start date: March 2012
• Est. completion date: February 2015

Study information

• Verified date: June 2020
• Source: Konkuk University Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This is a clinical observation study based on analysis of video-clip data of cardiopulmonary resuscitation (CPR) for out-of hospital cardiac arrest (OHCA) in emergency department. Aim of study is to evaluate effect of the factors relating endotracheal intubation (ETI) on the outcome of OHCA patients.

Description:

ETI is a standard method for placement of advanced airway during CPR. Frequent attempts or delayed ETI may affect adversely on the outcomes of OHCA. However, there was no known detailed data of explaining this issues.

This study tried to evaluate effect of factors of ETI including numbers of trial, time for ETI trial, interruption time and esophageal intubation during CPR on outcomes of OHCA patients.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 250
• Est. completion date: February 2015
• Est. primary completion date: February 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: 19 Years and older

Eligibility

Inclusion Criteria:

• patients who suffered sudden cardiac arrest and intubated during CPR

Exclusion Criteria:

• case of requesting the do-not-atempt resuscitation

• patients who were diagnosed as adavanced cancer

• cardiac arrest by multiple trauma

Related Conditions & MeSH terms

• Cardiopulmonary Arrest
• Heart Arrest

Intervention

Procedure:
• Endotracheal intubation
Perform the endotracheal intubation during CPR

Locations

Country	Name	City	State
Korea, Republic of	Department of Emergency Medicine, Konkuk University Medical center	Seoul

Sponsors (1)

Lead Sponsor	Collaborator
Konkuk University Medical Center

Country where clinical trial is conducted

Korea, Republic of, 

References & Publications (4)

Link MS, Berkow LC, Kudenchuk PJ, Halperin HR, Hess EP, Moitra VK, Neumar RW, O'Neil BJ, Paxton JH, Silvers SM, White RD, Yannopoulos D, Donnino MW. Part 7: Adult Advanced Cardiovascular Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015 Nov 3;132(18 Suppl 2):S444-64. doi: 10.1161/CIR.0000000000000261. Review. Erratum in: Circulation. 2015 Dec 15;132(24):e385. — View Citation

Newell C, Grier S, Soar J. Airway and ventilation management during cardiopulmonary resuscitation and after successful resuscitation. Crit Care. 2018 Aug 15;22(1):190. doi: 10.1186/s13054-018-2121-y. Review. — View Citation

Osman AD, Rahman MA, Lam L, Lin CC, Yeoh M, Judkins S, Pratten N, Moran J, Jones D. Cardiopulmonary resuscitation and endotracheal intubation decisions for adults with advance care directive and resuscitation plans in the emergency department. Australas Emerg Care. 2020 Jun 11. pii: S2588-994X(20)30043-9. doi: 10.1016/j.auec.2020.05.003. [Epub ahead of print] — View Citation

Panchal AR, Berg KM, Hirsch KG, Kudenchuk PJ, Del Rios M, Cabañas JG, Link MS, Kurz MC, Chan PS, Morley PT, Hazinski MF, Donnino MW. 2019 American Heart Association Focused Update on Advanced Cardiovascular Life Support: Use of Advanced Airways, Vasopressors, and Extracorporeal Cardiopulmonary Resuscitation During Cardiac Arrest: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2019 Dec 10;140(24):e881-e894. doi: 10.1161/CIR.0000000000000732. Epub 2019 Nov 14. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Good Neurologic outcome	survival with good neurologic status (CPC 1-2) after suffering cardiac arrest	1 year