Adjusting CPR Location With TEE Guidance

N/AEnrolling By InvitationNCT07017075

National Taiwan University Hospital50 enrolled

Overview

Use Transesophageal ultrasound in OHCA patients to identify the proper compression location

For patients with cardiac arrest, high-quality cardiopulmonary resuscitation is performed according to critical care management and Advanced Cardiac Life Support (ACLS). Rapid with powerful chest compression should be performed to maintain the heart's output and blood flow. An advanced airway should be established and adjust resuscitation based on collected clinical information. Transesophageal ultrasound examination is performed after the advanced airway is established without affecting the resuscitation. The investigators use the built-in ultrasound software (Philips QLAB 3D quantification advance, Philips Healthcare, USA, speckle tracking echocardiography (STE,Speckle tracking echocardiography)) to analyze stroke volume and cardiac output. The investigators collect the stroke volume and cardiac output at the chest compression position recommended by ACLS, as well as the stroke volume and cardiac output after adjusting the optimal chest compression position. The investigators expect it can increase the return of spontaneous circulation rate, survival rate, and neurological prognosis over time.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

Conditions

Cardiac Arrest (CA)

Interventions

adjustment of CPR locationBEHAVIORAL

Transesophageal ultrasound with built-in ultrasound software (Philips QLAB 3D quantification advance, Philips Healthcare, USA, speckle tracking echocardiography (STE,Speckle tracking echocardiography) to evaluate stroke volume and cardiac output in traditional CPR location and the better position

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Out-of-hospital cardiac arrest patients Exclusion Criteria: * DNR was signed * Age under 18 * Trauma patients * Patients hard to establish an advanced airway * Inavailability of ultrasound machine or operators

Locations (2)

Chang Bing Show Chawan Memorial Hospital

Changhua, Taiwan

National Taiwan University Hospital

Taipei, Taiwan

Outcomes

Primary Outcomes

stroke volume, ejection fraction, end-diastolic volume, and end-systolic volume

built-in ultrasound software (Philips QLAB 3D quantification advance, Philips Healthcare, USA, speckle tracking echocardiography (STE,Speckle tracking echocardiography)

Time frame: 2 mins

Data from ClinicalTrials.gov

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