RecruitingNCT07041086

Prehospital ECPR in Moravia Silesia Region

Prehospital ECPR in Moravia Silesia Region - Assessing the Effectiveness, Feasibility and Time of ECPR by Simulating Connections and Real Interventions.

Sponsor

University Hospital Ostrava

Enrollment

100 participants

Start Date

Jun 17, 2025

Study Type

OBSERVATIONAL

Conditions

Cardiac Arrest, Out-Of-Hospital

Summary

Cardiopulmonary resuscitation (CPR) for out-of-hospital cardiac arrest (OHCA) in specific cases could be improved by Extracorporeal membrane oxygenation (ECMO; ECPR). ECPR could be introduced in hospital after retrieval of an OHCA patient and also faster by implantation on scene. The aim is to verify the effectiveness of ECPR on scene in the Moravian-Silesian region.

Eligibility

Min Age: 18 YearsMax Age: 70 Years

Inclusion Criteria5

Age ≥ 18 years
Observed collapse and presumption of cardiac cause of cardiac arrest
Estimated age up to 70 years
Baseline rhythm of ventricular fibrillation or pulseless electrical activity (PEA)
Basic bystander cardiopulmonary resuscitation (CPR), "bystander CPR", telephone assisted CPR (TANR)

Exclusion Criteria2

Children or adults with estimated weight below 40 kg
Known major comorbidities of the patient suggesting low rehabilitation potential (e.g. chronic obstructive pulmonary disease (COPD) IV, malignancy in tertiary phase)

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Interventions

PROCEDUREExtracorporeal membrane oxygenation (ECMO)

In extracorporeal membrane oxygenation (ECMO), blood is pumped outside of the body to a heart-lung machine. The machine removes carbon dioxide and sends oxygen-rich blood back to the body. Blood flows from the right side of the heart to the heart-lung machine. It's then rewarmed and sent back to the body.