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Schmölzer, GM; Pichler, G; Solevåg, AL; Fray, C; van Os, S; Cheung, PY; SURV1VE trial collaborators.
The SURV1VE trial-sustained inflation and chest compression versus 3:1 chest compression-to-ventilation ratio during cardiopulmonary resuscitation of asphyxiated newborns: study protocol for a cluster randomized controlled trial.
Trials. 2019; 20(1):139-139 Doi: 10.1186/s13063-019-3240-8 [OPEN ACCESS]
Web of Science PubMed FullText FullText_MUG

Leading authors Med Uni Graz: Schmölzer Georg
Co-authors Med Uni Graz: Pichler Gerhard
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Abstract:: The need for cardiopulmonary resuscitation (CPR) is often unexpected, and the infrequent use of CPR in the delivery room (DR) limits the opportunity to perform rigorous clinical studies to determine the best method for delivering chest compression (CC) to newborn infants. The current neonatal resuscitation guidelines recommend using a coordinated 3:1 compression-to-ventilation (C:V) ratio (CC at a rate of 90/min and ventilations at a rate of 30/min). In comparison, providing CC during a sustained inflation (SI) (CC + SI) significantly improved hemodynamics, minute ventilation, and time to return of spontaneous circulation (ROSC) compared to 3:1 C:V ratio in asphyxiated piglets. Similarly, a small pilot trial in newborn infants showed similar results. Until now no study has examined different CC techniques during neonatal resuscitation in asphyxiated newborn infants in the DR. To date, no trial has been performed to directly compare CC + SI and 3:1 C:V ratio in the DR during CPR of asphyxiated newborn infants. This is a large, international, multi-center, prospective, unblinded, cluster randomized controlled trial in asphyxiated newborn infants at birth. All term and preterm infants > 28^+ 0 by best obstetrical estimate who require CPR at birth due to bradycardia (< 60/min) or asystole are eligible. The primary outcome of this study is to compare the time to ROSC in infants born > 28^+ 0 weeks' gestational age with bradycardia (< 60/min) or asystole immediately after birth who receive either CC + SI or 3:1 C:V ratio as the CPR strategy. Morbidity and mortality rates are extremely high for newborns requiring CC. We believe the combination of simultaneous CC and SI during CPR has the potential to significantly improve ROSC and survival. In addition, we believe that CC + SI might improve respiratory and hemodynamic parameters and potentially minimize morbidity and mortality in newborn infants. In addition, this will be the first randomized controlled trial to examine CC in the newborn period. ClinicalTrials.gov, NCT02858583 . Registered on 8 August 2016.
Find related publications in this database (using NLM MeSH Indexing): -; Asphyxia Neonatorum - diagnosis; Asphyxia Neonatorum - physiopathology; Asphyxia Neonatorum - therapy; Asphyxia Neonatorum -; Bradycardia - diagnosis; Bradycardia - physiopathology; Bradycardia - therapy; Cardiopulmonary Resuscitation - adverse effects; Cardiopulmonary Resuscitation - methods; Cardiopulmonary Resuscitation -; Gestational Age -; Heart Arrest - diagnosis; Heart Arrest - physiopathology; Heart Arrest - therapy; Heart Massage -; Humans -; Infant, Newborn -; Infant, Premature -; Multicenter Studies as Topic -; Multicenter Studies as Topic -; Prospective Studies -; Randomized Controlled Trials as Topic -; Recovery of Function -; Respiration, Artificial -; Time Factors -; Treatment Outcome -