Bonfanti Nathaniel, Gundert Emily, Malhotra Anisha, Saleh Jessica, Kulstad Erik
UT Southwestern Medical Center, Dallas, TX, USA.
UT Southwestern Medical Center, Dallas, TX, USA.
Resuscitation. 2020 Apr;149:158-161. doi: 10.1016/j.resuscitation.2020.02.003. Epub 2020 Feb 25.
The use of transthoracic echocardiography (TTE) is common during cardiopulmonary resuscitation (CPR) from cardiac arrest, but logistic and practical challenges of obtaining satisfactory images without sacrificing the quality of CPR have resulted in some centers utilizing transesophageal echocardiography (TEE) during CPR. Although TEE avoids many of the downsides of TTE, several challenges exist in routine deployment. An alternative approach, intracardiac echocardiography (ICE), is routinely used by electrophysiologists during regular cardiac electrophysiologic procedures, such as atrial ablation for the treatment of atrial fibrillation. In this review, we evaluate various considerations in the potential for use of ICE as a novel means of enhancing resuscitation during CPR.
在心脏骤停的心肺复苏（CPR）过程中，经胸超声心动图（TTE）的使用很常见，但在不牺牲CPR质量的情况下获得满意图像存在后勤和实际挑战，这导致一些中心在CPR期间使用经食管超声心动图（TEE）。尽管TEE避免了TTE的许多缺点，但在常规应用中仍存在一些挑战。另一种方法，心腔内超声心动图（ICE），在常规心脏电生理程序中，如心房颤动治疗的心房消融，被电生理学家常规使用。在本综述中，我们评估了将ICE作为一种在CPR期间增强复苏的新方法的潜在应用的各种考虑因素。
