Haemodynamics, fluids & transfusion
Feasibility and Operator-Reported Utility of Transesophageal Lung Ultrasound As an Adjunct to Resuscitative Transesophageal Echocardiography in the Evaluation of Shock: A Multicenter Observational Study
Main finding · Operator-reported identification of shock etiologyResult — go to the resultOdds ratio 1.95 95% CI 1.02–3.72Authors' conclusion
In this multicenter cohort of mechanically ventilated adults with shock, adding TELUS to resuscitative TEE was associated with a higher rate of operator-reported identification of shock etiology and was feasible with minimal additional procedure time.
Study context
- Population
- Mechanically ventilated adults undergoing resuscitative transesophageal echocardiography (TEE) for shock evaluation or hemodynamic monitoring, 23 hospitals (Resuscitative Transesophageal Echocardiography Collaborative Registry (rTEECoRe) registry)of 1213 registry TEE examinations
- Participants
- 379 participants
- Exposure
- Resuscitative TEE with transesophageal lung ultrasound (TELUS) vs resuscitative TEE alone
- TELUSn = 96
- Outcome
- Operator-reported identification of shock etiology
Methodological detailsprospectively collected data, multicentre registry, TELUS predominantly performed by intensivists
- Prospectively collected data
- Multicentre registry
- TELUS predominantly performed by intensivists
Main finding
As reported in the abstract
Odds ratio
1.95
95% CI 1.02–3.72
P = 0.04
By group
TELUS vs Resuscitative TEE alone
OR 1.95 (95% CI 1.02–3.72); P = 0.04
Observational data: associations, not effects.
Further findings
| Outcome | TELUS | Resuscitative TEE alone | OR (95% CI) | P value | |
|---|---|---|---|---|---|
| Overall clinical management changes | 78.1% | 71.7% | 1.40 (0.82–2.41) | P = 0.22 | |
| 0.512Odds ratio (log scale) |
Procedure duration
P = 0.01
Pulmonary findings (B-lines, pleural effusions, consolidations, A-line patterns)
- Varied in frequency; occasionally associated with specific respiratory or antimicrobial interventions
Safety
Procedure-related complications
- Rare and similar between groups
Original publication
Feasibility and Operator-Reported Utility of Transesophageal Lung Ultrasound As an Adjunct to Resuscitative Transesophageal Echocardiography in the Evaluation of Shock: A Multicenter Observational Study. Crit Care Med. Published 4 September 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →