Neuroprotection Bundles For Comatose Survivors Following Cardiac Arrest

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorXiangya Hospital of Central South University

About this trial

The investigators designed LAPTOPS to determine the effectiveness of a goal-directed neuroprotection bundles of active management including body temperature,PaCO2,PaO2,position,Blood glucose ,blood sodium,Blood pressure and Lactate vs. usual care in adult post-cardiac arrest care.

LAPTOPS is a large-scale pragmatic clinical trial to provide reliable evidence over the effectiveness of a widely applicable goal-directed care bundle in acute phase of adult post-cardiac arrest care.

Eligibility criteria

Qualifiers

Age ≥ 18 years and < 80 years

Patients of in-hospital or out-of-hospital cardiac arrest who have returned -spontaneous circulation (ROSC) after cardiopulmonary resuscitation and do not require CPR for more than 20 minutes;

Patients who are unconscious after ROSC, defined as FOUR motor response score < 4 points or GSC ≤ 8 points;

Family members or legal representatives signed informed consent.

Disqualifiers

Unwitnessed cardiac arrest, estimated time from cardiac arrest to start of CPR > 30 minutes;

Time from cardiac arrest to ROSC > 60 minutes;

Patients who woke up immediately after ROSC by CPR;

End-stage diseases;

Trial design

Treatments tested in this trial

  • Goal-directed care bundle for neuroprotection
  • Usual Care

Treatment groups

1,008 Participants
are divided into 2 treatment groups