Pulse Control Using USG and Manual Palpation Methods in Cardiopulmonary Resuscitation

NCT05557032 | Completed

• 1 other identifier: 2021-GOKAE-0536
• Study Type: observational
• Target: 536
• Locations: 1 country
• Sites: 1

Brief Summary

The final approach adopted in Advanced Cardiac Life Support (ACLS) guidelines as defined by the American Heart Association (AHA) and the European Resuscitation Council (ERC) is to minimize the time between chest compressions in cardiopulmonary resuscitation (CPR). Pulse and rhythm checks are recommended between chest compressions and it is stated that this period should not exceed 10 seconds. All guidelines also state that in cases of low cardiac output or low blood pressure, even if electrocardiographic (ECG) rhythms can be obtained, pulse checks may still fail and an arterial pulse may not be felt during chest compressions. This difficulty in sensing the arterial pulse causes delays in the decision of cardiac arrest in the patient. For this reason, there are cases of cardiac arrest in which the initiation of CPR is delayed or not started at all. The most common method for checking the pulse is manual palpation. However, since it is an operator-dependent method, it is affected by the experience of the healthcare personnel, the vital values of the patient, and anatomical differences. Therefore, more objective criteria are required to detect a pulse. A clinical study of the reliability of pulse checks showed that most healthcare professionals are unable to detect the presence or absence of a pulse. Another study showed that pulse alone is not sufficient to initiate CPR, and 50% of decisions to initiate CPR based on heart rate are incorrect. Therefore, more objective criteria have been sought to detect the presence of a pulse. For this purpose, evaluations were made regarding the presence of end-tidal carbon dioxide, cardiac echo, and organized rhythm.

Conditions

Cardiopulmonary Resuscitation

Keywords

carotid artery; pulse check; Cardiopulmonary Arrest

Outcome Measures

Primary Outcomes (1)

• Carotid artery pulse control result using manual and USG in cardiopulmonary resuscitation

  Our aim is to compare the USG and manual methods in evaluating the presence of a pulse during CPR and to determine which method gives the most appropriate time and accuracy.

  2 minute

Interventions

cardiopulmonary resuscitation PROCEDURE

pulse checks during cardiopulmonary resuscitation

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

patients over 18 years old

You may qualify if:

• All adult patients (over 18 years of age) with in-hospital or out-of-hospital cardiac arrest

You may not qualify if:

• Patients with traumatic arrest
• Conditions affecting carotid pulse palpation and/or USG application (patients with a history of carotid stenosis or dissection, patients undergoing neck surgery, patients with neck abscess hematoma)
• Pregnant arrest patients

Sponsors & Collaborators

• Izmir Katip Celebi University: lead

Study Sites (1)

IKCU, Atatürk Eğitim ve Araştırma Hastanesi, Acil Tıp

Izmir, 35360, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Heart Arrest

Interventions

Cardiopulmonary Resuscitation

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases

Intervention Hierarchy (Ancestors)

Resuscitation; Emergency Treatment; Therapeutics

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Year
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Study Record Dates

• First Submitted: September 17, 2022
• First Posted: September 27, 2022
• Study Start: December 25, 2021
• Primary Completion: September 15, 2022
• Study Completion: September 16, 2022
• Last Updated: September 22, 2023

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, CSR

Locations

TU (1)