TY - JOUR
T1 - Focused Transesophageal Echocardiography During Cardiac Arrest Resuscitation
T2 - JACC Review Topic of the Week
AU - Teran, Felipe
AU - Prats, Michael I.
AU - Nelson, Bret P.
AU - Kessler, Ross
AU - Blaivas, Michael
AU - Peberdy, Mary Ann
AU - Shillcutt, Sasha K.
AU - Arntfield, Robert T.
AU - Bahner, David
N1 - Publisher Copyright:
© 2020 American College of Cardiology Foundation
PY - 2020/8/11
Y1 - 2020/8/11
N2 - 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.
AB - 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.
KW - cardiac arrest
KW - focused cardiac ultrasound
KW - point-of-care ultrasound
KW - resuscitation
KW - transesophageal echocardiography
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U2 - 10.1016/j.jacc.2020.05.074
DO - 10.1016/j.jacc.2020.05.074
M3 - Review article
C2 - 32762909
AN - SCOPUS:85088632705
SN - 0735-1097
VL - 76
SP - 745
EP - 754
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
IS - 6
ER -