Hospital Airway Resuscitation Trial (HART)
Cardiac Arrest, Respiratory Failure
About this trial
This is an interventional treatment trial for Cardiac Arrest focused on measuring Cardiac Arrest, Emergency Airway Management, In-hospital Cardiac Arrest, Endotracheal Intubation, Supraglottic Airway
Eligibility Criteria
Inclusion Criteria:
- Adult aged >17 years
- Admitted to the hospital for any condition
- Suffered in-hospital cardiac arrest (loss of pulse and ≥2 minutes of chest compressions)
- Need for assisted ventilation (defined by initiation of bag-mask-ventilation or other supported ventilation)
Exclusion Criteria:
- Cardiac arrest in the Operating Room or other area not responded to by critical care/ED (Emergency Department) teams.
- Cardiac arrest in which an invasive airway (i.e. endotracheal tube, tracheostomy tube) is already in place
- Patients with clear asphyxia arrest due to upper airway obstruction (e.g. foreign body, angioedema, malignancy) as determined the clinical team
- Patients with Do Not Resuscitate or Do Not Intubate orders
Sites / Locations
- Montefiore Medical CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
First choice supraglottic airway device, Then First choice endotracheal intubation
First choice endotracheal intubation, Then First choice supraglottic airway
A strategy of 'first choice' supraglottic airway during cardiac arrest. Clinicians can deviate to the airway management approach of their choice if deemed to be in the best interest of the patient. As part of a cluster-randomized design, hospitals (4 in the system) will be assigned to one arm for a month and then cross-over to the other arm.
A strategy of 'first choice' endotracheal intubation during cardiac arrest. Clinicians can deviate to the airway management approach of their choice if deemed to be in the best interest of the patient. As part of a cluster-randomized design, hospitals (4 in the system) will be assigned to one arm for a month and then cross-over to the other arm.