How to Perform Resuscitative TEE in ED (from ACEP Now)

How to Perform Resuscitative Transesophageal Echocardiography in the Emergency Department (ACEP Now全文連結)

Resuscitative TEE三個最重要的用途 (3 most important purposes):

1. Guiding cardiac arrest resusctiation
   • find reversible cause
   • adjust CPR quality
   • limit CPR interruption
2. Evluation & management of shock in intubated patients
   • find cause
   • monitor hemodynamics and response (SV & SV variation)
   • determined preload (respiratory variation of SVC diameter)
3. Procedural guidance
   • ECMO
   • TVP

Resuscitative TEE四個最重要的介面 (4 core views):
ME 4C: mid-esophageal 4 chamber
ME LAX: mid-esophageal long axis (ME LAX)
TG SAX PAP: transgastric short axis at the level of papillary muscles
ME bicaval: mid-esophageal bicaval

Resuscitative TEE protocol & views