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Pilot Community Clinical Study of Hypothermia in Cardiac Arrest

University of Washington logo

University of Washington

Status and phase

Completed
Phase 2
Phase 1

Conditions

Cardiac Arrest

Treatments

Drug: Up to 2 liter infusion of cold 4 degree C normal saline

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

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.

Enrollment

125 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

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

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

125 participants in 2 patient groups

Cold fluid
Experimental group
Treatment:
Drug: Up to 2 liter infusion of cold 4 degree C normal saline
control, standard of care
No Intervention group

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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