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[德国心脏病学会临床心血管医学委员会与德国急诊医学和重症医学协会、德国重症监护与急诊医学跨学科协会以及德国急诊医学协会合作制定的关于临床急性和急诊医学中聚焦经食管超声心动图(fTEE)的共识文件]

[Consensus paper on focused transesophageal echocardiography (fTEE) in clinical acute and emergency medicine : From the Commission for Clinical Cardiovascular Medicine of the DGK in cooperation with the DGINA, DGIIN and DGIM].

作者信息

Michels Guido, Brandt Roland R, Busch Hans-Jörg, Fink Katrin, Franke Andreas, Frantz Stefan, Jung Christian, Möckel Martin, Morbach Caroline, Pilarczyk Kevin, Sauer Dorothea, Wolfrum Sebastian, Helfen Andreas

机构信息

Notfallzentrum, Krankenhaus der Barmherzigen Brüder Trier, Medizincampus Trier der Universitätsmedizin Mainz, Nordallee 1, 54292, Trier, Deutschland.

Abteilung für Kardiologie, Kerckhoff Klinik GmbH, Bad Nauheim, Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2025 Jul 10. doi: 10.1007/s00063-025-01309-1.

Abstract

In addition to intensive care medicine, focused transesophageal echocardiography (fTEE) is increasingly being used in emergency departments. fTEE should only be performed as part of advanced cardiopulmonary resuscitation or in cases of unclear shock if a particular issue cannot be clarified using focused transthoracic echocardiography (cardiac point-of-care ultrasound [cPOCUS]). The conditions, indications and performance of fTEE are summarized in this consensus paper in terms of quality management in echocardiography in clinical acute and emergency medicine.

摘要

除重症监护医学外,聚焦经食管超声心动图(fTEE)在急诊科的应用也越来越广泛。仅在进行高级心肺复苏或休克原因不明且使用聚焦经胸超声心动图(床旁心脏超声检查[cPOCUS])无法明确特定问题时,才应进行fTEE检查。本共识文件从临床急性和急诊医学超声心动图质量管理的角度,总结了fTEE的条件、适应证和操作方法。

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