Status:

COMPLETED

Effect of Xenon and Therapeutic Hypothermia, on the Brain and on Neurological Outcome Following Brain Ischemia in Cardiac Arrest Patients

Lead Sponsor:

Turku University Hospital

Collaborating Sponsors:

Academy of Finland

University of Turku

Conditions:

Ischemic Brain Injury

Eligibility:

All Genders

18-80 years

Phase:

PHASE2

Brief Summary

The main purpose of this study is to explore whether xenon is neuroprotective in humans. In addition, the purpose is to explore the underlying mechanisms for the possible synergistic neuroprotective i...

Detailed Description

If cardiac resuscitation is successful, the state-of-the-art management is to actively cool these patients into a state of moderate hypothermia (32-34º C) for 24 hours in an intensive care unit. Guide...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Ventricular fibrillation or non-perfusive ventricular tachycardia as initial cardiac rhythm
  • The 1st attempt at resuscitation by emergency medical personnel must appear within 15 minutes after the collapse
  • The cause for collapse should be considered primary as cardiogenic and the return of spontaneous circulation (ROSC) should have been gained in 45 minutes after the collapse
  • Patient should be still unconscious in the emergency room
  • Age: 18 - 80 years
  • Obtained consent within 4 hours after arrival to the hospital
  • Exclusion criteria
  • Hypothermia (\< 30°C core temperature)
  • Unconsciousness before cardiac arrest (cerebral trauma, spontaneous cerebral hemorrhages, intoxications etc.)
  • Response to verbal commands after the return of spontaneous circulation and before randomization
  • Pregnancy
  • Coagulopathy
  • Terminal phase of a chronic disease
  • Systolic arterial pressure \< 80 mmHg or mean arterial pressure \< 60 mmHg for over 30 min period after ROSC
  • Evidence of hypoxemia (arterial oxygen saturation \< 85%) for \> 15 minutes after ROSC and before randomization.
  • Factors making participation in follow-up unlikely
  • Enrolment in another study

Exclusion

    Key Trial Info

    Start Date :

    May 1 2009

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    September 1 2014

    Estimated Enrollment :

    110 Patients enrolled

    Trial Details

    Trial ID

    NCT00879892

    Start Date

    May 1 2009

    End Date

    September 1 2014

    Last Update

    January 19 2015

    Active Locations (10)

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    Page 1 of 3 (10 locations)

    1

    Department of Anesthesia and Perioperative Care

    San Francisco, California, United States

    2

    Department of Neurology, Meilahti, Helsinki University Hospital

    Helsinki, Finland, 340

    3

    Department of Radiology, HUSRontgen, Meilahti, Helsinki University Hospital

    Helsinki, Finland, 340

    4

    Intensive Care Unit, Meilahti, Helsinki University Hospital

    Helsinki, Finland, 340