Status:

UNKNOWN

Pre-hospital ECMO or Conventional Resuscitation for Refractory Cardiac Arrest

Lead Sponsor:

Australian and New Zealand Intensive Care Research Centre

Collaborating Sponsors:

Ambulance Victoria

Conditions:

Out of Hospital Cardiac Arrest

Eligibility:

All Genders

18-70 years

Phase:

NA

Brief Summary

This pilot study aims to determine feasibility of randomising patients to receive pre-hospital Extracorporeal Cardiopulmonary Resuscitation (ECPR) compared to conventional cardiac arrest care for refr...

Detailed Description

Conventional cardiac arrest care, including high performance cardiopulmonary resuscitation, defibrillation and administration of drugs such as adrenaline is the current treatment for out of hospital c...

Eligibility Criteria

Inclusion

  • Adult patients 18-70 years old
  • Witnessed cardiac arrest
  • Bystander CPR
  • Refractory cardiac arrest (\>20 mins, but \<45 mins)
  • Initial cardiac rhythm VF, VT or PEA
  • Within hours of PACER service operation (e.g. mon-fri 0800-1700)
  • Within 25 mins of rapid response ambulance (code 1 lights and sirens)

Exclusion

  • Initial cardiac rhythm asystole
  • ROSC with sustained recovery
  • Technically not possible to perform percutaneous cannulation
  • Evidence of/suspectedSignificant end stage disease:
  • Severe disability impairing activities of daily living
  • End-stage organ - cardiac, liver, lung, renal
  • Other life-limiting diseases e.g malignancy, terminal illness
  • Advance health care directive (not for resuscitation)

Key Trial Info

Start Date :

March 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2024

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT06177730

Start Date

March 1 2024

End Date

December 1 2024

Last Update

December 20 2023

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Pre-hospital ECMO or Conventional Resuscitation for Refractory Cardiac Arrest | DecenTrialz