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.

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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

  • Aso Iizuka Hospital

    Iizuka, Fukuoka, 8208505, Japan

  • Chiba Kaihin Municipal Hospital

    Chiba, Chiba, 2610012, Japan

  • Hiroshima University Hospital

    Hiroshima, Hiroshima, 7348551, Japan

  • Hyogo Emergency Medical Center

    Kobe, Hyōgo, 651-0073, Japan

  • Kagawa University Hospital

    Kita-gun, Kagawa-ken, 761-0701, Japan

  • Kyoto Katsura Hospital

    Kyoto, Kyoto, 6158256, Japan

  • Musashino Red Cross Hospital

    Musashino, Tokyo, 1800023, Japan

  • National Hospital Organization Sendai Medical Center

    Sendai, Miyagi, 9838520, Japan

  • Nippon medical school hospital

    Bunkyō-Ku, Tokyo, 113-8603, Japan

  • Okayama University Hospital

    Okayama, Okayama-ken, 7008558, Japan

  • TMG Asaka Medical Center

    Asaka, Saitama, 3510023, Japan

  • Tokyo Metropolitan Bokutoh Hospital

    Sumida-ku, Tokyo, 1308575, Japan

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