Can head position and cooling boost brain recovery after cardiac arrest?
NCT ID NCT07769086
First seen Aug 17, 2026 · Last updated Aug 17, 2026
Summary
This trial tests whether specific care strategies used in the intensive care unit after cardiac arrest can improve neurological recovery and survival. Adults who remain comatose after their heartbeat is restored will be cared for using either head elevation or a near-supine position, and either targeted cooling or fever prevention. The study compares these approaches to see which may lead to better brain function and quality of life at 30 and 90 days.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- Head positioning (head elevation vs. near-supine) and temperature control (targeted hypothermia vs. normothermia/fever prevention) during post-cardiac arrest intensive care
- What this could lead to
- If successful, this could identify simple, low-cost care strategies that improve brain recovery and survival for people who remain comatose after cardiac arrest.
- What could go wrong
- The trial is early and uses hospital-level randomization, so results may be influenced by differences in care quality. The interventions may not improve outcomes and could carry risks like complications from cooling or positioning.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Aso Iizuka Hospital
Iizuka, Fukuoka, 8208505, Japan
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Chiba Kaihin Municipal Hospital
Chiba, Chiba, 2610012, Japan
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Hiroshima University Hospital
Hiroshima, Hiroshima, 7348551, Japan
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Hyogo Emergency Medical Center
Kobe, Hyōgo, 651-0073, Japan
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Kagawa University Hospital
Kita-gun, Kagawa-ken, 761-0701, Japan
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Kyoto Katsura Hospital
Kyoto, Kyoto, 6158256, Japan
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Musashino Red Cross Hospital
Musashino, Tokyo, 1800023, Japan
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National Hospital Organization Sendai Medical Center
Sendai, Miyagi, 9838520, Japan
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Nippon medical school hospital
Bunkyō-Ku, Tokyo, 113-8603, Japan
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Okayama University Hospital
Okayama, Okayama-ken, 7008558, Japan
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TMG Asaka Medical Center
Asaka, Saitama, 3510023, Japan
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Tokyo Metropolitan Bokutoh Hospital
Sumida-ku, Tokyo, 1308575, Japan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can targeted temperature control boost brain recovery after cardiac arrest?
- Blood test may forecast brain recovery after cardiac arrest
- Can a High-Tech CPR bundle boost heart restart rates?
- Could chilling the body after cardiac arrest save more brains?
- A simple bedside test may predict brain damage after cardiac arrest
- Can a neck patch spot a heartbeat faster than a Doctor's fingers?