Skip to main content
Erschienen in: Journal of Echocardiography 1/2021

27.11.2020 | Review Article

Transesophageal echocardiography in patients with cardiac arrest: from high-quality chest compression to effective resuscitation

verfasst von: Emanuele Catena, Riccardo Colombo, Alessandra Volontè, Beatrice Borghi, Paola Bergomi, Davide Ottolina, Tommaso Fossali, Elisa Ballone, Roberto Rech, Antonio Castelli, Donato Mele

Erschienen in: Journal of Echocardiography | Ausgabe 1/2021

Einloggen, um Zugang zu erhalten

Abstract

Background

Survival after cardiac arrest depends on prompt and effective cardiopulmonary resuscitation (CPR).
Transesophageal echocardiography (TEE) can be applied to evaluate the effectiveness of chest compression–decompression maneuvers in the setting of cardiac arrest undergoing CPR. The efficacy of chest compression can be continuously assessed by TEE that can improve the effectiveness of CPR guiding the rescuer to optimize or correct chest compression and decompression by directly examining the movements of the cardiac walls and valve leaflets.

Purpose

The review describes how to perform TEE in the emergency setting of cardiopulmonary arrest, its advantages, and limitations, and ultimately propose an echo-guided approach to CPR.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Hwang SO, Lee KH, Cho JH, et al. Changes of aortic dimensions as evidence of cardiac pump mechanism during cardiopulmonary resuscitation in humans. Resuscitation. 2001;50:87–93.CrossRef Hwang SO, Lee KH, Cho JH, et al. Changes of aortic dimensions as evidence of cardiac pump mechanism during cardiopulmonary resuscitation in humans. Resuscitation. 2001;50:87–93.CrossRef
2.
Zurück zum Zitat Berg RA, Hemphill R, Abella BS, et al. Part 5: adult basic life support: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(18 Suppl 3):S685-705.CrossRef Berg RA, Hemphill R, Abella BS, et al. Part 5: adult basic life support: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(18 Suppl 3):S685-705.CrossRef
3.
Zurück zum Zitat Fitzgerald KR, Babbs CF, Frissora HA, et al. Cardiac output during cardiopulmonary resuscitation at various compression rates and durations. Am J Physiol. 1981;241:H442–8.PubMed Fitzgerald KR, Babbs CF, Frissora HA, et al. Cardiac output during cardiopulmonary resuscitation at various compression rates and durations. Am J Physiol. 1981;241:H442–8.PubMed
4.
Zurück zum Zitat Cunningham LM, Mattu A, O’Connor RE, et al. Cardiopulmonary resuscitation for cardiac arrest: the importance of uninterrupted chest compressions in cardiac arrest resuscitation. Am J Emerg Med. 2012;30:1630–8.CrossRef Cunningham LM, Mattu A, O’Connor RE, et al. Cardiopulmonary resuscitation for cardiac arrest: the importance of uninterrupted chest compressions in cardiac arrest resuscitation. Am J Emerg Med. 2012;30:1630–8.CrossRef
5.
Zurück zum Zitat Georgiou M, Papathanassoglou E, Xanthos T. Systematic review of the mechanisms driving effective blood flow during adult CPR. Resuscitation. 2014;85:1586–93.CrossRef Georgiou M, Papathanassoglou E, Xanthos T. Systematic review of the mechanisms driving effective blood flow during adult CPR. Resuscitation. 2014;85:1586–93.CrossRef
6.
Zurück zum Zitat Pell ACH, Guly UM, Sutherland GR, et al. Mechanism of closed chest cardiopulmonary resuscitation investigated by transesophageal echocardiography. J Accid Emerg Med. 1994;11:139–43.CrossRef Pell ACH, Guly UM, Sutherland GR, et al. Mechanism of closed chest cardiopulmonary resuscitation investigated by transesophageal echocardiography. J Accid Emerg Med. 1994;11:139–43.CrossRef
7.
Zurück zum Zitat Tucker KJ, Redberg RF, Schiller NB, et al. Active compression-decompression resuscitation: analysis of transmitral flow and left ventricular volume by transesophageal echocardiography in humans. J Am Coll Cardiol. 1993;22:1485–93.CrossRef Tucker KJ, Redberg RF, Schiller NB, et al. Active compression-decompression resuscitation: analysis of transmitral flow and left ventricular volume by transesophageal echocardiography in humans. J Am Coll Cardiol. 1993;22:1485–93.CrossRef
8.
Zurück zum Zitat Van der Wouw PA, Koster RW, Delemarre BJ, et al. Dignostic accuracy of transesophageal echocardiography during cardiopulmonary resuscitation. J Am Coll Cardiol. 1997;30:780–3.CrossRef Van der Wouw PA, Koster RW, Delemarre BJ, et al. Dignostic accuracy of transesophageal echocardiography during cardiopulmonary resuscitation. J Am Coll Cardiol. 1997;30:780–3.CrossRef
9.
Zurück zum Zitat Teran F, Dean AJ, Centeno C, et al. Evaluation of out-of-hospital cardiac arrest using transesophageal echocardiography in the emergency department. Resuscitation. 2019;137:140–7.CrossRef Teran F, Dean AJ, Centeno C, et al. Evaluation of out-of-hospital cardiac arrest using transesophageal echocardiography in the emergency department. Resuscitation. 2019;137:140–7.CrossRef
10.
Zurück zum Zitat Blaivas M. Transesophageal echocardiography during cardiopulmonary arrest in the emergency department. Resuscitation. 2008;78:135–40.CrossRef Blaivas M. Transesophageal echocardiography during cardiopulmonary arrest in the emergency department. Resuscitation. 2008;78:135–40.CrossRef
11.
Zurück zum Zitat Field JM, Hazinski MF, Sayre MR, et al. Part 1, executive summary: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122:s640–56.CrossRef Field JM, Hazinski MF, Sayre MR, et al. Part 1, executive summary: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122:s640–56.CrossRef
12.
Zurück zum Zitat Idris AH, Guffey D, Aufderheide TP, et al. Relationship between chest compression rates and outcomes from cardiac arrest. Circulation. 2012;125:3004–12.CrossRef Idris AH, Guffey D, Aufderheide TP, et al. Relationship between chest compression rates and outcomes from cardiac arrest. Circulation. 2012;125:3004–12.CrossRef
13.
Zurück zum Zitat Idris AH, Guffey D, Pepe PE, et al. Chest compression rates and survival following out-of-hospital cardiac arrest. Crit Care Med. 2015;43:840–88.CrossRef Idris AH, Guffey D, Pepe PE, et al. Chest compression rates and survival following out-of-hospital cardiac arrest. Crit Care Med. 2015;43:840–88.CrossRef
14.
Zurück zum Zitat Sigurdsson G, Yannopoulos D, McKnite SH, et al. Cardiorespiratory interactions and blood flow generation during cardiac arrest and other states of low blood flow. Curr Opin Crit Care. 2003;9:183–8.CrossRef Sigurdsson G, Yannopoulos D, McKnite SH, et al. Cardiorespiratory interactions and blood flow generation during cardiac arrest and other states of low blood flow. Curr Opin Crit Care. 2003;9:183–8.CrossRef
15.
Zurück zum Zitat Wik L, Kramer-Johansen J, Myklebust H, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005;293:299–304.CrossRef Wik L, Kramer-Johansen J, Myklebust H, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005;293:299–304.CrossRef
16.
Zurück zum Zitat Abella BS, Alvarado JP, Myklebust H, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005;293:305–10.CrossRef Abella BS, Alvarado JP, Myklebust H, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005;293:305–10.CrossRef
17.
Zurück zum Zitat Nassar BS, Kerber R. Improving CPR performance. Chest. 2017;152:1061–9.CrossRef Nassar BS, Kerber R. Improving CPR performance. Chest. 2017;152:1061–9.CrossRef
18.
Zurück zum Zitat Gates S, Quinn T, Deakin CD, et al. Mechanical chest compression for out of hospital cardiac arrest: Systematic review and meta-analysis. Resuscitation. 2015;94:91–7.CrossRef Gates S, Quinn T, Deakin CD, et al. Mechanical chest compression for out of hospital cardiac arrest: Systematic review and meta-analysis. Resuscitation. 2015;94:91–7.CrossRef
19.
Zurück zum Zitat Couper K, Smyth M, Perkins GD. Mechanical devices for chest compression: to use or not to use? Curr Opin Crit Care. 2015;21:188–94.CrossRef Couper K, Smyth M, Perkins GD. Mechanical devices for chest compression: to use or not to use? Curr Opin Crit Care. 2015;21:188–94.CrossRef
20.
Zurück zum Zitat Hahn RT, Abraham T, Adams MS, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of the Cardiovascular Anesthesiologists. J Am Soc Echocardiogr. 2013;26:921–64.CrossRef Hahn RT, Abraham T, Adams MS, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of the Cardiovascular Anesthesiologists. J Am Soc Echocardiogr. 2013;26:921–64.CrossRef
21.
Zurück zum Zitat Rudski LG, Lai WW, Afilalo J, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2010;23:685–713 ((quiz 86–8)).CrossRef Rudski LG, Lai WW, Afilalo J, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2010;23:685–713 ((quiz 86–8)).CrossRef
22.
Zurück zum Zitat Catena E, Ottolina D, Fossali T, et al. Association between left ventricular outflow tract opening and successful resuscitation after cardiac arrest. Resuscitation. 2019;138:8–14.CrossRef Catena E, Ottolina D, Fossali T, et al. Association between left ventricular outflow tract opening and successful resuscitation after cardiac arrest. Resuscitation. 2019;138:8–14.CrossRef
23.
Zurück zum Zitat Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2015;16:233–70.CrossRef Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2015;16:233–70.CrossRef
24.
Zurück zum Zitat Lindqvist P, Henein M, Kazzam E. Right ventricular outflow tract fractional shortening: an applicable measure of right ventricular systolic function. Eur J Echocardiogr. 2003;4:29–35.CrossRef Lindqvist P, Henein M, Kazzam E. Right ventricular outflow tract fractional shortening: an applicable measure of right ventricular systolic function. Eur J Echocardiogr. 2003;4:29–35.CrossRef
25.
Zurück zum Zitat Cha KC, Kim YJ, Shin HJ, et al. Optimal position for external chest compression during cardiopulmonary resuscitation: an analysis based on chest CT in patients resuscitated from cardiac arrest. Emerg Med J. 2013;30:615–9.CrossRef Cha KC, Kim YJ, Shin HJ, et al. Optimal position for external chest compression during cardiopulmonary resuscitation: an analysis based on chest CT in patients resuscitated from cardiac arrest. Emerg Med J. 2013;30:615–9.CrossRef
26.
Zurück zum Zitat Ma MH, Hwang JJ, Lai LP, et al. Transesophageal echocardiographic assessment of mitral valve position and pulmonary venous flow during cardiopulmonary resuscitation in humans. Circulation. 1995;92:854–61.CrossRef Ma MH, Hwang JJ, Lai LP, et al. Transesophageal echocardiographic assessment of mitral valve position and pulmonary venous flow during cardiopulmonary resuscitation in humans. Circulation. 1995;92:854–61.CrossRef
27.
Zurück zum Zitat Cipani S, Bartolozzi C, Ballo P, et al. Blood flow maintenance by cardiac massage during cardiopulmonary resuscitation: classical teorie, newer hypotheses, and clinical utility of mechanical devices. J Int Care Soc. 2019;20:2–10.CrossRef Cipani S, Bartolozzi C, Ballo P, et al. Blood flow maintenance by cardiac massage during cardiopulmonary resuscitation: classical teorie, newer hypotheses, and clinical utility of mechanical devices. J Int Care Soc. 2019;20:2–10.CrossRef
28.
Zurück zum Zitat Uenishi M, Sugimoto H, Sawada Y, et al. Transesophageal echocardiography during external chest compression in humans. Anesthesiology. 1984;60:618.CrossRef Uenishi M, Sugimoto H, Sawada Y, et al. Transesophageal echocardiography during external chest compression in humans. Anesthesiology. 1984;60:618.CrossRef
29.
Zurück zum Zitat Plaiance P, Lurie KG, Vicaut E, et al. A comparison of standard cardiopulmonary resuscitation and active compression-decompression resuscitation for out-of-hospital cardiac arrest. N Engl J Med. 1999;341:569–75.CrossRef Plaiance P, Lurie KG, Vicaut E, et al. A comparison of standard cardiopulmonary resuscitation and active compression-decompression resuscitation for out-of-hospital cardiac arrest. N Engl J Med. 1999;341:569–75.CrossRef
30.
Zurück zum Zitat Colombo R, Fossali T, Ottolina D, et al. Kinetics of manual and automated mechanical chest compressions. Resuscitation. 2019;145:70–4.CrossRef Colombo R, Fossali T, Ottolina D, et al. Kinetics of manual and automated mechanical chest compressions. Resuscitation. 2019;145:70–4.CrossRef
31.
Zurück zum Zitat Redberg RF, Tucker KJ, Cohen TJ, et al. Physiology of blood flow during cardiopulmonary resuscitation. A transesophageal echocardiographic study. Circulation. 1993;88:534–42.CrossRef Redberg RF, Tucker KJ, Cohen TJ, et al. Physiology of blood flow during cardiopulmonary resuscitation. A transesophageal echocardiographic study. Circulation. 1993;88:534–42.CrossRef
32.
Zurück zum Zitat Liu Y, Tian Z, Yu C, et al. Transesophageal echocardiography to assess mitral valve movement and flow during long term cardiopulmonary resuscitation: how cardiac effects fade with time. Int J Cardiol. 2016;223:693–8.CrossRef Liu Y, Tian Z, Yu C, et al. Transesophageal echocardiography to assess mitral valve movement and flow during long term cardiopulmonary resuscitation: how cardiac effects fade with time. Int J Cardiol. 2016;223:693–8.CrossRef
33.
Zurück zum Zitat Hwang SO, Zhao PG, Choi HJ, et al. Compression of the left ventricular outflow tract during cardiopulmonary resuscitation. Acad Emerg Med. 2009;16:928–33.CrossRef Hwang SO, Zhao PG, Choi HJ, et al. Compression of the left ventricular outflow tract during cardiopulmonary resuscitation. Acad Emerg Med. 2009;16:928–33.CrossRef
34.
Zurück zum Zitat Link MS, Berkow LC, Kudenchuk PJ, et al. Part 7: adult advanced cardiovascular life support. 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;2015(132):S444–64.CrossRef Link MS, Berkow LC, Kudenchuk PJ, et al. Part 7: adult advanced cardiovascular life support. 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;2015(132):S444–64.CrossRef
35.
Zurück zum Zitat Shoenberger JM, Massopust K, Henderson SO. The use of bedside ultrasound in cardiac arrest. Calif J Emerg Med. 2007;VIII:47–50. Shoenberger JM, Massopust K, Henderson SO. The use of bedside ultrasound in cardiac arrest. Calif J Emerg Med. 2007;VIII:47–50.
Metadaten
Titel
Transesophageal echocardiography in patients with cardiac arrest: from high-quality chest compression to effective resuscitation
verfasst von
Emanuele Catena
Riccardo Colombo
Alessandra Volontè
Beatrice Borghi
Paola Bergomi
Davide Ottolina
Tommaso Fossali
Elisa Ballone
Roberto Rech
Antonio Castelli
Donato Mele
Publikationsdatum
27.11.2020
Verlag
Springer Singapore
Erschienen in
Journal of Echocardiography / Ausgabe 1/2021
Print ISSN: 1349-0222
Elektronische ISSN: 1880-344X
DOI
https://doi.org/10.1007/s12574-020-00492-8

Weitere Artikel der Ausgabe 1/2021

Journal of Echocardiography 1/2021 Zur Ausgabe

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.