DOuble SEquential External Defibrillation for Refractory VF Pilot Study
NCT03249948 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 173
Last updated 2020-03-18
Summary
Despite significant advances in resuscitation efforts, there are some patients who remain in refractory ventricular fibrillation (VF) during out-of-hospital cardiac arrest. Double sequential external defibrillation (DSED) and vector change defibrillation have been proposed as a viable option for patients in refractory VF. This pilot cluster randomized trial will compare (1) continued resuscitation using standard defibrillation; (2) resuscitation involving DSED; or (3) resuscitation involving vector change defibrillation, in patients presenting with refractory VF during out-of-hospital cardiac arrest. The results of this pilot study will provide critical data for planning a larger, adequately powered multi-site randomized controlled trial to clinically evaluate DSED and vector change defibrillation compared to standard therapy for patients in refractory VF.
Conditions
- Ventricular Fibrillation
Interventions
- PROCEDURE
-
Vector change defibrillation
Defibrillation using pad placement in anterior-posterior position.
- PROCEDURE
-
Double-sequential defibrillation
Defibrillation using two defibrillators, one with pad placement in anterior-posterior position, and the other with pad placement in anterior-anterior position, delivering two rapid sequential shocks.
Sponsors & Collaborators
-
Peel Regional Paramedic Service
collaborator UNKNOWN -
Toronto Paramedic Services
collaborator UNKNOWN -
Halton Region Paramedic Services
collaborator OTHER -
County of Simcoe Paramedic Services
collaborator UNKNOWN -
Sunnybrook Health Sciences Centre
lead OTHER
Principal Investigators
-
Sheldon Cheskes, MD · Sunnybrook Centre for Prehospital Medicine
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-03-05
- Primary Completion
- 2019-09-10
- Completion
- 2020-03-12
Countries
- Canada
Study Locations
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