Neuroprotective Effect of Remote Ischemic Post-conditioning in Out-of-hospital Cardiac Arrest

Exclusion Criteria

• •Age \< 18 y.o or pregnancy
• •Patient unable to walk without assistance, unable to support himself properly without assistance, bedridden, incontinent and requiring nursing constant attention and care (corresponding to a mRS equal to 4 or 5)
• •Interval between cardiac arrest and ROSC (no flow + low flow) estimated \> 60 minutes
• •Unwitnessed cardiac arrest with asystole as first rhythm
• •In-hospital cardiac arrest
• •Refractory cardiac arrest (no ROSC considered as stable)
• •Cardiac arrest from traumatic, hemorrhage, stroke or hanging supposed origin
• •Mean arterial pressure \< 65mmHg persisting despite appropriate vascular filling and vasopressor and/or inotropic support
• •Active uncontrolled bleeding
• •Contraindication or not possible to use a pneumatic tourniquet on none of the two lower limbs (amputations, intravenous infusion positioned on both lower limbs, tourniquet size incompatible with patient morphology)
• •Implementation of extracorporeal arteriovenous circulation for refractory cardiac arrest or refractory cardiogenic shock before inclusion
• •Patient already included in this study
• •Inclusion in another interventional study
• •Judicial protection measure
• •Patient without French social security