TEE in Cardiac Arrest
Mid-esophageal 4 chamber
- counterpart to TTE apical 4 chamber
- reversible causes of arrest
- LV/RV function
Mid-esophageal long axis
- counterpart to TTE parasternal long
- assess quality of CPR
- LV function
@ryangibbonsEMUS @CriticalCareNow#ResusX2022
Reasons to use POCUS in cardiac arrest
- look for reversible causes of cardiac arrest
- femoral & carotid pulse checks can be unreliable
- pseudo PEA
- U/S guided procedures
@DanPatino7@CriticalCareNow#ResusX2022
What about PCI? ECGs right after ROSC may result in false positive STEMI activation. Always worth repeating the ECG while talking to interventional cards if there is uncertainty @critcareguys@CriticalCareNow#Resusx2022
It can be very difficult to recognize nonconvulsive seizure activity post arrest. EEG should be done in patients who remain comatose after ROSC @critcareguys@CriticalCareNow#Resusx2022
How do we accomplish this? Maintaining adequate oxygenation/ventilation, optimizing MAP, TTM, detection of seizures, and PCI if indicated @critcareguys@CriticalCareNow#Resusx2022
Facilitating a culture of excellence during a code is paramount. Everyone has a role and a clear plan is formed quickly. @drbellezzo@CriticalCareNow#ResusX2022
Zero to Bypass in 6 minutes with
@drbellezzo
When rushing to cannulate for ECMO remember Festina Lente AKA Slow is smooth, smooth is fast
@CriticalCareNow#ResusX2022
Zero to Bypass in 6 minutes with @drbellezzo When rushing to cannulate for ECMO remember Festina Lente AKA Slow is smooth, smooth is fast @CriticalCareNow