Airway Management Feasibility Study (REVIVE-Airways)
ISRCTN | ISRCTN18528625 |
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DOI | https://doi.org/10.1186/ISRCTN18528625 |
Secondary identifying numbers | 11962 |
- Submission date
- 24/05/2012
- Registration date
- 24/05/2012
- Last edited
- 21/01/2016
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Dr Sarah Voss
Scientific
Scientific
Faculty of Health & Life Sciences
Glenside Campus
Blackberry Hill
Bristol
BS16 1DD
United Kingdom
Study information
Study design | Randomised interventional trial |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Hospital |
Study type | Treatment |
Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
Scientific title | Randomised comparison of the effectiveness of the Laryngeal Mask Airway Supreme, i-gel and current practice in the initial airway management of pre-hospital cardiac arrest: a feasibility study (REVIVE-Airways) |
Study acronym | REVIVE |
Study objectives | Cardiac arrest occurs when the heart suddenly stops beating, and is one of the most extreme medical emergencies. Outcomes remain poor with most patients not surviving. Effective treatments for cardiac arrest are limited and represent a major unmet health need. The main treatment is cardiopulmonary resuscitation (CPR), which is a combination of rescue breathing and chest compressions. Prompt and effective CPR is essential to prevent damage to the brain and other organs. Minimising interruptions of continuous chest compressions improves survival. Current evidence supports a change in rescue breathing. Historically, placing a breathing tube in the windpipe (tracheal intubation) was viewed as the best pre-hospital airway management in cardiac arrest, but we now know that attempting intubation can lead to significant complications and prolonged interruptions in chest compressions. As a result, national recommendations advocate using newer airway devices (supraglottic airway devices: SADs). These are quicker to insert and cause minimal interruption to chest compressions. However the best type of SAD and their effectiveness in comparison to current practice is unknown. This research study is a preliminary investigation to determine whether our proposed design will allow us to compare the two most promising SADs (i-gel and LMAS) with current practice during pre-hospital cardiac arrest. This will be done by dividing paramedics working in Great Western Ambulance Service, and who agree to take part, into three groups. Each group will be given structured education on CPR and rescue breathing. One group will be taught to use the i-gel, one group the LMAS and one group will continue as usual. If this research design works, and produces useful results, we will proceed to a large scale study to determine whether one of these approaches improves patient survival. This will shape future guidelines and benefit cardiac arrest patients in the UK and internationally. More details can be found at http://public.ukcrn.org.uk/Search/StudyDetail.aspx?StudyID=11962 |
Ethics approval(s) | First MREC 31/10/2011 ref: 11/EE/0407 |
Health condition(s) or problem(s) studied | Injuries and Emergencies |
Intervention | i-gel Arm, Patients attended by a paramedic who has been randomised to this arm will receive resuscitation according to the Resuscitation Council (UK) and JRCALC Advanced Life Support Guidelines, with the exception that the i-gel supra-glottic airway device will be used initially to manage the airway. All standard advanced life support interventions will be provided including drug administration, defibrillation and chest compressions as required.; LMAS Arm, Patients attended by a paramedic who has been randomised to this arm will receive resuscitation according to the Resuscitation Council (UK) and JRCALC Advanced Life Support Guidelines, with the exception that the Laryngeal Mask Airway Supreme (LMAS) supra-glottic airway device will be used initially to manage the airway. All standard advanced life support interventions will be provided including drug administration, defibrillation and chest compressions as required. Usual Practice Arm, Patients attended by a paramedic who has been randomised to this arm will receive resuscitation according to the Resuscitation Council (UK) and JRCALC Advanced Life Support Guidelines. All standard advanced life support interventions will be provided including drug administration, defibrillation and chest compressions as required.; Follow Up Length: 3 month(s) |
Intervention type | Other |
Primary outcome measure | Assess if it is possible to conduct a full-scale study |
Secondary outcome measures | No secondary outcome measures |
Overall study start date | 01/03/2012 |
Completion date | 28/02/2013 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Lower age limit | 18 Years |
Sex | Both |
Target number of participants | Planned Sample Size: 534; UK Sample Size: 534; Description: The sample size of 534 comprises 150 paramedics and 384 patients |
Key inclusion criteria | Paramedics: Working in Great Western Ambulance Service and consenting to participate Patients: 1. Have had a cardiac arrest in the pre-hospital setting 2. Attempted resuscitation is appropriate according to standard guidelines 3. Aged 18 years or older 4. Target Gender: Male & Female |
Key exclusion criteria | Patients: 1. Less than 18 years old 2. Estimated weight is less than 50 kg 3. Mouth opening is less than 2 cm 4. The latter two exclusions have been applied because the SGAs evaluated in this trial are not designed for use in patients with low body weight or significantly reduced mouth opening. |
Date of first enrolment | 01/03/2012 |
Date of final enrolment | 28/02/2013 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Faculty of Health & Life Sciences
Bristol
BS16 1DD
United Kingdom
BS16 1DD
United Kingdom
Sponsor information
University Hospitals Bristol NHS Foundation Trust (UK)
Hospital/treatment centre
Hospital/treatment centre
Research & Development
Upper Maudlin Street
Bristol
BS2 8AE
England
United Kingdom
Phone | +44 117 923 0000 |
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research@uhbristol.nhs.uk | |
Website | http://www.uhbristol.nhs.uk/ |
https://ror.org/04nm1cv11 |
Funders
Funder type
Government
National Institute for Health Research
Government organisation / National government
Government organisation / National government
- Alternative name(s)
- National Institute for Health Research, NIHR Research, NIHRresearch, NIHR - National Institute for Health Research, NIHR (The National Institute for Health and Care Research), NIHR
- Location
- United Kingdom
Results and Publications
Intention to publish date | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
---|---|---|---|---|---|
Protocol article | protocol | 13/02/2013 | Yes | No | |
Results article | results | 01/02/2016 | Yes | No |
Editorial Notes
21/01/2016: Publication reference added.