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IRCT20080901001174N14 IRCT 2021-05-28 Deputy of Research and Technology of Guilan University of Medical Sciences The effect of abdominal compression on consequences of cardiopulmonary resuscitation Investigating the effect of abdominal compression on consequences of cardiopulmonary resuscitation in hospitalized patients 2021-07-06 anticipated 90 Complete https://irct.ir/trial/54584 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this research, block randomization based on block permutation will be used. Initially, based on the specified sample size, the samples will be placed inside the blocks and in each block there will be an equal number of control and intervention groups. The site https://www.sealedenvelope.com/, which was set up to randomize clinical trials, will be used to generate a random allocation sequence in each block. To hide the allocation, the block size will be selected randomly (4, 6). In this case, for the present study, which have two groups, blocks with a size of 4 will include 2 participants from the control group and 2 participants from the intervention group. Also, blocks with a size of 6 will include 3 participants from the control group and 3 participants from the intervention group. Sampling will continue based on the assigned sequences in each block to complete the specified sample size. If the patient leaves the study, the relevant code will be assigned to the next sample. N/A Cardiac arrest. Intervention 1: Intervention group: In the intervention group, chest compression will be performed 100 times in a minute at a depth of 5 cm and ventilation will be performed as soon as possible after intubation. Ventilation will be performed using an Ambobag and intravenous epinephrine and other drugs will be injected intravenously if necessary during resuscitation. Cardiopulmonary resuscitation will continue until the spontaneous return of blood flow and its termination will be one of the indications for termination of cardiopulmonary resuscitation. In this study, abdominal compression is performed simultaneously with chest compression with the hands open and integrated and it is applied in the center of the abdomen between the xiphoid process and the umbilicus during the resting phase of the chest compression. According to similar articles, the depth, rhythm and number of abdominal compression are similar to those of a chest compression, and the pressure on the abdomen continues until the next chest compression begins. Intervention 2: Control group: In this group, chest compression will be performed and ventilation will be performed as soon as possible after intubation. Ventilation will be performed using an Ambobag and intravenous epinephrine and other drugs will be injected intravenously if necessary during resuscitation. Cardiopulmonary resuscitation will continue until blood flow returns spontaneously and its termination will be one of the indications for termination of cardiopulmonary resuscitation. Yes - There is a plan to make this available What will be shared: Main and total data When: After publication of the results, the access period begins To whom: Universities and scientific institutions Conditions: In case of citing the article and observing the principles of intellectual property Where to obtain: Executor of proposal How to obtain: Contact with proposal executor and making ethical agreement Comments:
public Atefeh Ghanbari
Faculty of Nursing and Midwifery., Daneshjo St., shahid Beheshti highway.
Rasht Iran (Islamic Republic of) 4146939841 +98 13 3355 5056 at_ghanbari@gums.ac.ir Guilan University of Medical Sciences scientific Atefeh Ghanbari
Faculty of Nursing and Midwifery., Daneshjo St., shahid Beheshti highway.
Rasht Iran (Islamic Republic of) 4146939841 +98 13 3355 5056 at_ghanbari@gums.ac.ir Guilan University of Medical Sciences Iran (Islamic Republic of) Written informed consent from the client's family or guardian Age of 18 to 85 years Hospitalized patients with cardiopulmonary arrest 18 years 85 years Both Patients with liver cirrhosis History of abdominal surgery in the last two weeks Active gastrointestinal bleeding Patients with abdominal ascites I46 Cardiac arrest Treatment - Other Treatment - Other Intervention group: In the intervention group, chest compression will be performed 100 times in a minute at a depth of 5 cm and ventilation will be performed as soon as possible after intubation. Ventilation will be performed using an Ambobag and intravenous epinephrine and other drugs will be injected intravenously if necessary during resuscitation. Cardiopulmonary resuscitation will continue until the spontaneous return of blood flow and its termination will be one of the indications for termination of cardiopulmonary resuscitation. In this study, abdominal compression is performed simultaneously with chest compression with the hands open and integrated and it is applied in the center of the abdomen between the xiphoid process and the umbilicus during the resting phase of the chest compression. According to similar articles, the depth, rhythm and number of abdominal compression are similar to those of a chest compression, and the pressure on the abdomen continues until the next chest compression begins. Control group: In this group, chest compression will be performed and ventilation will be performed as soon as possible after intubation. Ventilation will be performed using an Ambobag and intravenous epinephrine and other drugs will be injected intravenously if necessary during resuscitation. Cardiopulmonary resuscitation will continue until blood flow returns spontaneously and its termination will be one of the indications for termination of cardiopulmonary resuscitation. Spontaneous return of blood flow. Timepoint: After intervention (immediately after onset and half an hour after cardiopulmonary resuscitation). Method of measurement: Cardiopulmonary monitor. Mean arterial pressure. Timepoint: After intervention (immediately after onset and half an hour after cardiopulmonary resuscitation). Method of measurement: Cardiopulmonary monitor. Arterial blood oxygen saturation. Timepoint: After intervention (immediately after onset and half an hour after cardiopulmonary resuscitation). Method of measurement: Arterial blood gas test. Heart rate. Timepoint: After intervention (immediately after onset and half an hour after cardiopulmonary resuscitation). Method of measurement: Cardiopulmonary monitor. Deputy of Research and Technology of Guilan University of Medical Sciences Approved 2021-03-10 Ethics Committee of Guilan University of Medical Sciences Deputy of Research and Technology of Guilan University of Medical Sciences., In front of 17Sharivar Hospital., Shahid Siadati St., Namjoo Blvd. Rasht Guilan Iran (Islamic Republic of)