Initial Experience with a Disposable Transesophageal Echocardiography Monitoring System during Therapeutic Hypothermia following out of Hospital Cardiac Arrest

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Shuichi Hagiwara ◽  
Kiyohiro Oshima ◽  
Masato Murata ◽  
Makoto Aoki ◽  
Kei Hayashida ◽  
...  

Aim: To evaluate the priority of coronary angiography (CAG) and therapeutic hypothermia therapy (TH) after return of spontaneous circulation (ROSC) in patients with out-of-hospital cardiac arrest (OHCA). Patients and Methods: SOS-KANTO 2012 study is a prospective, multicenter (69 emergency hospitals) and observational study and includes 16,452 patients with OHCA. Among the cases with ROSC in that study, we intended for patients treated with both CAG and TH within 24 hours after arrival. Those patients were divided into two groups; patients in whom TH was firstly performed (TH group), and the others in whom CAG was firstly done (CAG group). We statistically compared the prognosis between the two groups. SPSS Statistics 22 (IBM, Tokyo, Japan) was used for the statistical analysis. Statistical significance was assumed to be present at a p value of less than 0.05. Result: 233 patients were applied in this study. There were 86 patients in the TH group (M/F: 74/12, mean age; 60.0±15.2 y/o) and 147 in the CAG group (M/F: 126/21, mean age: 63.4±11.1 y/o) respectively, and no significant differences were found in the mean age and M/F ratio between the two groups. The overall performance categories (OPC) one month after ROSC in the both groups were as follows; in the TH group, OPC1: 21 (24.4%), OPC2: 3 (3.5%), OPC3: 7 (8.1%), OPC4: 8 (9.3%), OPC5: 43 (50.0%), unknown: 4 (4.7%), and in the CAG group, OPC1: 38 (25.9%), OPC2: 13 (8.8%), OPC3: 15 (10.2%), OPC4: 18 (12.2%), OPC5: 57 (38.8%), unknown: 6 (4.1%). There were no significant differences in the prognosis one month after ROSC between the two groups. Conclusion: The results which of TH and CAG you give priority to over do not affect the prognosis in patients with OHCA.


2014 ◽  
Vol 4 (6) ◽  
pp. 579-588 ◽  
Author(s):  
Gianni Casella ◽  
Valeria Carinci ◽  
Piergiorgio Cavallo ◽  
Paolo Guastaroba ◽  
Pier C Pavesi ◽  
...  

2010 ◽  
Vol 1 (1) ◽  
pp. e45-e48
Author(s):  
Yuichiro Arima ◽  
Sunao Kojima ◽  
Kenichi Kusuhara ◽  
Yasuhiro Nagayoshi ◽  
Hiroaki Kawano ◽  
...  

2006 ◽  
Vol 29 (12) ◽  
pp. 525-529 ◽  
Author(s):  
Brook D. Scott ◽  
Tammy Hogue ◽  
Mark S. Fixley ◽  
Philip B. Adamson

2022 ◽  
Author(s):  
Asad Ali Usman ◽  
Samantha Stein ◽  
Audrey Spelde ◽  
Felipe Teran-merino ◽  
John Augoustides ◽  
...  

Abstract This trial is aimed at studying the utility and interventional outcomes of rescue transesophageal echocardiography (RescueTEE) to aid in diagnosis, change in management, and outcomes during CPR by using a point of care RescueTEE protocol in the evaluation of in-hospital cardiac arrest (IHCA). This is an interventional prospective convenience sampled partially blinded phase II clinical trial with primary outcomes of survival to hospital discharge (SHD) with RescueTEE image guided ACLS versus conventional ACLS.


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