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Optimum Hand Position During Cardiopulmonary Resuscitation

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ClinicalTrials.gov Identifier: NCT02715180
Recruitment Status : Completed
First Posted : March 22, 2016
Last Update Posted : April 18, 2018
Sponsor:
Information provided by (Responsible Party):
Hyuksool Kwon, Seoul National University Bundang Hospital

Brief Summary:

The almost evidences of the optimal hand position during compression had been based on chest computed tomography (CT) or chest plain films of patients for investigating the effective location for compressing the left ventricle of the heart during cardiopulmonary resuscitation (CPR).

However every study was conducted at full inspired state of respiration. A prospective cohort study to evaluate the proper hand position during CPR based on expired respiratory state CT as the health screening would be needed.


Condition or disease Intervention/treatment Phase
Cardiopulmonary Resuscitation Hand Position Radiation: low dose chest computed tomography Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 127 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Optimum Hand Position During Cardiopulmonary Resuscitation: Comparing Expiration and Inspiration View of the Scout Film of the Low Dose Chest Computed Tomography
Study Start Date : August 2015
Actual Primary Completion Date : December 2015
Actual Study Completion Date : December 2015

Resource links provided by the National Library of Medicine

MedlinePlus related topics: CPR CT Scans

Arm Intervention/treatment
Chest computed tomography
Low dose chest computed tomography during expiration and inspiration
Radiation: low dose chest computed tomography
All participants were evaluated 2 scout films during LDCT screenings. The first scout film was obtained while a participant was holding a comfortable expiration with the arms at down position, and the second scout film was obtained while a full inspiration with the arms at raised position. The axial images of LDCT were taken during participants' full inspiration. The radio-opaque marker was attached to the participants' skin where the lowest part of sternum was palpable, because the sternum moves according to the position of arms and respiration.




Primary Outcome Measures :
  1. proper hand position during CPR using the scout film of low dose chest computed tomography [ Time Frame: five months ]

    proper hand position during CPR based on comparison between expiration with the arms at down position and inspiration the arms at raised position.

    Measurement will be assessed with a length of xiphoid process to arbitrary center of heart



Secondary Outcome Measures :
  1. predicted compressed organs in CPR using the scout film of low dose chest computed tomography Measurement will be assessed with scout film silhouette of organs under quarterly divided sternum. [ Time Frame: five months ]


Information from the National Library of Medicine

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Ages Eligible for Study:   19 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • over 18 years of age
  • no history of heart or lung disease
  • no history of chest or abdominal surgery

Exclusion Criteria:

  • abnormal findings in LDCT, which might influence inspiration or expiration, were excluded after image interpretation by the board certified radiologists
Publications:

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Responsible Party: Hyuksool Kwon, Assistant Professor, Seoul National University Bundang Hospital
ClinicalTrials.gov Identifier: NCT02715180    
Other Study ID Numbers: Hear_position_01
First Posted: March 22, 2016    Key Record Dates
Last Update Posted: April 18, 2018
Last Verified: April 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No