Design and implementation of the Resuscitation Outcomes Consortium Pragmatic Airway Resuscitation Trial (PART)
- PMID: 26851059
- PMCID: PMC4792760
- DOI: 10.1016/j.resuscitation.2016.01.012
Design and implementation of the Resuscitation Outcomes Consortium Pragmatic Airway Resuscitation Trial (PART)
Abstract
Airway management is an important component of resuscitation from out-of-hospital cardiac arrest (OHCA). The optimal approach to advanced airway management is unknown. The Pragmatic Airway Resuscitation Trial (PART) will compare the effectiveness of endotracheal intubation (ETI) and Laryngeal Tube (LT) insertion upon 72-h survival in adult OHCA. Encompassing United States Emergency Medical Services agencies affiliated with the Resuscitation Outcomes Consortium (ROC), PART will use a cluster-crossover randomized design. Participating subjects will include adult, non-traumatic OHCA requiring bag-valve-mask ventilation. Trial interventions will include (1) initial airway management with ETI and (2) initial airway management with LT. The primary and secondary trial outcomes are 72-h survival and return of spontaneous circulation. Additional clinical outcomes will include airway management process and adverse events. The trial will enroll a total of 3000 subjects. Results of PART may guide the selection of advanced airway management strategies in OHCA.
Keywords: Airway management; Cardiopulmonary arrest; Clinical trials; Emergency medical services; Intubation (intratracheal); Resuscitation.
Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
Conflict of interest statement
The authors declare no financial or other conflicts of interest.
Figures
References
-
- Institute of Medicine. [Accessed October 9, 2015];Strategies to Improve Cardiac Arrest Survival: A Time to Act. 2015 at http://www.nap.edu/read/21723/chapter/1.
-
- DeLeo BC. Endotracheal intubation by rescue squad personnel. Heart Lung. 1977;6:851–854. - PubMed
-
- Guss DA, Posluszny M. Paramedic orotracheal intubation: a feasibility study. Am J Emerg Med. 1984;2:399–401. - PubMed
-
- Jacobs LM, Berrizbeitia LD, Bennett B, Madigan C. Endotracheal intubation in the prehospital phase of emergency medical care. Jama. 1983;250:2175–2177. - PubMed
Publication types
MeSH terms
Grants and funding
- U01 HL077866/HL/NHLBI NIH HHS/United States
- HL077881/HL/NHLBI NIH HHS/United States
- U01 HL077871/HL/NHLBI NIH HHS/United States
- U01 HL077887/HL/NHLBI NIH HHS/United States
- U01 HL077863/HL/NHLBI NIH HHS/United States
- UH2/UH3-HL125163/HL/NHLBI NIH HHS/United States
- UH3 HL125163/HL/NHLBI NIH HHS/United States
- HL077887/HL/NHLBI NIH HHS/United States
- U01 HL077881/HL/NHLBI NIH HHS/United States
- HL077873/HL/NHLBI NIH HHS/United States
- HL077871/HL/NHLBI NIH HHS/United States
- HL077866/HL/NHLBI NIH HHS/United States
- U01 HL077873/HL/NHLBI NIH HHS/United States
- UH2 HL125163/HL/NHLBI NIH HHS/United States
- 5U015U01HL077863/HL/NHLBI NIH HHS/United States
LinkOut - more resources
Full Text Sources
Other Literature Sources
