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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

My Heart is Racing! Select Cardiac Arrhythmias and Practice Updates

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martes, 5 de enero de 2016

ETE en parada cardíaca

TEE
R.E.B.E.L.EM - Jan 4, 2016 - By Carlo Canepa
"Our Conclusions: This case series was a proof of concept that clearly demonstrated six cases where cardiac arrest management was directly affected by TEE. This was a small cases series and it is not clear if there is a mortality benefit when applied to a larger population. However, the results are encouraging. There appear to be few drawbacks to inserting a TEE probe during cardiac arrest beyond training and the cost of the probe. The potential benefits are numerous, especially when applied to a person who is already dead.
Potential to Impact Current Practice: This article is >7 years old, however, TEE in the ED has yet to become wild-spread practice throughout emergency departments in the United States. However, there are specific programs where TEE is used regularly in the ED to help guide cardiopulmonary arrest management. No subsequent trials have been published to provide further evidence of its potential benefit.
Bottom Line: There are potential advantages to TEE use in the emergency department for patients presenting in cardiopulmonary arrest. Further research is needed to evaluate potential changes in outcomes as well as cost-effectiveness."
http://rebelem.com/the-role-of-tee-in-cardiac-arrest/