Second Department of Surgery, Kochi Medical School.
Circ J. 2020 Apr 24;84(5):820-824. doi: 10.1253/circj.CJ-19-0957. Epub 2020 Mar 19.
To take full advantage of transesophageal echocardiography (TEE) during cardiopulmonary resuscitation (CPR), we propose a flowchart derived from representative cases.
TEE was used in patients requiring CPR to obtain information potentially helpful for rescue. TEE navigated the CPR procedures (navigation TEE), identified the possible cause of arrest (focus TEE), and optimized treatment while checking for pitfalls (secure TEE). In addition, TEE corrected prehospital misdiagnoses and detected new complications caused by CPR.
TEE provides valuable information without interrupting CPR procedures. It is hoped that our flowchart may facilitate goal-directed, efficient assessment.
为了充分利用经食管超声心动图（TEE）在心肺复苏（CPR）期间的作用，我们提出了一个源自代表性病例的流程图。
在需要 CPR 的患者中使用 TEE 以获取可能有助于抢救的信息。TEE 引导 CPR 程序（导航 TEE），识别可能导致骤停的原因（焦点 TEE），并在检查陷阱的同时优化治疗（安全 TEE）。此外，TEE 纠正了院前误诊，并检测到由 CPR 引起的新并发症。
TEE 在不中断 CPR 程序的情况下提供有价值的信息。希望我们的流程图能够促进有针对性、高效的评估。
