Status:

COMPLETED

Trial of Vasopressin and Epinephrine to Epinephrine Only for In-Hospital Pediatric Cardiopulmonary Resuscitation

Lead Sponsor:

University of Texas Southwestern Medical Center

Collaborating Sponsors:

Children's Medical Center Dallas

Conditions:

Cardiopulmonary Arrest

Cardiac Arrest

Eligibility:

All Genders

Up to 18 years

Phase:

PHASE1

Brief Summary

Cardiac arrest has a very poor prognosis, especially with prolonged efforts at resuscitation, and unfortunately, survivors are often severely neurologically impaired. CPA in children is often the resu...

Detailed Description

CONCISE SUMMARY OF PROJECT: The study design will be a prospective, randomized, controlled clinical trial to be conducted in the PICU of CMC Dallas (UT Southwestern Medical Center) following a pilot ...

Eligibility Criteria

Inclusion

  • All children, ages 0 to 18 years, admitted to the PICU who experience CPA requiring either chest compressions and/or defibrillation. This will include males, females and Spanish speaking individuals.
  • Patients must require at least 2 doses of vasopressor medication during the CPA event (all patients would receive epinephrine as first dose, followed by either epinephrine or vasopressin as second dose depending on randomization, all subsequent doses required would be epinephrine) given via any route (intravenous, intraosseous, or endotracheal).

Exclusion

  • Do Not Attempt Resuscitate (DNAR) patients
  • Chemical code only (i.e., no CPR/defibrillation)
  • Events not requiring chest compressions and/or defibrillation
  • Events with a pulse requiring synchronized or unsynchronized cardioversion
  • Successful internal cardiac device defibrillation of Vfib/pVT that initiates the resuscitation event
  • Defibrillation for Vfib/pVT without administration of a vasopressor
  • All patients in the custody of the State of Texas
  • Any patient whose parent or guardian "opts out" of the study
  • Any patient who is pregnant
  • Any patient whose attending physician "opts out" of the study
  • Any patient who does not consent to follow up data collection

Key Trial Info

Start Date :

April 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2010

Estimated Enrollment :

130 Patients enrolled

Trial Details

Trial ID

NCT00628550

Start Date

April 1 2008

End Date

October 1 2010

Last Update

September 17 2019

Active Locations (1)

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1

Universtity of Texas Southwestern, Children's Medical Center

Dallas, Texas, United States, 75235