Ventricular fibrillation diagnosed with trans-thoracic echocardiography

Querellou, Emgan; Meyrán, Daniel; Petitjean, F.; Dreff, P. Le; Maurin, O.

doi:10.1016/j.resuscitation.2009.06.033

Cited by 23 publications

(12 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When appropriately trained personnel are available, echocardiography may be considered to identify patients with potentially treatable causes of the arrest, particularly pericardial tamponade and inadequate ventricular filling (Class IIb, LOE C). [155][156][157][158][159][160][161][162] Minimize interruption of CPR while performing echocardiography.…”

Section: Echocardiographymentioning

confidence: 99%

Part 14: Pediatric Advanced Life Support

Kleinman¹,

Chameides²,

Schexnayder³

et al. 2010

Circulation

915

304

View full text Add to dashboard Cite

Section: Echocardiographymentioning

confidence: 99%

Part 14: Pediatric Advanced Life Support

Kleinman¹,

Chameides²,

Schexnayder³

et al. 2010

Circulation

915

304

View full text Add to dashboard Cite

“…18 Several studies report diagnosing VF using echocardiography. 18–20 It is intuitive that distinguishing VF from asystole with echocardiography is more challenging than identifying more obvious causes of cardiopulmonary arrest such as cardiac tamponade, however, the sensitivity and specificity of TTE for diagnosing VF is unknown. In our study, only 9% of participants correctly identified fine VF.…”

Section: Discussionmentioning

confidence: 99%

Goal-Directed Transthoracic Echocardiography During Advanced Cardiac Life Support

Greenstein

Martin

Rolnitzky

et al. 2015

Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare

View full text Add to dashboard Cite

Introduction Goal-directed echocardiography (GDE) is used to answer specific clinical questions which provide invaluable information to physicians managing a hemodynamically unstable patient. We studied perception and ability of housestaff previously trained in GDE to accurately diagnose common causes of cardiac arrest during simulated advanced cardiac life support (ACLS); we compared their results to those of expert echocardiographers. Methods Eleven pulmonary and critical care medicine fellows, seven emergency medicine residents, and five cardiologists board-certified in echocardiography were enrolled. Baseline ability to acquire four transthoracic echocardiography views was assessed and participants were exposed to six simulated cardiac arrests and were asked to perform a GDE during ACLS. Housestaff performance was compared to the performance of five expert echocardiographers. Results Average baseline and scenario views by housestaff were of good or excellent quality 89% and 83% of the time, respectively. Expert average baseline and scenario views were always of good or excellent quality. Housestaff and experts made the correct diagnosis in 68% and 77% of cases, respectively. On average, participants required 1.5 pulse checks to make the correct diagnosis. 94% of housestaff perceived this study as an accurate assessment of ability. Conclusions In an ACLS compliant manner, housestaff are capable of diagnosing management altering pathologies the majority of the time and they reach similar diagnostic conclusions in the same amount of time as expert echocardiographers in a simulated cardiac arrest scenario.

show abstract

“…Although the intensive care unit patients frequently have arterial pressures transduced and therefore these inaccuracies may be irrelevant, this is not necessarily true in other non-ICU settings. Here, focused echocardiography has been shown to identify the presence or absence of cardiac kinetic motion during resuscitation [10][11][12][13][14][15] and identify potentially shockable rhythm disturbance where the ECG is unhelpful [16].…”

Section: Echocardiography In the Diagnosis Of Cardiac Arrestmentioning

confidence: 99%

“…To date, the ECG has been regarded as the gold standard in diagnosis of asystole or ventricular fibrillation; however, echocardiography may prove to be more accurate [16]. The diagnosis of electromechanical dissociation is no longer used in ALS algorithms, but echocardiography is able to demonstrate its existence, as opposed to simply profound hypotension with an impalpable pulse.…”

Section: Researchmentioning

confidence: 99%

Echocardiography in cardiac arrest

Price

Uddin

Quinn

2010

Current Opinion in Critical Care

View full text Add to dashboard Cite

Persistent and worsening haemodynamic instability are regarded as clear indications for echocardiography. The focused application of this well established technique within the ALS algorithm provides the resuscitation team with a potentially powerful diagnostic tool that can be used to diagnose/exclude some of the potentially treatable causes of cardiac arrest as well as to guide therapeutic interventions. The impact of routine periresuscitation echocardiography on patient outcomes both for in-hospital and prehospital care remains an exciting avenue for future research.

show abstract

Ventricular fibrillation diagnosed with trans-thoracic echocardiography

Cited by 23 publications

References 14 publications

Part 14: Pediatric Advanced Life Support

Part 14: Pediatric Advanced Life Support

Goal-Directed Transthoracic Echocardiography During Advanced Cardiac Life Support

Echocardiography in cardiac arrest

Contact Info

Product

Resources

About