Evidence map›Paper›PMID 30012168›Full record

ArticleCardiovascular ultrasound2018

Feasibility of basic transesophageal echocardiography in hemorrhagic shock: potential applications during resuscitative endovascular balloon occlusion of the aorta (REBOA).

William A Teeter, Bianca M Conti, Phil J Wasicek, Jonathan J Morrison, Dawn Parsell, Bryan Gamble, Melanie R Hoehn, Thomas M Scalea, Samuel M Galvagno

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular ultrasound, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

William A TeeterUniversity of North Carolina, Raleigh, North Carolina, USA.
Bianca M ContiDepartment of Anesthesiology, Division of Trauma Anesthesiology, University of Maryland School of Medicine, Baltimore, MD, USA.
Phil J WasicekDepartment of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Jonathan J MorrisonDepartment of Surgery, Program in Trauma, University of Maryland School of Medicine, Baltimore, MD, USA.
Dawn ParsellDepartment of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Bryan GambleDepartment of Surgery, Walter Reed National Medical Center, United States Army, Bethesda, MD, USA.
Melanie R HoehnDepartment of Surgery, Emory University, Atlanta, GA, USA.
Thomas M ScaleaUniversity of Maryland, Program in Trauma, Baltimore, MD, USA.
Samuel M GalvagnoDepartment of Anesthesiology, Divisions of Critical Care Medicine and Trauma Anesthesiology, University of Maryland School of Medicine, Baltimore, MD, USA. sgalvagno@som.umaryland.edu.ORCID http://orcid.org/0000-0001-5563-4092
University of Maryland, Baltimore · USEmory University · USNorth Carolina State University · USWalter Reed National Military Medical Center · US

Funding

Medical Research and Materiel Command W81XWH-16-1-0116
6 · The paper itself

Abstract

backgroundThere are numerous studies in the cardiovascular literature that have employed transesophageal echocardiography (TEE) in swine models, but data regarding the use of basic TEE in swine models is limited. The primary aim of this study is to describe an echocardiographic method that can be used with relative ease to qualitatively assess cardiovascular function in a porcine hemorrhagic shock model using resuscitative endovascular balloon occlusion of the aorta (REBOA).

methodsMultiplane basic TEE exams were performed in 15 during an experimental hemorrhage model using REBOA. Cardiac anatomical structure and functional measurements were obtained. In a convenience sample (two animals from each group), advanced functional cardiovascular measurements were obtained before and after REBOA inflation for comparison with qualitative assessments.

resultsBasic TEE exams were performed in 15 swine. Appropriate REBOA placement was confirmed using TEE in all animals and verified with fluoroscopy. Left ventricular volume was decreased in all animals, and left ventricular systolic function increased following REBOA inflation. Right ventricular systolic function and volume remained normal prior to and after hemorrhage and REBOA use. Mean ejection fraction (EF) decreased from 64% (S.D. 9.6) to 62.1 (S.D. 16.8) after hemorrhage and REBOA inflation (p = 0.76); fractional area of change (FAC) decreased from 49.8 (S.D. 9.0) to 48.5 (S.D. 13.6) after hemorrhage and REBOA inflation (p = 0.82).

conclusionBasic TEE, which requires less training than advanced TEE, may be employed by laboratory investigators and practitioners across a wide spectrum of experimental and clinical settings.

Indexed as

AnimalsAorta, ThoracicBalloon OcclusionDisease Models, AnimalEchocardiography, TransesophagealEndovascular ProceduresShock, HemorrhagicSwine

Identifiers

PMID30012168
PMCPMC6048745
OpenAlexW2884642481

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.