Pediatric ALL Clinical Trial
Official title:
Impact of 2 Resuscitation Sequences on Alveolar Ventilation During the First Minute of Simulated Pediatric Cardiac Arrest: Randomized Cross-Over Trial
Verified date | January 2023 |
Source | Geneve TEAM Ambulances |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The International Liaison Committee on Resuscitation regularly publishes a Consensus on Science with Treatment Recommendations but guidelines can nevertheless differ when knowledge gaps persist. In case of pediatric cardiac arrest, the American Heart Association recommends following the adult resuscitation sequence i.e., starting with chest compressions. Conversely, the European Resuscitation Council advocates the delivery of 5 initial rescue breaths before starting chest compressions. Carrying out a randomized trial in children in cardiac arrest to assess the impact of these strategies would prove particularly challenging and ethical concerns may prevent such a trial from being performed. This will be a superiority, cross-over randomized trial whose goal is to determine the impact of these 2 resuscitation sequences on alveolar ventilation in a pediatric model of cardiac arrest. While not definitive, its results could help fill part of the current knowledge gap.
Status | Completed |
Enrollment | 28 |
Est. completion date | September 1, 2022 |
Est. primary completion date | September 1, 2022 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | N/A and older |
Eligibility | Inclusion Criteria: - Being issued from one of the following profession: Emergency medical technicians (EMTs), paramedics, nurses and physicians Exclusion Criteria: - Being member of the study team |
Country | Name | City | State |
---|---|---|---|
Switzerland | Swiss Prehospital Research Day | Neuchâtel |
Lead Sponsor | Collaborator |
---|---|
Geneve TEAM Ambulances | École supérieure de soins ambulanciers, Genève, Service de la protection et de la sécurité, Neuchâtel, University Hospital, Geneva |
Switzerland,
Suppan L, Jampen L, Siebert JN, Zund S, Stuby L, Ozainne F. Impact of Two Resuscitation Sequences on Alveolar Ventilation during the First Minute of Simulated Pediatric Cardiac Arrest: Randomized Cross-Over Trial. Healthcare (Basel). 2022 Dec 5;10(12):245 — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Alveolar ventilation | The alveolar ventilation will be determined by subtracting the dead space volume from each ventilation. According to the appropriate Best Guess formula, a 9-month old infant should weigh around 9 kg (0.5 x age in months + 4.5). Using the formula proposed by Numa and Newth, this corresponds to a dead space of around 25 ml. | 1 minute | |
Secondary | The total number of ventilations | This will be the count of the number of ventilations delivered during the scenario | 1 minute | |
Secondary | The proportion of ventilations within, above and below the target volume | According to the manikin's manufacturer, the target is 30 to 70 ml | 1 minute | |
Secondary | The alveolar ventilation obtained without taking ventilation volumes over 70 ml into account | This is similar to the primary outcome, but for this analysis, all ventilations will be individually capped at 45 ml | 1 minute | |
Secondary | The proportion of compressions of correct depth | The chest compression will be considered correct if = 4.3 cm, corresponding to one third of the height of the manikin's chest i.e., 13 cm) | 1 minute | |
Secondary | The proportion of chest compressions within, above and below the target rate. | According to the guidelines, the target is 100 to 120 compressions per minute | 1 minute | |
Secondary | The chest compression fraction (CCF) | This corresponds to the time with compressions on the total time of the cardiopulmonary resuscitation sequence | 1 minute | |
Secondary | The proportion of compressions with adequate chest recoil | This corresponds to the proportion of compressions enough relaxed to let complete heart relaxation | 1 minute |
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