Timing of focused cardiac ultrasound during advanced life support – A prospective clinical study

Aagaard, Rasmus; Løfgren, Bo; Grøfte, Thorbjørn; Sloth, Erik; Nielsen, Roni; Frederiksen, Christian Alcaraz; Granfeldt, Asger; Bøtker, Morten Thingemann

doi:10.1016/j.resuscitation.2017.12.012

Cited by 14 publications

(11 citation statements)

References 20 publications

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“…Better quality of focused cardiac US images was suggested to be obtained during rhythm analysis and bag-mask ventilations [25]. In this study, each patient received 1-2 times of US evaluation.…”

Section: Discussionmentioning

confidence: 99%

The impact of ultrasonography on quality of cardiopulmonary resuscitation: a retrospective observational study

Lien

Chong

Chang

et al. 2019

Preprint

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Background: This study aims to evaluate the effect of ultrasonography (US) on quality of cardiopulmonary resuscitation (CPR), and US-related pause duration of pulse-checks.Methods: This retrospective observational study was conducted at the emergency department of National Taiwan University Hospital between April 2017 and May 2018. Video recordings for adult patients with non-traumatic cardiac arrest in designated resuscitation rooms were collected. The primary outcome was chest compression fraction (CCF) in the CPR with US group. The secondary outcome was pause duration of pulse checks with introduction of US or not. US-related pulse-checks were stratified into US during hands-off periods only (hands-off US), and US performing from hands-off to hands-on periods (continuous US). Results: A total of 153 patients were enrolled. Continuous US was performed in 116 patients. CCF was similar (92%) between the CPR with and without US groups. In the CPR with US group, pause duration was significantly longer in US-related pulse-checks than that without US (9.3±8.0 v.s. 7.3±4.7s, p<0.0001). Notably, longer pause was noted in the hands-off US, as comparing with that in the continuous US (18.3±16.4 v.s. 7.7±3.5s, p<0.0001). Conclusions: The introduction of US during CPR did not impact on CCF. Individual pause would not be lengthened if continuous US was performed while allowing chest compressions to be resumed. In addition, structured training, adequate facilities and manpower, and a timer reminding resumption of chest compressions would help sophisticated integration of US into CPR process.

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Section: Discussionmentioning

confidence: 99%

The impact of ultrasonography on quality of cardiopulmonary resuscitation: a retrospective observational study

Lien

Chong

Chang

et al. 2019

Preprint

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“…Point of care ultrasound (POCUS) is a general term used to describe the focused use of ultrasound in different clinical settings [in critical care—FICE (Focused Intensive Care Echo), 12,13 in the emergency room, 14,15 during advanced life support—FEEL (Focused echocardiography in emergency life support), 16,17 in trauma/critical care—BEAT (Bedside Echocardiographic Assessment in Trauma/Critical Care) 18,19 ] by different medical specialties (cardiologists, intensivists, specialists in internal medicine, pediatricians, etc) to perform accurate diagnoses, guide interventions, and assess the result of therapy 20 . FoCUS (Focused Cardiac Ultrasound) is the term proposed by the International Liaison Committee on Focused Cardiac Ultrasound 21 to describe cardiac‐specific ultrasound with the scope to answer specific clinical questions in specific clinical contexts.…”

Section: Focused Echocardiography In Cardio‐oncology (Feco)mentioning

confidence: 99%

Focused echocardiography in cardio‐oncology

et al. 2020

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Transthoracic echocardiography (TTE) is the cornerstone of imaging in patients with a malignancy in all stages of their treatment—before, during, and after the completion of it—to identify most of the cardiotoxic complications. However, the restricted time and resources of cardio‐oncology services and the high volume of oncological patients and survivors on the other hand limit the access of this population to this modality. Focused Echo in Cardio‐Oncology (FECO) in proportion to other focused cardiac protocols is proposed as a valuable tool after the initial standard complete TTE to: (a) identify the potential toxicity expected by the specific cancer therapy applied; (b) assess sequentially the pre‐existing abnormality, if any, in relation to therapy; (c) assess the effect of any cardio‐protective intervention; (d) identify any cardiac origin of patient complaints during or after therapy; (e) assess cardiac function in asymptomatic patients who develop significant changes in cardiac biomarkers during cancer therapy. Four different protocols of FECO are proposed according to the type of cardiotoxicity anticipated: FECOm (in patients on chemotherapeutics that cause myocardial dysfunction), FECOv (in patients at risk of valvular heart disease), FECOpd (in patients at risk of pericardial disease), and FECOph (in patients at risk of pulmonary hypertension). The application of FECO protocols is aimed to ensure accuracy, reliability, and effectiveness in the early identification of cardiovascular complications, improving quality of life, and being at the same time cost‐effective.

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“…Ultrasound has been reported to be associated with prolonged interruptions of chest compressions [108][109][110] . The feasibility of using ultrasound during cardiac arrest depends on the image quality which has to be good enough for interpretation, and in one study it was reported that the image quality was not useful for interpretation in 40% of patients 111 .…”

Section: Ultrasoundmentioning

confidence: 99%

Focused cardiac ultrasound after return of spontaneous circulation in cardiac-arrest patients

et al. 2019

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Timing of focused cardiac ultrasound during advanced life support – A prospective clinical study

Cited by 14 publications

References 20 publications

The impact of ultrasonography on quality of cardiopulmonary resuscitation: a retrospective observational study

The impact of ultrasonography on quality of cardiopulmonary resuscitation: a retrospective observational study

Focused echocardiography in cardio‐oncology

Focused cardiac ultrasound after return of spontaneous circulation in cardiac-arrest patients

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