About this trial

Out-of-hospital cardiac arrest (OHCA) remains a major cause of mortality, with low survival probabilities to hospital discharge. Despite the frequent use of airway management and mechanical ventilation during resuscitation, there is limited evidence regarding the optimal ventilation strategy to improve oxygen delivery and patient outcomes. The present study aims to investigate the effects of positive-end-expiratory-pressure (PEEP) set at 5 mbar compared to zero-end-expiratory-pressure (ZEEP) on the return of spontaneous-circulation (ROSC) in adult patients with OHCA.

Eligibility criteria

Qualifiers

Adults >= 18 years

non-traumatic OHCA

mechanical ventilation via airway device

Disqualifiers

Patients < 18 years,

traumatic cause of OHCA,

no cardiac arrest, withholding of resuscitation (e.g. Do-Not-Resuscitate orders)

Trial design

Treatments tested in this trial

  • PEEP 5 mbar
  • ZEEP 0 mbar

Treatment groups

600 Participants
are divided into 2 treatment groups

Locations

3
Emergency Medical Services33324, GüterslohNorth Rhine-Westphalia, Germany
JWK Minden32429, MindenNorth Rhine-Westphalia, Germany
Emergency Medical Services Osnabrück Germany

Sponsors and collaborators

Muehlenkreiskliniken, MKK

Lead sponsor