Pilot Community Clinical Study of Hypothermia in Cardiac Arrest
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Purpose
The overall goal of this study is to determine the feasibility of initiating hypothermia in cardiac arrest patients as soon as possible in the field. In this pilot study we will randomize 125 patients after return of spontaneous circulation (ROSC) to hypothermia with rapid infusion of 2 liters of 4oC Normal Saline IV solution over 20 to 30 minutes, IV sedation and muscle paralysis or to standard of care following ROSC. The primary objectives of this study will be to determine whether temperature of 33-34oC can be achieved and maintained using this strategy. The primary outcome measures will include: temperature changes of the patients at time of admission to the hospital. Secondary analysis will include determining if the proportion of patients discharged from the hospital is increased in the group receiving hypothermia. If this initial pilot study can demonstrate feasibility in achieving and maintaining hypothermia, a larger randomized clinical trial to test the hypothesis that hypothermia initiation in the field will increase the proportion of patients surviving following cardiac arrest will be planned.
| Condition | Intervention | Phase |
|---|---|---|
|
Cardiac Arrest |
Procedure: Up to 2 liter infusion of cold 4 degree C normal saline Procedure: Induction of mild hypothermia |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Pilot Community Clinical Study of Hypothermia in Cardiac Arrest |
- Temperature difference between first field temperature and hospital arrival temperature [ Time Frame: less than 60 minutes ]
- Survival to discharge from hospital [ Time Frame: Between 2 -30 days ]
- Awakening in the hospital [ Time Frame: between 2-30 days ]
| Enrollment: | 125 |
| Study Start Date: | November 2004 |
| Study Completion Date: | March 2006 |
-
Procedure: Up to 2 liter infusion of cold 4 degree C normal saline
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Resuscitated out-of-hospital cardiac arrest defined as having a palpable pulse comatose IV access Intubated
Exclusion Criteria:
- age less than 18 traumatic cause of cardiac arrest
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Francis Kim, MD, University of Washington |
| ClinicalTrials.gov Identifier: | NCT00329563 History of Changes |
| Other Study ID Numbers: | 03-9863-B03 |
| Study First Received: | May 22, 2006 |
| Last Updated: | December 18, 2007 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by University of Washington:
|
Cardiac Arrest Hypothermia |
Additional relevant MeSH terms:
|
Heart Arrest Hypothermia Heart Diseases |
Cardiovascular Diseases Body Temperature Changes Signs and Symptoms |
ClinicalTrials.gov processed this record on June 17, 2013