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 volunteersQualifiers
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
Single group
Treatments tested in this trial
Transoesophageal echocardiography (TEE)
Diagnostic testTEE is a diagnostic modality in which an ultrasound probe is inserted via the oesophagus in order to visualize the heart.
Treatment groups
Trial outcomes
Primary outcomes
Area of maximal compression (AMC)
The percentage of patients in which providers are able to determine the location of the AMC during cardiac arrest.
Secondary outcomes
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
Accuracy of AMC
Accuracy of AMC defined as correlation between providers interpretation of AMC and reviewers interpretation of AMC
Safety of TEE
Incidence of complications of TEE
Intubation
Need for intubation for using TEE and duration of intubation
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Frisius Medisch Centrum
Lead sponsor
Onze Lieve Vrouwe Gasthuis
Collaborator