Clinical trial NCT05709613: Use of a Feedback Device to Limit Too Shallow Compressions Associated With the Use of an I-gel® Device
Official title: Use of a Feedback Device to Limit Too Shallow Compressions Associated With the Use of an I-gel® Device During Simulated Out-of-Hospital Cardiac Arrest: Simulation-based Multicentre Randomised Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cardiac Arrest
Cardiopulmonary Arrest
Resuscitation
Emergency Medicine
Lead sponsor: Geneve TEAM Ambulances
Sponsor class: OTHER
First posted: 2023-02-02
Enrollment: 34
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

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.


Eligibility 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.

Primary outcomes:
measure: Compressions within the depth target
timeFrame: Through study completion, i.e.10 minutes of scenario.
Secondary outcomes:
measure: Overall chest compression fraction
timeFrame: Through study completion, i.e.10 minutes of scenario.
measure: Depth of chest compressions
timeFrame: Through study completion, i.e.10 minutes of scenario.
measure: Compressions within the rate target
timeFrame: Through study completion, i.e.10 minutes of scenario.
measure: Rate of chest compressions
timeFrame: Through study completion, i.e.10 minutes of scenario.
measure: Compressions with correct chest recoil
timeFrame: Through study completion, i.e.10 minutes of scenario.
measure: Time to first effective ventilation
timeFrame: Through study completion, i.e.10 minutes of scenario.
Other outcomes:
Locations:
city: Chêne-Bougeries
country: Switzerland
facility: ACE Genève Ambulances
state: Geneva
city: Sion
country: Switzerland
facility: Ambulances de la Ville de Sion
state: Valais
city: Geneva
country: Switzerland
facility: Genève TEAM Ambulances
city: Geneva
country: Switzerland
facility: SK Ambulances
Study officials:
affiliation: Genève TEAM Ambulances
name: Loric Stuby
role: PRINCIPAL_INVESTIGATOR
References: