Diagnostic Accuracy of Transesophageal Echocardiography During Cardiopulmonary Resuscitation

Wouw, Poll A. van der; Koster, Rudolph W.; Delemarre, Ben J.; Vos, Rien de; Lampe-Schoenmaeckers, Angela J.E.M; Lie, Kong I.

doi:10.1016/s0735-1097(97)00218-0

Cited by 137 publications

(58 citation statements)

References 9 publications

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“…However, a number of studies suggest that transthoracic and transesophageal echocardiography have potential utility in diagnosing treatable causes of cardiac arrest such as cardiac tamponade, pulmonary embolism, ischemia, and aortic dissection. [223][224][225][226][227] In addition, 3 prospective studies 228 -230 found that absence of cardiac motion on sonography during resuscitation of patients in cardiac arrest was highly predictive of inability to achieve ROSC: of the 341 patients from the 3 studies, 218 had no detectable cardiac activity and only 2 of these had ROSC (no data on survival-to-hospital discharge were reported). Transthoracic or transesophageal echocardiography may be considered to diagnose treatable causes of cardiac arrest and guide treatment decisions (Class IIb, LOE C).…”

Section: Echocardiographymentioning

confidence: 99%

Part 8: Adult Advanced Cardiovascular Life Support

Neumar¹,

Otto²,

Link³

et al. 2010

Circulation

1,337

872

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Section: Echocardiographymentioning

confidence: 99%

Part 8: Adult Advanced Cardiovascular Life Support

Neumar¹,

Otto²,

Link³

et al. 2010

Circulation

1,337

872

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“…PEA is unique among cardiac arrest rhythms in that forward blood flow can occur. [13][14][15] This has prompted heightened vigilance for reversible causes when treating sustained PEA. 16 The possibility of low-grade cerebral and coronary perfusion during PEA supports the concept that a good outcome can result even with prolonged cardiac arrest if such a cause is addressed.…”

Section: Discussionmentioning

confidence: 99%

Neurologically normal survival after fibrinolysis during prolonged cardiac arrest: case report and discussion

Clark

Abu‐Laban

Zed

et al. 2003

CJEM

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Cardiac arrest secondary to pulmonary embolism is a devastating condition with a high mortality rate. It is currently unclear whether fibrinolysis (thrombolysis) is beneficial in this setting. We report the case of a 28-year-old woman with a pulmonary embolism who developed return of pulses following the administration of tissue plasminogen activator after 38 minutes of pulseless electrical activity cardiac arrest. She went on to make a full neurologic and cardiopulmonary recovery. This case is discussed with reference to the current literature on the subject. RÉSUMÉ L'arrêt cardiaque découlant de l'embolie pulmonaire est une affection dévastatrice associée à un taux élevé de mortalité. Actuellement, les bienfaits de la fibrinolyse (thrombolyse) n'ont pas été déterminés avec certitude dans un tel contexte. Nous présentons le cas d'une femme âgée de 28 ans atteinte d'une embolie pulmonaire dont le pouls est revenu après l'administration d'un activateur tissulaire du plasminogène. Elle avait été en arrêt cardiaque avec activité électrique sans pouls pendant 38 minutes. Elle a par la suite connu une récupération neurologique et cardio-pulmonaire complète. Ce cas est discuté dans le cadre de la littérature présentement disponible sur le sujet.

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“…Three studies examined the prognostic value of the presence or absence of sonographic cardiac motion in cardiac arrest (LOE 4). 184,740,741 One retrospective chart review (LOE 4) 742 and 1 prospective comparison (LOE 4) 743 documented the diagnostic accuracy of transesophageal ultrasound in detecting the cause of circulatory collapse. One study documented the frequency of pulmonary embolism in PEA arrest as detected with transesophageal ultrasound (LOE 4).…”

Section: Consensus On Sciencementioning

confidence: 99%