Using transesophageal echocardiography during cardiac arrest in Dutch emergency departments
Feasibility of Transesophageal Echocardiography in Patients With Cardiac Arrest in Emergency Departments in the Netherlands
This study is testing if using a special heart imaging technique during cardiac arrest can help emergency teams in the Netherlands find the best spot to push on the heart and improve patient survival.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 30 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Frisius Medisch Centrum Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Leeuwarden, Provincie Friesland) |
| Trial ID | NCT06249035 on ClinicalTrials.gov |
What this trial studies
This feasibility study aims to determine if emergency department providers in the Netherlands can effectively use transesophageal echocardiography (TEE) during cardiac arrest situations. The study focuses on whether TEE can help identify the area of maximal compression of the heart, which is crucial for improving patient outcomes during cardiopulmonary resuscitation (CPR). By potentially offering superior image quality compared to traditional transthoracic echocardiography (TTE), TEE may reduce delays in chest compressions and enhance the effectiveness of resuscitation efforts. The study will assess the practicality and effectiveness of implementing TEE in emergency settings.
Who should consider this trial
Good fit: Ideal candidates for this study are adults over 18 years old who are experiencing cardiac arrest in the emergency department.
Not a fit: Patients with known upper gastrointestinal malignancies, previous upper gastrointestinal surgeries, or those with do-not-resuscitate orders may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could improve the effectiveness of CPR and increase the chances of survival for patients experiencing cardiac arrest.
How similar studies have performed: While TEE is not currently used in emergency departments during cardiac arrest in the Netherlands, animal studies suggest its potential benefits, indicating that this approach is novel and untested in this specific context.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with cardiac arrest \> 18 year in the emergency department. Exclusion Criteria: * Patients with known upper gastro-intestinal malignancy or strictures, previous upper gastro-intestinal surgery or radiation, or known esophageal varices. * Patient with a do-not-resuscitate order, pregnant patients and traumatic cardiac arrest. * No trained TEE provider available. * ROSC at arrival. * Decision by the team to stop resuscitation at arrival at the emergency department due of prognosis. * Other life saving interventions which are prioritized over TEE by the resuscitation team.
Where this trial is running
Leeuwarden, Provincie Friesland
- Medisch Centrum Leeuwarden — Leeuwarden, Provincie Friesland, Netherlands (Recruiting)
Study contacts
- Study coordinator: Peter Veldhuis, MD
- Email: peter.veldhuis@mcl.nl
- Phone: +3158 286 6666
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.