Cardiac arrest & resuscitation
Use of transoesophageal echocardiography in the pre-hospital setting to determine compression position in out of hospital cardiac arrest
Authors' conclusion
Pre-hospital intra-arrest TOE is feasible and contributed significantly to optimising compression position to increase forward flow without interrupting chest compressions.
Study context
- Population
- Of hospital cardiac arrest (OHCA) patients treated by a specialist pre-hospital medical team who received transoesophageal echocardiography (TOE) during cardiac arrest management, over a 6-month period
- Participants
- 19 patients
- Outcome
- Proportion of patients in whom the area of maximal compression (AMC) was not over the LV
Methodological detailspre-hospital, single-group
- Pre-hospital
- Single-group
Main finding
As reported in the abstract
Compressions not performed over the left ventricle
TOE
89%
17 of 19
Observational data: associations, not effects.
Secondary outcomes
Improved echocardiographic evidence of LV compression (patients with area of maximal compression (AMC) not over LV)
- Improved echocardiography evidence of LV compression
- 13/17 (76%)
- ROSC after improved LV compression
- 6 patients
- Change in rhythm after improved LV compression
- 10 patients
TOE changed management or confirmed diagnosis
- TOE changed management or confirmed diagnosis
- 17/19 (89%)
Original publication
Use of transoesophageal echocardiography in the pre-hospital setting to determine compression position in out of hospital cardiac arrest. Resuscitation. Published 14 March 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →