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Echocardiography is key in evaluating the cause of collapse in the post-cardiac surgery patient. Transesophageal echocardiography provides a greater capability for the diagnosis of pericardial effusion in patients who arrest after cardiac surgery.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10196658 | PMC |
http://dx.doi.org/10.1002/ccr3.7369 | DOI Listing |
West J Emerg Med
June 2025
Washington University School of Medicine, Department of Emergency Medicine, St. Louis, Missouri.
Introduction: Resuscitative transesophageal echo (rTEE) is a promising adjunct to cardiac arrest resuscitation. However, it is a high-acuity diagnostic tool that is rarely used in this setting and its safety establishment is limited because of low occurrence. High-acuity, low occurrence skills such as rTEE during cardiac arrest inevitably decay.
View Article and Find Full Text PDFLakartidningen
August 2025
adjungerad lektor, överläkare, institutionen för diagnostik och intervention, enheten för anestesi- och intensivvård, Umeå universitet; Centrum för anestesi, -operation och intensivvård; samtliga Norrlands universitetssjukhus, Umeå.
Endoscopic retrograde cholangiopancreatography (ERCP) is associated with gas embolism, which is often fatal when observed through clinical signs. Here we report the only case, to our knowledge, of a survivor of paradoxal gas embolism with a patent foramen ovale during ERCP. The patient suffered respiratory collapse with unmeasurable end-tidal carbon dioxide and severe hypoxemia.
View Article and Find Full Text PDFCASE (Phila)
May 2025
Division of Pulmonary, Critical Care, Sleep, and Occupational Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
• Obstruction of the LVOT can impede CPR. • TEE can be used to monitor the LVOT during CPR. • TEE can guide hand positioning during CPR to relieve pressure on the LVOT.
View Article and Find Full Text PDFAnn Card Anaesth
July 2025
Department of Anesthesiology and Intensive Care Medicine, Heart Center, University Hospital of Cologne, and Faculty of Medicine, University of Cologne, Cologne, Germany.
Purpose: Assessment of LV diastolic dysfunction (LVDD) poses challenges due to the dynamic changes of loading conditions in the perioperative course. Diastolic strain-based measures showed to be less load dependent, but data in aortic valve replacement (AVR) surgery remains sparse to date. Therefore, we aimed to explore the feasibility to assess these measurements and to describe the intraoperative course in this patient population.
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June 2025
Adult Congenital Heart Disease Intensive Care Unit, Division of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine at Texas Children's Hospital, Houston, Texas.
• PACs remain important for some critically ill patients. • PAC placement is challenging in some without fluoroscopy or TEE. • POCUS is ubiquitous in the ICU setting.
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