Feasibility of resuscitative transesophageal echocardiography at out-of-hospital emergency scenes of cardiac arrest.
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
16 11 2023
16 11 2023
Historique:
received:
06
07
2023
accepted:
03
11
2023
medline:
20
11
2023
pubmed:
17
11
2023
entrez:
17
11
2023
Statut:
epublish
Résumé
Guidelines recommend the use of ultrasound in cardiac arrest. Transthoracic echocardiography, has issues with image quality and by increasing hands-off times during resuscitation. We assessed the feasibility of transesophageal echocardiography (TEE), which does not have both problems, at out-of-hospital cardiac arrest (OHCA) emergency scenes. Included were 10 adults with non-traumatic OHCA in Vienna, Austria. An expert in emergency ultrasound was dispatched to the scenes in addition to the resuscitation team. Feasibility was defined as the ability to collect specific items of information by TEE within 10 min. Descriptive statistics were compiled and hands-off times were compared to a historical control group. TEE examinations were feasible in 9 of 10 cases and prompted changes in clinical management in 2 cases (cardiac tamponade: n = 1; right ventricular dilatation: n = 1). Their mean time requirement was 5.1 ± 1.7 (2.8-8.0) min, and image quality was invariably rated as excellent or good during both compressions and pauses. No TEE-related complications, or interferences with activities of advanced life support were observed. The hands-off times during resuscitation were comparable to a historical control group not involving ultrasound (P = 0.24). Given these feasibility results, we expect that TEE can be used routinely at OHCA emergency scenes.
Identifiants
pubmed: 37973909
doi: 10.1038/s41598-023-46684-x
pii: 10.1038/s41598-023-46684-x
pmc: PMC10654663
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
20085Informations de copyright
© 2023. The Author(s).
Références
J Intensive Care Med. 2022 Jul;37(7):917-924
pubmed: 34541951
Clin Exp Emerg Med. 2022 Dec;9(4):271-280
pubmed: 36475353
Prehosp Disaster Med. 2022 Feb;37(1):39-44
pubmed: 34994342
Scand J Trauma Resusc Emerg Med. 2018 Jun 26;26(1):51
pubmed: 29940990
Chest. 2015 Nov;148(5):1323-1332
pubmed: 26204465
Intensive Care Med. 2019 Aug;45(8):1093-1102
pubmed: 31273416
Resuscitation. 2017 Oct;119:95-98
pubmed: 28754527
Resuscitation. 2021 Apr;161:115-151
pubmed: 33773825
Anesthesiology. 2021 Sep 1;135(3):508-519
pubmed: 33979442
Can J Cardiol. 2023 Apr;39(4):458-473
pubmed: 36621564
Eur Heart J Acute Cardiovasc Care. 2023 Feb 9;12(2):124-128
pubmed: 36443280
Resuscitation. 2018 Jan;122:65-68
pubmed: 29175356
Prehosp Emerg Care. 2019 May-Jun;23(3):297-303
pubmed: 30192687
Ann Emerg Med. 2019 Jun;73(6):610-616
pubmed: 30773413
Chest. 1994 Dec;106(6):1829-34
pubmed: 7988209
Acad Emerg Med. 2009 Oct;16(10):928-33
pubmed: 19732038
Resuscitation. 2017 Mar;112:65-69
pubmed: 27638418
J Am Coll Cardiol. 1997 Sep;30(3):780-3
pubmed: 9283540
J Ultrasound Med. 2019 May;38(5):1141-1151
pubmed: 30280396
Resuscitation. 2008 Aug;78(2):135-40
pubmed: 18486300
Ann Transl Med. 2020 Jun;8(12):785
pubmed: 32647710
J Intensive Care Med. 2023 Mar;38(3):245-272
pubmed: 35854414
BMC Med Educ. 2022 May 30;22(1):412
pubmed: 35637456
J Am Coll Cardiol. 2020 Aug 11;76(6):745-754
pubmed: 32762909
Eur J Echocardiogr. 2009 Dec;10(8):893-905
pubmed: 19889658