Table 2 Patients who underwent emergency department resuscitative transesophageal echocardiography
Patients N = 25 | Presentation | Resuscitative TEE findings | Post resuscitative TEE diagnosis | TEE provide diagnostic clarity (19/25) | TEE influenced management (19/25) | Complications/insertion difficulty/operator Trainee N = 10, 2 complications, 3 difficult insertions Staff N = 15, no complications, 2 difficult insertions | Disposition | |
|---|---|---|---|---|---|---|---|---|
1 | 66F | Shock NYD | Global hypokinesis | Cardiogenic shock | Yes | Chrono/inotropes | None/easy/staff | ICU/survived |
2 | 56M | Shock NYD | Hyperdynamic LV, PCE | Hypovolemic shock | Yes | Fluids | None/easy/staff | ICU/survived |
3 | 57F | Shock NYD | Hyperdynamic LV, flat SVC | Hypovolemic shock | Yes | Fluids | None/easy/staff | ICU/survived |
4 | 47M | Cardiac arrest PEA/asystole | RV thrombus | Pulmonary embolism | Yes | No changes | None/difficult/staff | ED/died |
5 | 90M | Cardiac arrest VF | VF | Cardiac arrest VF | No | No changes | None/easy/trainee | ED/died |
6 | 63F | Cardiac arrest PEA/asystole | Hyperdynamic LV | Hypovolemic shock | Yes | Fluids | None/difficult/trainee | ICU/died |
7 | 66M | Cardiac arrest VF | Regional wall motion abnormality, PCE | Acute coronary syndrome | Yes | Cath lab | None/easy/staff | Cath lab/died |
8 | 80F | Shock NYD | No abnormal findings | Shock NYD | No | No changes | None/difficult/staff | ICU/survived |
9 | 66M | Cardiac arrest PEA/asystole | Cardiac standstill | Cardiac standstill | Yes | Terminate resuscitation | None/easy/staff | ED/died |
10 | 55F | Shock NYD | Hyperdynamic LV | Hypovolemic shock | Yes | Fluids | None/easy/staff | ICU/died |
11 | 74F | Cardiac arrest PEA/asystole | Cardiac standstill | Cardiac standstill | Yes | Terminate resuscitation | None/easy/staff | ED/died |
12 | 86F | Cardiac arrest PEA/asystole | Right heart strain | Pulmonary embolism | Yes | Anticoagulation | UGIBa/easy/trainee | ICU/survived |
13 | 87M | Cardiac arrest PEA/asystole | Inferior regional wall motion abnormality, right heart strain | Pulmonary embolism | Yes | Thrombolytics | None/easy/trainee | ED/died |
14 | 48M | Shock NYD | Regional wall motion abnormality, flat SVC | Cardiogenic shock | Yes | Fluids Chrono/inotropes Cath lab | None/easy/trainee | Cath lab/survived |
15 | 92M | Cardiac arrest PEA/asystole | Hypokinetic LV | Cardiac arrest NYD | No | CPR vector change Fluids Chrono/inotropes | None/easy/staff | ED/died |
16 | 71F | Shock NYD | Hyperdynamic LV | Hypovolemic shock | Yes | Fluids | None/easy/trainee | ICU/survived |
17 | 49M | Cardiac arrest PEA/asystole | Regional wall motion abnormality | Acute coronary syndrome | Yes | Cath lab | None/easy/staff | Cath lab/survived |
18 | 88M | Cardiac arrest PEA/asystole | Cardiac standstill | Cardiac standstill | Yes | Terminate resuscitation | None/difficult/trainee | ED/died |
19 | 60F | Cardiac arrest VF | Global hypokinesis | Cardiogenic shock | Yes | Chrono/inotropes | None/easy/staff | Cath lab/died |
20 | 83F | Cardiac arrest PEA/asystole | Global hypokinesis, PCE, MS, AS, flat SVC | Cardiogenic shock | Yes | Fluids Chrono/inotropes | UGIBb/difficult/trainee | ICU/died |
21 | 95M | Cardiac arrest VF | VF | Cardiac arrest VF | No | No changes | None/easy/staff | ED/died |
22 | 62M | Post-cardiac arrest NYD | No abnormal findings | Post-cardiac arrest NYD | No | No changes | None/easy/trainee | ICU/died |
23 | 63M | Cardiac arrest PEA/asystole | Hyperdynamic LV, RV dilated, RV thrombus | Pulmonary embolism | Yes | Thrombolytics | None/easy/staff | ED/died |
24 | 90M | Cardiac arrest PEA/asystole | Global hypokinesis, dilated SVC | Cardiac arrest NYD | No | CPR vector change Chrono/inotropes | None/easy/trainee | ED/died |
25 | 76M | Post-cardiac arrest NYD | Flat SVC | Post-cardiac arrest NYD | No | No changes | None/easy/staff | ICU/died |