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Review
. 2021 Mar;19(1):28-36.
doi: 10.1007/s12574-020-00492-8. Epub 2020 Nov 27.

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

Emanuele Catena  1 , Riccardo Colombo  2 , Alessandra Volontè  2 , Beatrice Borghi  2 , Paola Bergomi  2 , Davide Ottolina  2 , Tommaso Fossali  2 , Elisa Ballone  2 , Roberto Rech  2 , Antonio Castelli  2 , Donato Mele  3
Affiliations
Review

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

Emanuele Catena et al. J Echocardiogr. 2021 Mar.

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.

Keywords: Cardiac arrest; Cardiopulmonary resuscitation; External cardiac massage; Transesophageal echocardiography.

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References

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