Pragmatic Airway Resuscitation Trial (PART)
This study is currently recruiting participants.
Verified March 2017 by Henry E. Wang, MD, MS, University of Alabama at Birmingham
Sponsor:
University of Alabama at Birmingham
ClinicalTrials.gov Identifier:
NCT02419573
First Posted: April 17, 2015
Last Update Posted: April 4, 2017
Collaborators:
National Heart, Lung, and Blood Institute (NHLBI)
American Heart Association
Information provided by (Responsible Party):
Henry E. Wang, MD, MS, University of Alabama at Birmingham
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Purpose
The primary objective of the trial is to determine if 72-hour survival after out-of-hospital cardiac arrest (OHCA) is improved with initial endotracheal intubation (ETI) over initial laryngeal tube (LT) airway management strategies.
| Condition | Intervention |
|---|---|
| Cardiac Arrest | Device: Endotracheal Intubation Device: Laryngeal Tube (King) |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Crossover Assignment Masking: None (Open Label) Primary Purpose: Treatment |
| Official Title: | Pragmatic Trial of Airway Management in Out-of-Hospital Cardiac Arrest |
Resource links provided by NLM:
Further study details as provided by Henry E. Wang, MD, MS, University of Alabama at Birmingham:
Primary Outcome Measures:
- 72-hour survival [ Time Frame: 72 hours ]Patients will be followed from the time of the CA until death in the field or 72 hours after episode.
Secondary Outcome Measures:
- Return of Spontaneous Circulation (ROSC) [ Time Frame: Patients will be followed from the time of the CA until death or ROSC whichever occurs first. The time frame for this secondary outcome may vary from minutes to hours, but is not expected to last longer than 12 hours. ]ROSC is defined as the presence of palpable pulses
- Airway Management Clinical Course [ Time Frame: Patients will be followed from the time of the CA until death in the field, ED (Emergency Dept) or hospital, or hospital discharge, whichever occurs first.The longest estimated period for this assessment is 6 months from the date of the CA. ]Airway management clinical course includes sequence of airway insertion types, airway insertion success and time, number of airway insertion attempts, and change of airway devices
- Adverse Events [ Time Frame: Patients will be followed from the time of the CA until death in the field, ED or hospital, or hospital discharge, whichever occurs first. The longest estimated period for the outcome measure assessment is 6 months from the date of the event CA ]
| Estimated Enrollment: | 3000 |
| Study Start Date: | December 2015 |
| Estimated Study Completion Date: | November 2020 |
| Estimated Primary Completion Date: | September 2020 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Endotracheal Intubation
The insertion of a plastic breathing tube through the mouth and into the trachea.
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Device: Endotracheal Intubation
In this traditional model of OHCA airway management, advanced-level Emergency Medical Services (EMS) personnel will use ETI as the primary (initial) airway management intervention. If the EMS agency is assigned to this arm, basic-level EMS personnel will use bag-valve-mask ventilation only even if they would normally use an LT.
|
|
Active Comparator: Laryngeal Tube (King)
Insertion of a supraglottic airway (SGA)
|
Device: Laryngeal Tube (King)
In this test model of OHCA airway management, advanced-level Emergency Medical Services (EMS) personnel will use LT as the primary (initial) airway management intervention. Basic-level EMS personnel will use bag-valve-mask ventilation. If trained to use LT, basic-level EMS personnel may perform LT insertion.
Other Names:
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Detailed Description:
The primary objective of the trial is to determine if 72-hour survival after out-of-hospital cardiac arrest (OHCA) is improved with initial endotracheal intubation (ETI) over initial laryngeal tube (LT) airway management strategies.
The null hypothesis is that 72-hour survival is similar between primary Laryngeal Tube (LT) SGA and primary ETI airway management strategies.
Evaluated secondary outcomes will include return of spontaneous circulation, survival to hospital discharge, neurologically intact survival at hospital discharge, airway management performance, and clinical adverse events.
Eligibility
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| Ages Eligible for Study: | 18 Years and older (Adult, Senior) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Out-of-hospital cardiac arrest (OHCA)
- Adult (age ≥18 years or per local interpretation)
- Non-traumatic etiology
- Initiation of ventilatory support (e.d bag-valve-mask device, non-rebreather mas, etc.)
Exclusion Criteria:
- Known pregnant women
- Known prisoners
- Major facial trauma (visible major deformity, copious oral bleeding, etc)
- Major bleeding or exsanguination (e.g., major upper or lower GI bleed, visceral perforation, major uncontrolled bleeding from laceration or injury)
- Patient receiving initial care by a non-PART participating EMS agency capable of performing ETI, LT, or other advanced airway management
- Patients with ET tube, LT or other advanced airway device inserted prior to participating EMS agency arrival (e.g., inserted by healthcare facility personnel)
- Patients with a pre-existing tracheostomy
- Obvious asphyxial cardiac arrest (e.g., choking, foreign body aspiration, angioedema, epiglottitis, trauma to mouth and face, etc.)
- Patients with a left ventricular assist device (LVAD) or total artificial heart (TAH)
- Patients with pre-existing written "do-not-attempt-resuscitation" (DNAR) orders
- Inter-facility transports
- Patients with a "do not enroll" bracelet
Contacts and Locations
Information from the National Library of Medicine
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02419573
Contacts
| Contact: Karen N Brown, MSHA | 205-975-2393 | karenbrown@uabmc.edu | |
| Contact: Judy Powell | 800-332-0586 | jlpowell@uw.edu |
Locations
| United States, Alabama | |
| Alabama Resuscitation Center | Recruiting |
| Birmingham, Alabama, United States, 35294 | |
| Contact: Henry Wang, MD hwang@uabmc.edu | |
| United States, Oregon | |
| Portland Resuscitation Outcomes Consortium, Oregon Health & Sciences University | Recruiting |
| Portland, Oregon, United States, 92739 | |
| Contact: Mohamud Daya, MD dayam@ohsu.edu | |
| United States, Pennsylvania | |
| The Pittsburgh Resuscitation Network, University of Pittsburgh | Recruiting |
| Pittsburgh, Pennsylvania, United States, 15261 | |
| Contact: Clif Callaway, MD 412-647-9047 callawaycw@upmc.edu | |
| United States, Texas | |
| Dallas Center for Resuscitation Research, University of Texas Southwestern Medical Cente | Recruiting |
| Dallas, Texas, United States, 75390 | |
| Contact: Ahamed Idris, MD aidris@sbcglobal.net | |
| United States, Wisconsin | |
| Milwaukee Resuscitation Network, Medical College of Wisconsin | Recruiting |
| Milwaukee, Wisconsin, United States, 53226 | |
| Contact: Tom Aufderheide, MD 414-805-6452 taufderh@mcw.edu | |
Sponsors and Collaborators
University of Alabama at Birmingham
National Heart, Lung, and Blood Institute (NHLBI)
American Heart Association
Investigators
| Principal Investigator: | Henry E Wang, MD | University of Alabama at Birmingham |
More Information
Additional Information:
| Responsible Party: | Henry E. Wang, MD, MS, Principal Investigator, University of Alabama at Birmingham |
| ClinicalTrials.gov Identifier: | NCT02419573 History of Changes |
| Other Study ID Numbers: |
HL077863-PART 5U01HL077863 ( U.S. NIH Grant/Contract ) UH2HL125163 ( U.S. NIH Grant/Contract ) |
| First Submitted: | February 25, 2015 |
| First Posted: | April 17, 2015 |
| Last Update Posted: | April 4, 2017 |
| Last Verified: | March 2017 |
| Individual Participant Data (IPD) Sharing Statement: | |
| Plan to Share IPD: | No |
Keywords provided by Henry E. Wang, MD, MS, University of Alabama at Birmingham:
|
cardiac arrest cardiopulmonary resuscitation laryngeal tube endotracheal intubation non-traumatic Out of Hospital Cardiac Arrest (OOHCA) |
Additional relevant MeSH terms:
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Heart Arrest Out-of-Hospital Cardiac Arrest Heart Diseases Cardiovascular Diseases |