Cardiac arrest & resuscitation

Evaluating hands-free carotid Doppler ultrasound for real-time return of spontaneous circulation detection in in-hospital cardiac arrest: a multicenter randomized controlled study

ResuscitationPublished Randomised controlled trial

Primary result · ROSC success rateResult — go to the resultAbsolute increase 10 percentage points

Authors' conclusion

The CADFlow hands-free carotid Doppler ultrasound system improves ROSC detection, shortens assessment time, and provides real-time feedback for CPR quality optimisation.

Study context

Population
Adults with IHCA, 5 teaching hospitals
Participants
341 adults · 5 hospitals
Comparison
CADFlow vs Control
Methodological detailsmulticentre
  • Multicentre

Primary result

ROSC success rate

Absolute increase

10 percentage points

P = 0.053

By group

As reported in the abstract

Further findings

Time to assess carotid pulsation · significantly shorter with CADFlow

P < 0.001

Chest compression depth vs CADFlow parameters

Strong correlations between chest compression depth and CADFlow parameters

Original publication

Evaluating hands-free carotid Doppler ultrasound for real-time return of spontaneous circulation detection in in-hospital cardiac arrest: a multicenter randomized controlled study. Resuscitation. Published 18 February 2026. doi:10.1016/j.resuscitation.2026.111016

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