Wang Qiong, Lu Bin
Department of Anesthesiology, Zigong Fourth People's Hospital, 19# Tanmulin Street, Zigong, 643000, Sichuan, China.
BMC Anesthesiol. 2025 Mar 31;25(1):143. doi: 10.1186/s12871-025-03021-1.
Difficulties to identify the cause of cardiac arrest in a short period of time lead to prolonging the time for cardiopulmonary resuscitation (CPR) and to poor survival. Transesophageal echocardiogram (TEE) can assist CPR of long duration and improve outcome.
In this case report, a 50-year-old man was scheduled to undergo a endoscopic cervical discectomy under general anesthesia. The patient suffered a sudden cardiac arrest during the operation, and a high-quality CPR was performed with the the help of TEE. Although the exact etiology of cardiac arrest remained unclear and the CPR was performed for up to 90 min, the patient returned to spontaneous circulation, and was discharged after a month of treatment and rehabilitation, resuming his daily activities. After a one year of follow-up, he still was without any sequelae.
Perioperative cardiac arrest is unpredictable and catastrophic, so high-quality CPR is essential. TEE's excellent features make it ideal for use on resuscitation and can improve the outcome of cardiac arrest.
在短时间内难以确定心脏骤停的原因会导致心肺复苏（CPR）时间延长和生存率低下。经食管超声心动图（TEE）可辅助长时间的心肺复苏并改善预后。
在本病例报告中，一名50岁男性计划在全身麻醉下接受颈椎内镜椎间盘切除术。患者在手术过程中突发心脏骤停，在TEE的帮助下进行了高质量的心肺复苏。尽管心脏骤停的确切病因仍不清楚，且心肺复苏持续了长达90分钟，但患者恢复了自主循环，经过一个月的治疗和康复后出院，恢复了日常活动。经过一年的随访，他仍然没有任何后遗症。
围手术期心脏骤停不可预测且具有灾难性，因此高质量的心肺复苏至关重要。TEE的卓越特性使其成为复苏的理想选择，并可改善心脏骤停的预后。
