Respiratory Parameters Using Advanced Airways During In-hospital Cardiac Arrest

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorRoyal United Hospitals Bath NHS Foundation Trust

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 volunteers

Qualifiers

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

Design model

Case-control

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

30 Participants
are grouped into 2 trial groups
Group A: Tracheal Tube
Group B: Supraglottic Airway

Trial outcomes

Primary outcomes

1

Tidal Volume

The mean tidal volume achieved during cardiac arrest treatment

Time frame
assessed from the initiation of advanced airway management to the cessation of the resuscitation treatment (Return of spontaneous circulation or death). Through completion of data collection, ranging between minutes to 1 hour.

Secondary outcomes

1

Mean leak

The mean volume of leak recorded during cardiac arrest treatment

Time frame
assessed from the initiation of advanced airway management to the cessation of the resuscitation treatment (Return of spontaneous circulation or death). Through completion of data collection, ranging between minutes to 1 hour.
2

inspiratory time

The mean inspiratory time during cardiac arrest treatment

Time frame
assessed from the initiation of advanced airway management to the cessation of the resuscitation treatment (Return of spontaneous circulation or death). Through completion of data collection, ranging between minutes to 1 hour.
3

Expiratory time

The mean expiratory time during cardiac arrest treatment

Time frame
assessed from the initiation of advanced airway management to the cessation of the resuscitation treatment (Return of spontaneous circulation or death). Through completion of data collection, ranging between minutes to 1 hour.

Other outcomes

1

Respiratory rate

Mean Respiratory rate delivered during cardiac arrest treatment

Time frame
assessed from the initiation of advanced airway management to the cessation of the resuscitation treatment (Return of spontaneous circulation or death). Through completion of data collection, ranging between minutes to 1 hour.
2

Smallest tidal volume

The smallest tidal volume delivered during cardiac arrest treatment

Time frame
assessed from the initiation of advanced airway management to the cessation of the resuscitation treatment (Return of spontaneous circulation or death). Through completion of data collection, ranging between minutes to 1 hour.
3

largest tidal volume

The largest tidal volume delivered during cardiac arrest treatment

Time frame
assessed from the initiation of advanced airway management to the cessation of the resuscitation treatment (Return of spontaneous circulation or death). Through completion of data collection, ranging between minutes to 1 hour.
4

duration of intervention

The time for which the airway device was used during cardiac arrest treatment

Time frame
assessed from the initiation of advanced airway management to the cessation of the resuscitation treatment (Return of spontaneous circulation or death). Through completion of data collection, ranging between minutes to 1 hour.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.