ALPS

2016 Cardiac Arrest
? ICUs
3026 patients

Non-traumatic OOHCA: Amiodarone, Lignocaine or Placebo

Clinical Question

In adult patients with nontraumatic out-of-hospital cardiac arrest and
shock-refractory ventricular fibrillation (VF) or pulseless ventricular
tachycardia (pVT), does amiodarone or lidocaine along with standard care
result in improved survival and more favourable neurological outcome
compared with placebo?

Critical Appraisal

Key findings

No sig o/c diff. Subgroup benefit A & L (witnessed arrest). Amoid > more pacing

Population
Cardiac Arrest
Population Details
VF/pVT
Intervention Arms

Amiodarone or lignocaine
amiodarone or lidocaine along with standard care

Control Arms

Placebo

Primary Outcome
Survival to hospital discharge
Secondary Outcomes
Not recorded
P Value
0.08

Outcome Results

Not recorded