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Optimal Ventilation for Cardiac Arrest

Recruiting

OPTImal Ventilation to Improve Pediatric Cardiac Arrest Outcomes (OPTI-VENT)

Who can join

37 Weeks – 18 Years · All sexes

Full eligibility criteria
Inclusion Criteria:

* Invasive airway in place at the start of CPR or airway placed within the first 5 minutes
* Received at least 1 minute of CPR.

Exclusion Criteria:

* Lack of commitment to aggressive ICU therapies (e.g., CPR performed as part of end-of-life care.
* Brain death determination prior to the CPR event.
* Out-of-hospital cardiac arrest was the reason for initial admission to the hospital (known poor outcomes).
* Supported by Veno-Arterial Extra Corporeal Membrane Oxygenation at the start of CPR

About the study

Pediatric cardiac arrest is a life-threatening problem affecting \>15,000 hospitalized children each year. Less than half of these children survive to hospital discharge, and neurologic morbidity is common among survivors. The objective of this study is to evaluate the effectiveness of the OPTI-VENT bundle to improve survival to discharge with favorable neurological outcome (Pediatric Cerebral Performance Category Score 1-2 or no change from baseline) among children receiving at least 1 minute of CPR.

What is being tested

Sponsor: Children's Hospital of Philadelphia · Participants: 1,530 · Started: Oct 1, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT07114510

Locations in the U.S.

CaliforniaCHOC, Orange
Lucile Packard Children's Hospital Stanford, Palo Alto
ColoradoChildren's Hospital Colorado, Denver
DelawareNemours Children's Health, Wilmington
GeorgiaChildren's Healthcare of Atlanta, Atlanta
IndianaRiley Children's Health, Indianapolis
IowaStead Family Children's Hospital, Iowa City
MassachusettsBoston Children's Hospital, Boston
MissouriWashington University in St. Louis, St Louis
New YorkCohen Children's Medical Center, New Hyde Park
North CarolinaUNC Children's Hospital, Chapel Hill
OhioCincinnati Children's Hospital Medical Center, Cincinnati
Nationwide Children's Hospital, Columbus
PennsylvaniaChildren's Hospital of Philadelphia, Philadelphia
TexasDell Children's Medical Center, Austin
Medical City Children's Hospital, Dallas
UT Southwestern Medical Center, Dallas
VirginiaChildren's Hospital of Richmond at VCU, Richmond
WashingtonSeattle Children's, Seattle
WisconsinChildren's Wisconsin, Milwaukee

Conditions

From ClinicalTrials.gov, data retrieved Oct 2, 2026. Each study sets its own eligibility; the study team decides who can join.