Feasibility of TEE During Cardiac Arrest in Dutch Emergency Departments

NCT06249035 | Recruiting

• 1 other identifier: EDTEE2024
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this feasibility study is to learn if Dutch ED providers are able to use transesophageal echocardiography during cardiac arrest. The main question it aims to answer is: • are the ED providers able to determine the area of maximal compression of the heart using TEE

Conditions

Cardiac Arrest

Keywords

transoesophageal echocardiography; POCUS; Emergency Department

Outcome Measures

Primary Outcomes (1)

• Area of maximal compression (AMC)

  The percentage of patients in which providers are able to determine the location of the AMC during cardiac arrest.

  First 30 minutes of cardiac arrest treatment in the ED.

Secondary Outcomes (5)

• Location of AMC

  First 30 minutes of cardiac arrest treatment in the ED.

• Accuracy of AMC

  First 30 minutes of cardiac arrest treatment in the ED.

• Safety of TEE

  First 30 minutes of cardiac arrest treatment in the ED.

• Intubation

  First 30 minutes of cardiac arrest treatment in the ED.

• Time to image

  First 30 minutes of cardiac arrest treatment in the ED.

Study Arms (1)

TEE as POCUS modality.

EXPERIMENTAL

TEE will be performed during cardiac arrest.

Diagnostic Test: Transoesophageal echocardiography (TEE)

Interventions

Transoesophageal echocardiography (TEE) DIAGNOSTIC_TEST

TEE is a diagnostic modality in which an ultrasound probe is inserted via the oesophagus in order to visualize the heart.

TEE as POCUS modality.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with cardiac arrest \> 18 year in the emergency department.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Frisius Medisch Centrum: lead
• Onze Lieve Vrouwe Gasthuis: collaborator

Study Sites (1)

Medisch Centrum Leeuwarden

Leeuwarden, Provincie Friesland, 8934AD, Netherlands

RECRUITING

MeSH Terms

Conditions

Heart Arrest; Emergencies

Interventions

Echocardiography, Transesophageal

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Echocardiography; Cardiac Imaging Techniques; Diagnostic Imaging; Diagnostic Techniques and Procedures; Diagnosis; Ultrasonography; Heart Function Tests; Diagnostic Techniques, Cardiovascular

Central Study Contacts

Peter Veldhuis, MD

CONTACT

+3158 286 6666; peter.veldhuis@mcl.nl

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: TEE will be performed on all patients that are eligible for inclusion.

Study Record Dates

• First Submitted: January 31, 2024
• First Posted: February 8, 2024
• Study Start: June 25, 2024
• Primary Completion: April 1, 2025
• Study Completion: May 1, 2025
• Last Updated: June 27, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

NL (1)