Focused Transesophageal Echocardiography During Cardiac Arrest Resuscitation: JACC Review Topic of the Week

Felipe Teran, Michael I. Prats, Bret P. Nelson, Ross Kessler, Michael Blaivas, Mary Ann Peberdy, Sasha K. Shillcutt, Robert T. Arntfield, David Bahner

Research output: Contribution to journalReview articlepeer-review

Abstract

Focused transthoracic echocardiography (TTE) during cardiac arrest resuscitation can enable the characterization of myocardial activity, identify potentially treatable pathologies, assist with rhythm interpretation, and provide prognostic information. However, an important limitation of TTE is the difficulty obtaining interpretable images due to external and patient-related limiting factors. Over the last decade, focused transesophageal echocardiography (TEE) has been proposed as a tool that is ideally suited to image patients in extremis—those in cardiac arrest and periarrest states. In addition to the same diagnostic and prognostic role provided by TTE images, TEE provides unique advantages including the potential to optimize the quality of chest compressions, shorten cardiopulmonary resuscitation interruptions, guide resuscitative procedures, and provides a continuous image of myocardial activity. This review discusses the rationale, supporting evidence, opportunities, and challenges, and proposes a research agenda for the use of focused TEE in cardiac arrest with the goal to improve resuscitation outcomes.

Original languageEnglish (US)
Pages (from-to)745-754
Number of pages10
JournalJournal of the American College of Cardiology
Volume76
Issue number6
DOIs
StatePublished - Aug 11 2020

Keywords

  • cardiac arrest
  • focused cardiac ultrasound
  • point-of-care ultrasound
  • resuscitation
  • transesophageal echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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