CPR: Chest Compression and Cerebral Oxygenation During Cardiopulmonary Resuscitation
Study Details
Study Description
Brief Summary
In recent years, monitorizations during Cardiopulmonary Resuscitation (CPR) are inadequate to show the sufficiency of cerebral oxygenation. During CPR, insufficient chest compressions have critical importance for neurological results and life quality after the return of spontaneous circulation (ROSC).
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The Near-Infrared Spectroscopy (NIRS), which is used in measuring the cerebral tissue oxygenation is one of the latest technologies that allow the measurement of brain oxygen saturation. With this study, the issue of whether sufficient cerebral oxygenation is provided during CPR applied to patients that have Cardiac Arrest (CA) will be investigated, and the effect of CPR on the patient prognosis after ROSC will be examined. In this study, the aim is to investigate whether sufficient oxygenation is provided in synchronization with chest compressions during CPR; and to test the regional brain tissue saturation with rSO2 measurement, and the prognosis with Full Outline of UnResponsiveness (FOUR) Score in patients with ROSC.
Study Design
Outcome Measures
Primary Outcome Measures
- The levels of regional brain tissue oxygen saturation (rSO2) providing with chest compressions during Cardiopulmonary Resuscitation (CPR) [About six month]
The data will be obtained by using the Near Infrared Spectroscopy (NIRS) Device and will be recorded rSO2 measurement during the resuscitation of the Cardiac Arrest (CA) patients
Secondary Outcome Measures
- Change from baseline in consciousness on Full Outline of UnResponsiveness (FOUR) Score at one week [For a week after ROSC]
The patient's consciousness will be evaluated by FOUR score in patients with ROSC
Eligibility Criteria
Criteria
Inclusion Criteria:
- All patients undergoing cardiac arrest in intensive care unit
Exclusion Criteria:
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Head injury and intracranial bleeding
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Cerebral ischemic vascular event
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Pulmonary diseases that may affect blood-oxygen levels
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Below the age of 18
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Mehmet Akif YAZAR | Nevsehir | Turkey | 50100 |
Sponsors and Collaborators
- Nevsehir Public Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Kämäräinen A, Sainio M, Olkkola KT, Huhtala H, Tenhunen J, Hoppu S. Quality controlled manual chest compressions and cerebral oxygenation during in-hospital cardiac arrest. Resuscitation. 2012 Jan;83(1):138-42. doi: 10.1016/j.resuscitation.2011.09.011. Epub 2011 Sep 28.
- Parnia S, Nasir A, Shah C, Patel R, Mani A, Richman P. A feasibility study evaluating the role of cerebral oximetry in predicting return of spontaneous circulation in cardiac arrest. Resuscitation. 2012 Aug;83(8):982-5. doi: 10.1016/j.resuscitation.2012.01.039. Epub 2012 Feb 6.
- 2016/351
- Erciyes University