Acute cardiac care & resuscitation

Resuscitative transoesophageal echocardiography performed by emergency physicians in the emergency department: insights from a 1-year period

Eur Heart J Acute Cardiovasc CarePublished Prospective observational study

Authors' conclusion

Our findings suggest that EPs may be able to acquire and interpret TOE images in the majority of patients during CA using a standardized four-view imaging protocol.

Study context

Population
Adults (≥18 years) with ongoing non-traumatic cardiac arrest (CA) treated in the emergency department (ED), Medical University of Vienna, February 2020 to February 202162 considered for transoesophageal echocardiography (TOE)
Participants
99 adults
Outcome
Feasibility: successful probe insertion and acquisition of interpretable images
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Feasibility (successful probe insertion and interpretable images)

TOE feasible, patients

57

92%

Observational data: associations, not effects.

Further findings

Major findings

Major findings observed
51
Patients with major findings
32 (66%)

Direct change of therapy

Findings led to direct change of therapy, patients
21 (37%)

Ventricular contractions without detectable pulse

Ventricular contractions without detectable pulse, patients
18 (32%)

Safety

OutcomeValues
TOE-related complicationsTOE 0 events

Original publication

Resuscitative transoesophageal echocardiography performed by emergency physicians in the emergency department: insights from a 1-year period. Eur Heart J Acute Cardiovasc Care. Published 29 November 2022. doi:10.1093/ehjacc/zuac150

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