The Diagnosis and Treatment System of Transesophageal Echocardiography in ICU

Kang Yan200 enrolled

Overview

Transesophageal ultrasound offers imaging through the esophagus on the surface of the heart, with good image quality and unique advantages. However, no studies to date have examined its effect in critically ill patients in China.Therefore, the investigators aimed to compare the efficacy and safety of TEE with TTE. the investigators will conducte a Multi-center, prospective observational control study enrolling critically ill adult patients in several ICU in China .

Patients in ICU were assessed for the need for TEE by trained researcher. Eligible patients would be conducted tee examination by researcher A, TTE by the researcher B ,at the same time, researcher C records the basic condition and clinical data of patientsand carried out micro-enlargement test.The examination results are judged by A and B respectively and provided to the physician of this patient, and A return visit to the physician wold be conducted by researcher D to evaluate the acceptance of TTE and TEE results and judge the clinical effects. The primary outcome is the clinical effects.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

SCREENING

Masking

SINGLE

Enrollment

200

Conditions

Critically Ill

Interventions

Transesophageal echocardiographyDIAGNOSTIC_TEST

Eligible patients would be conducted both Transesophageal echocardiography and Transthoracic echocardiography to offer independent results

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. The quality of Transthoracic echocardiography is poor ( \>3 sections cannot be obtained or the inner membrane is not clear) 2. The diagnosis of the etiology by Transthoracic ultrasonography is still unclear 3. The results of Transthoracic ultrasonography are inconsistent with clinical judgment or cannot explain the existing signs. 4. No obvious improvement or even aggravation after thoracic examination and corresponding treatment 5. Special conditions or clinical scenarios 6. Other clinicians think a TEE check is required. Exclusion Criteria: 1. There is a tee test taboo and clinicians evaluate the risk over benefit 2. Did not sign an informed consent form

Locations (5)

Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences

Beijing, China

RECRUITING

Xiangya Hospital Central South University

Changsha, China

NOT_YET_RECRUITING

The People's Hospital of Guangxi Zhuang Autonomous Region

Nanning, China

Outcomes

Primary Outcomes

Conclusion of the adoption

Researcher C conducted a questionnaire survey on attending physician to evaluate the effect

Time frame: 48 hours after completion of the examination

Secondary Outcomes

adverse events

Adverse events associated with the examination，eg.1.Anesthetic allergy;2.Nausea, vomiting, choking cough or aspiration;3.Laryngeal edema and even asphyxiation;4.Severe arrhythmia;5.Esophageal perforation, bleeding, or local hematoma;6.Other accidental deaths, such as acute myocardial infarction, shock, haemorrhage and possibly even death;7.Other unpredictable contingencies or complications

Time frame: completion of the examination

Central Contacts

Yi Li, PhD

CONTACT

(+86)13438168612 526563716@qq.com

Data from ClinicalTrials.gov

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