Feasibility of TEE During Cardiac Arrest in Dutch Emergency Departments

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorFrisius Medisch Centrum

About this trial

The goal of this feasibility study is to learn if Dutch ED providers are able to use transesophageal echocardiography during cardiac arrest.

The main question it aims to answer is:

• are the ED providers able to determine the area of maximal compression of the heart using TEE

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients with cardiac arrest > 18 year in the emergency department.

Disqualifiers

Patients with known upper gastro-intestinal malignancy or strictures, previous upper gastro-intestinal surgery or radiation, or known esophageal varices.

Patient with a do-not-resuscitate order, pregnant patients and traumatic cardiac arrest.

No trained TEE provider available.

ROSC at arrival.

Trial design

Design model

Single group

Treatments tested in this trial

  • Transoesophageal echocardiography (TEE)

    Diagnostic test

    TEE is a diagnostic modality in which an ultrasound probe is inserted via the oesophagus in order to visualize the heart.

Treatment groups

30 Participants
are divided into 1 treatment group
Group A: TEE as POCUS modality.Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Area of maximal compression (AMC)

The percentage of patients in which providers are able to determine the location of the AMC during cardiac arrest.

Time frame
First 30 minutes of cardiac arrest treatment in the ED.

Secondary outcomes

1

Location of AMC

The echographic location of the AMC, subcategorised as: left ventricle, left ventricular outflow tract/aortic root, other, not able to determine AMC

Time frame
First 30 minutes of cardiac arrest treatment in the ED.
2

Accuracy of AMC

Accuracy of AMC defined as correlation between providers interpretation of AMC and reviewers interpretation of AMC

Time frame
First 30 minutes of cardiac arrest treatment in the ED.
3

Safety of TEE

Incidence of complications of TEE

Time frame
First 30 minutes of cardiac arrest treatment in the ED.
4

Intubation

Need for intubation for using TEE and duration of intubation

Time frame
First 30 minutes of cardiac arrest treatment in the ED.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Frisius Medisch Centrum

Lead sponsor

Onze Lieve Vrouwe Gasthuis

Collaborator