Cardiac Arrest and Intra Osseous Infusion (ACCIO)
Obtaining Vascular Access (Venous or Intraosseous) During Cardiac Arrest in Out-of-hospital Care: Delays and Failure Risk Factors
Studieoversigt
Status
Betingelser
Detaljeret beskrivelse
In 2010, the European Resuscitation Council and the International Liaison Commitee on Resuscitation have made new recommendations about management of cardiac arrest. The intraosseous infusion was described as an alternative to the peripheral venous access, before the intra tracheal way for adrenaline administration. But this work doesn't specify the delay and the circumstance for this use: time to obtain a vascular access, number of failure, difficulty to obtain a venous access. Furthermore the recent improvements in intraosseous devices may make it relevant to compare intra osseous infusion and venous access in first intention in adult's cardiac arrest in view of the significant number of venous failures and of the subsequent delay of adrenaline administration.
The goal of this preliminary study is to inform the delay to obtain a vascular access by evaluation of a current care (using intravenous infusion after one peripheral venous access failure) and to determine the potential failure's risk factors of venous access.
Main objective: estimate the delay to obtain an effective vascular access (peripheral venous access, intra osseous infusion, central venous access) in resuscitation of adult's cardiac arrest by out of hospital care unit according to the international recommendations.
Study design: monocentric prospective cohort of consecutive patients presenting with out-of-hospital cardiac arrest.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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-
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Bordeaux, Frankrig
- CHU Bordeaux
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-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- 18 years old or over
- patients insured by social security
- cardiac arrest (all causes) with mobilisation of a intensive mobile care unit in primary intervention
- medical resuscitation indicated
Exclusion Criteria:
- pregnancy
- contraindication osseous infusion
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: vascular access in out-of-hospital cardiac arrest patients
Obtention of vascular access according to the current strategy, ie after one unsuccessful attempt to obtain a peripheral venous access, use of an intra osseous device
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Current strategy of obtention of a vascular access : first attempt by peripheral venous access and if failure switch to intraosseous route
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
functional vascular access
Tidsramme: at inclusion (day 0)
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time for obtaining a functional vascular access from the beginning of out-of-hospital cardiac arrest management
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at inclusion (day 0)
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Studiestol: Paul PEREZ, MD, PhD, University Hospital Bordeaux, France
- Ledende efterforsker: Bruno SIMONNET, MD, University Hospital Bordeaux, France
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Anslået)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- CHUBX 2011/13
- 2010/080 (Anden identifikator: USMR / Edelweiss)
- 2011-A01248-33 (Anden identifikator: ANSM)
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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