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Transoesophageal echocardiography in cardiac arrest: From the emergency department to the intensive care unit
Resuscitation ( IF 6.5 ) Pub Date : 2024-08-21 , DOI: 10.1016/j.resuscitation.2024.110372
Thomas Edmiston 1 , Fabio Sangalli 2 , Hatem Soliman-Aboumarie 3 , Pietro Bertini 4 , Hannah Conway 5 , Antonio Rubino 6
Resuscitation ( IF 6.5 ) Pub Date : 2024-08-21 , DOI: 10.1016/j.resuscitation.2024.110372
Thomas Edmiston 1 , Fabio Sangalli 2 , Hatem Soliman-Aboumarie 3 , Pietro Bertini 4 , Hannah Conway 5 , Antonio Rubino 6
Affiliation
Cardiac arrest is a hyper-acute condition with a high mortality that requires rapid diagnostics and treatment. As such, point-of-care ultrasound (POCUS) has become a valuable tool in the assessment of these patients. While transthoracic echocardiography (TTE) is the more conventional modality used to find reversible causes of cardiac arrest, transoesophageal echocardiography (TOE) has been increasingly utilised due to its superior image quality, continuous imaging, and ability to be operated away from the patient’s chest. TOE also has a number of applications in the aftermath of cardiac arrest, such as during the initiation of extracorporeal cardiopulmonary resuscitation (ECPR) and the subsequent monitoring of extracorporeal membranous oxygenation (ECMO). As TOE has evolved, multiple variations have been developed with different utilities. In this article, we will review the evidence supporting the use of TOE in cardiac arrest and where the different forms of TOE can be applied to evaluate the cardiac arrest patient in a timely and accurate manner.
中文翻译:
心脏骤停中的经食管超声心动图:从急诊科到重症监护病房
心脏骤停是一种死亡率高的超急性疾病,需要快速诊断和治疗。因此,床旁超声 (POCUS) 已成为评估这些患者的宝贵工具。虽然经胸超声心动图 (TTE) 是用于查找心脏骤停的可逆原因的更常规方式,但经食管超声心动图 (TOE) 因其卓越的图像质量、连续成像和能够在远离患者胸部的地方进行手术而越来越多地得到应用。TOE 在心脏骤停后也有许多应用,例如在体外心肺复苏 (ECPR) 的启动和随后的体外膜氧合 (ECMO) 监测期间。随着 TOE 的发展,已经开发了具有不同实用程序的多种变体。在本文中,我们将回顾支持在心脏骤停中使用 TOE 的证据,以及可以应用不同形式的 TOE 及时准确地评估心脏骤停患者。
更新日期:2024-08-21
中文翻译:
心脏骤停中的经食管超声心动图:从急诊科到重症监护病房
心脏骤停是一种死亡率高的超急性疾病,需要快速诊断和治疗。因此,床旁超声 (POCUS) 已成为评估这些患者的宝贵工具。虽然经胸超声心动图 (TTE) 是用于查找心脏骤停的可逆原因的更常规方式,但经食管超声心动图 (TOE) 因其卓越的图像质量、连续成像和能够在远离患者胸部的地方进行手术而越来越多地得到应用。TOE 在心脏骤停后也有许多应用,例如在体外心肺复苏 (ECPR) 的启动和随后的体外膜氧合 (ECMO) 监测期间。随着 TOE 的发展,已经开发了具有不同实用程序的多种变体。在本文中,我们将回顾支持在心脏骤停中使用 TOE 的证据,以及可以应用不同形式的 TOE 及时准确地评估心脏骤停患者。