Use of a Feedback Device to Limit Too Shallow Compressions Associated With the Use of an I-gel® Device
Study Details
Study Description
Brief Summary
Airway management in out-of-hospital cardiac arrest is still debated. Several options exist:
bag-valve-mask ventilation, supraglottic devices and endotracheal intubation. Intermediate and advanced airway management strategies could be useful devices to increase chest compression fraction. A previous study shows that early insertion of an i-gel device significantly increases chest compression fraction and enhances respiratory parameters. However, the compressions were found to be shallower in the experimental group using the i-gel device. Although, the shallower compressions found in the supraglottic airway device group did not appear to be linked to their provision in an over-the-head position, it is reasonable to assume that the addition of a feedback device to the use of an i-gel® device could fix this issue. The feedback devices seem to be able to provide a benefit, and allow deeper compressions / more often in the depth target. There is a mismatch between perceived and actual cardiopulmonary resuscitation performance supporting the need for such a feedback device's study.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| No Intervention: No feedback device This group will have no access to the feedback device |
|
| Experimental: Feedback device This group will have access to the feedback device |
Device: Use of a chest compressions' feedback device
The participants will have access to a chest compressions' feedback device
|
Outcome Measures
Primary Outcome Measures
- Compressions within the depth target [Through study completion, i.e.10 minutes of scenario.]
Proportions of compressions within the depth target of 5 to 6 centimeters
Secondary Outcome Measures
- Overall chest compression fraction [Through study completion, i.e.10 minutes of scenario.]
The chest compression fraction is the time during which compressions are provided divided by the total time of the resuscitation
- Depth of chest compressions [Through study completion, i.e.10 minutes of scenario.]
The depth of chest compressions measured in centimeters
- Compressions within the rate target [Through study completion, i.e.10 minutes of scenario.]
Proportions of compressions within the rate target of 100 to 120 compressions per minute
- Rate of chest compressions [Through study completion, i.e.10 minutes of scenario.]
The rate of chest compressions measured in compressions per minute
- Compressions with correct chest recoil [Through study completion, i.e.10 minutes of scenario.]
The proportions of compressions with complete chest recoil (less than 5 millimeters of deviation from the reference value)
- Time to first effective ventilation [Through study completion, i.e.10 minutes of scenario.]
The time measured in seconds from beginning of the resuscitation to first effective ventilation (defined as at least 300 millilitres)
Eligibility Criteria
Criteria
Inclusion Criteria:
- Registered EMTs and paramedics actively working in any of the participating study trial centers will be eligible for inclusion.
Exclusion Criteria:
-
Members of the study team
-
EMTs will be randomly excluded if there are more EMTs than paramedics.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | ACE Genève Ambulances | Chêne-Bougeries | Geneva | Switzerland | 1224 |
| 2 | Ambulances de la Ville de Sion | Sion | Valais | Switzerland | 1950 |
| 3 | Genève TEAM Ambulances | Geneva | Switzerland | 1201 | |
| 4 | SK Ambulances | Geneva | Switzerland | 1211 |
Sponsors and Collaborators
- Geneve TEAM Ambulances
Investigators
- Principal Investigator: Loric Stuby, Genève TEAM Ambulances
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- CPR-7