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

Elfwén, Ludvig; Hildebrand, Karin; Schierbeck, Sofia; Sundqvist, Martin; Ringh, Mattias; Claesson, Andreas; Olsson, Joel; Nordberg, Per

doi:10.1016/j.resuscitation.2019.06.282

Cited by 16 publications

(12 citation statements)

References 169 publications

(221 reference statements)

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“…FOCUS can be an important tool in the initial evaluation of emargency patients with suspected pulmonary embolism and abnormal vital signs [20] . In cardiac-arrest patients, after return of spontaneously circulation, FOCUS could be included in post-resuscitation care as an adjunctive diagnostic measure [21] . CCUE-plus protocol was effective in the etiological diagnosis in patients with dyspnea and/or hemodynamic instability caused by abdominal abnormalities [22] .…”

Section: Discussionmentioning

confidence: 99%

The characteristics of echocardiography in ICU patients and its relationship with the outcomes

Peng¹,

Liu²,

Zhang³

et al. 2020

Preprint

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Background Echocardiography is widely used for bedside monitoring in ICU. We aimed to describe the characteristics of echocardiography manifestations in different groups of ICU patients, and the association with the outcomes.Methods This is a prospective multiple-center cohort study took place in 17 ICUs in China. A total of 1682 continuous adult patients admitted between August 31, 2017 to February 16, 2019 who had echocardiography performed within 24 hours in ICU were included. The echocardiography was performed and the echocardiography scores were calculated. Data was analyzed and compared between different outcome and primary indication groups.Results The overall 28-day mortality was 15.76%. Left ventricle enlargement and other echocardiogram abnormalities were more common in the non-survivors than the survivors. The EF value was lower, and the decrease in EF value was more frequent in the non-survivors than the survivors. The echocardiography score was significantly higher in the non-survivors than the survivors. The incidence of right ventricle enlargement and EF decrease was high in ICU patients (26.52% and 26.93% respectively). The independent risk factors for 28-day mortality was APACHE II, the length of MV, the length of ICU stay, oxygenation index, right ventricle wall thickening, IVC diameter, IVC variability, and the echocardiography score.Conclusions The incidence of cardiac dysfunction is high in ICU patients. The echocardiography score was significantly higher in the non-survivors than the survivors, and was an independent risk factor for 28-day mortality. Echocardiography is a convenient bedside monitoring method which deserves widely use in ICUs.Trial registration: Chinese Clinical Trial Registry (ChiCTR-DDD-17012391). Registered 2017.08.17. http://www.chictr.org.cn/showprojen.aspx?proj=21127.

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Section: Discussionmentioning

confidence: 99%

The characteristics of echocardiography in ICU patients and its relationship with the outcomes

Peng¹,

Liu²,

Zhang³

et al. 2020

Preprint

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“…A patient with a persistently dilated RV after ROSC may be more likely to be worked up or treated empirically for a massive PE. 37 …”

Section: Methodsmentioning

confidence: 99%

“…A patient with a persistently dilated RV after ROSC may be more likely to be worked up or treated empirically for a massive PE. 37 The Patient with Unclear Intravascular Volume Status Clinical Questions…”

Section: The Patient With Cardiac Dysfunctionmentioning

confidence: 99%

The POCUS Consult: How Point of Care Ultrasound Helps Guide Medical Decision Making

Rice¹,

Brewer²,

Speaks³

et al. 2021

IJGM

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Point of care ultrasound (POCUS) allows for rapid, real-time evaluation of cardiovascular and respiratory pathology. The advent of portable, handheld devices and increased recognition by accrediting bodies of the importance of POCUS in guiding clinical decision making has expanded its use across the hospital setting and within medical training programs. POCUS allows clinicians to begin immediate investigation into their differential diagnoses without waiting for a formal imaging study, enhancing the speed of clinical interpretation. In addition to its diagnostic utility, POCUS can also inform clinicians of patients’ response to interventions when serial exams are obtained. This review examines the role of POCUS in the context of frequently encountered patients and highlights the key clinical questions that can be readily answered by POCUS.

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“…Although TTE has been applied to standard ACLS protocols in part, for this purpose, 4–6,28 TTE use during pulse-check pauses often prolongs the duration of no compressions beyond the recommended 10 seconds 29–32 . TEE mitigates this issue by having the probe placed during active chest compressions without interruption.…”

Section: Benefit Of Tee During Ca Resuscitationmentioning

confidence: 99%

“…In-hospital 1 and out-of-hospital 2 cardiac arrest (CA) is common and associated with poor outcomes despite standardized protocols for advanced cardiac life support (ACLS) 3 . Echocardiography is an attractive adjunct to standard ACLS as it has the potential to rapidly diagnose the cause of CA, affect management, facilitate interventions, and guide prognoses 4–6 . However, difficulty in obtaining adequate acoustic windows for transthoracic echocardiography (TTE) in a timely manner and the associated prolongation of compression pauses have led to an equivocal recommendation on the use of TTE from varying oversight committees and expert reviews 7 .…”

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confidence: 99%

Seeing the heart of the problem: transesophageal echocardiography in cardiac arrest: a practical review

Wray,

Gerstein,

Ball

et al. 2023

International Anesthesiology Clinics

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

Cited by 16 publications

References 169 publications

The characteristics of echocardiography in ICU patients and its relationship with the outcomes

The characteristics of echocardiography in ICU patients and its relationship with the outcomes

The POCUS Consult: How Point of Care Ultrasound Helps Guide Medical Decision Making

Seeing the heart of the problem: transesophageal echocardiography in cardiac arrest: a practical review

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