About this trial
The investigators aim to investigate the real life volumes of air delivered to the lungs when rescuers deliver these breaths by hand as part of resuscitation attempts during cardiac arrest. The study will compare the volumes achieved using different devices which are routinely used to provided an airway during routine cardiac arrest care. Volumes will be measured using a small non intrusive device which sits in the airway circuit and measures flow of air in real time. The patients chosen for this study will be those already recruited to an ongoing trial (AIRWAYS-3) assessing the outcomes for patients suffering in hospital cardiac arrest based on airway device used.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
In-hospital cardiac arrest, attended by the hospital cardiac arrest team in response to a cardiac arrest call (2222 or equivalent), and when a clinician permitted to undertake both tracheal intubation and supraglottic airway placement (so that either intervention can be delivered) is present
Undergoing resuscitation and requiring advanced airway management in the opinion of the trained clinician responsible for randomisation
Disqualifiers
As per AIRWAYS-3 trial
Patients who have a cardiac arrest outside hospital and who are transported to the hospital in ongoing cardiac arrest
People who are not a hospital inpatient (e.g. visitor, relative, staff or outpatient)
Patients who are already tracheally intubated at the time of eligibility assessment
Trial population
Patients who have suffered a cardiac arrest whilst an in patient.
Trial design
Case-control
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Tidal Volume
The mean tidal volume achieved during cardiac arrest treatment
Secondary outcomes
Mean leak
The mean volume of leak recorded during cardiac arrest treatment
inspiratory time
The mean inspiratory time during cardiac arrest treatment
Expiratory time
The mean expiratory time during cardiac arrest treatment
Other outcomes
Respiratory rate
Mean Respiratory rate delivered during cardiac arrest treatment
Smallest tidal volume
The smallest tidal volume delivered during cardiac arrest treatment
largest tidal volume
The largest tidal volume delivered during cardiac arrest treatment
duration of intervention
The time for which the airway device was used during cardiac arrest treatment
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Royal United Hospitals Bath NHS Foundation Trust
Lead sponsor
RCUK
Collaborator