Out-of-Hospital Cardiac Arrest Clinical Trial
Official title:
Feasibility of Prehospital Trans Esophageal Echocardiography in Cardiac Arrest
This study shall investigate the feasibility of prehospital performed trans-esophageal echocardiography in out of hospital cardiac arrest. The investigators will include ten patients undergoing advanced life support in this study and determine if it is possible to acquire adequate trans-esophageal images within 10 minutes after arrival of the study team on scene.
Status | Recruiting |
Enrollment | 10 |
Est. completion date | August 31, 2022 |
Est. primary completion date | July 31, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - adult patients undergoing advanced life support for out of hospital cardiac arrest Exclusion Criteria: - patients who should undergo rapid transport to the hospital with ongoing CPR (ECMO candidates, pregnant, trauma, obvious reversible which can be treated in hospital only) - known esophageal pathology contraindicating TEE - no definite secure airway present (endotracheal intubation, tracheostomy) |
Country | Name | City | State |
---|---|---|---|
Austria | Medical University of Vienna | Vienna |
Lead Sponsor | Collaborator |
---|---|
Medical University of Vienna | Berufsrettung Wien |
Austria,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Time to obtain images of the heart | Time from arrival of the study team on scene, until the following questions are answered by trans esophageal echocardiography: "is spontaneous cardiac movement present", "how ist LV function", "how is RV function", "is a pericardial effusion or tamponade present". The time will be measured in seconds and a maximum of 600 seconds is allowed. If answering the questions within 600 seconds is possible, the case will be counted as "feasible" and the duration of the time measured will be recorded. If answering the questions takes longer than 10 minutes, the case will be counted as "not feasible" | 10 minutes | |
Secondary | Hands off times | what are the "hands off times" (defined as time during which no chest compressions are performed during the resuscitation) during ALS with or without TEE. | 10 minutes | |
Secondary | Hindering of advanced life support measures | The number of events that hinder the established advanced life support measures will be counted graded by severity (minimal, minor, major) | 10 minutes | |
Secondary | Trans esophageal echocardiography related complications | What complications are caused by trans esophageal echocardiography occur during ALS: displacement of the endotracheal tube, dental injury, pharyngeal injury | 10 minutes | |
Secondary | Image quality | How is image quality of trans esophageal echocardiography during advanced life support measures? This will be determined by the investigator performing the trans esophageal echocardiography and also by a blinded specialist afterwards. The rating will be "excellent", "good", "moderate", "poor", "extremely poor" | 10 minutes |
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