RecruitingNCT05132387

Wroclaw Out-Of-Hospital Cardiac Arrest Registry


Sponsor

Wroclaw Medical University

Enrollment

50 participants

Start Date

Oct 25, 2021

Study Type

OBSERVATIONAL

Conditions

Summary

The purpose of this study is to assess the efficacy of institutionalized care program of patients with out-of-hospital cardiac arrest.


Eligibility

Min Age: 18 YearsMax Age: 60 Years

Inclusion Criteria7

  • Age < 60 years
  • witnessed sudden cardiac arrest with immediate CPR
  • supposed cardiac cause of the event
  • ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT) at first medical contact with 3 unsuccessful defibrillations (no ROSC)
  • CPR conducted with Lund University Cardiopulmonary Assist System (LUCAS™)
  • Estimated transfer time from the scene to the Emergency Department < 30 minutes.
  • End tidal carbon dioxide (ETCO2) > 10 mmHg

Exclusion Criteria10

  • Total presumed time from 112 call to ECMO implantation longer than 60 minutes
  • Age < 18 years old or > 60 years old;
  • Non-shockable initial rhythm
  • Unavailability of the automated CPR device
  • Unavailability of the catheterisation laboratory
  • Severe concomitant illness with decreased life expectancy
  • Severe body injury
  • Severe active bleeding
  • Drowning
  • Terminal cancer

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Interventions

OTHERECMO assisted CPR in out-of-hospital cardiac arrest

Patients included in the registry will be transferred during LUCAS assisted CPR by the Wroclaw Emergency Medical Services to the Emergency Department of the Wroclaw University Hospital where blood gasses will be assessed. If two or more of the following: end-tidal carbon dioxide (CO2) \> 10 mm Hg, arterial partial pressure of oxygen (PaO2) \>50 mm Hg or oxygen saturation \>85%, and lactic acid \<18 mmol/L will be fulfilled patient will be further transferred to the Cardiac Catheterization Laboratory for V-A ECMO implantation followed by coronary/pulmonary artery angiography and intervention.


Locations(1)

Wroclaw University Hostpital

Wroclaw, Poland

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NCT05132387


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