Evidence map›Paper›PMID 32600742›Full record

ReviewJournal of the American Society of Echocardiography : official publication of the American Society of Echocardiography2020

Critical Care Transesophageal Echocardiography in Patients during the COVID-19 Pandemic.

Felipe Teran, Katharine M Burns, Mangala Narasimhan, Alberto Goffi, Paul Mohabir, James M Horowitz, Eugene Yuriditsky, Arun Nagdev, Nova Panebianco, Eric J Chin and 3 more

Registry-linked trialOpen access · bronzeAbstract readReviewConsensus Statement
In one paragraph

Review in Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04972526 (Evaluation of the Clinical Impact and Safety of Focused Transesophageal Echocardiography During Resuscitation of Critically Ill Patients in the Emergency Department and Intensive Care Settings), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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.

NCT04972526 recruitingnot on this map

Evaluation of the Clinical Impact and Safety of Focused Transesophageal Echocardiography During Resuscitation of Critically Ill Patients in the Emergency Department and Intensive Care Settings

Typeobservational_patient_registrySponsorUniversity of PennsylvaniaRan2020 to 2027Enrolled1,000ConditionsCardiac Arrest, Cardiac Arrest Circulatory, Cardiac Arrest, Out-Of-Hospital, Shock
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Multiorgan Assessment with Transesophageal Ultrasound in Prone Ventilation Patients with Acute Respiratory Distress Syndrome: An Observational Study in Argentina.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  5. Review
  6. Article
  7. Ultrasound vector flow imaging during veno-arterial extracorporeal membrane oxygenation in a thoracic aorta model.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2024
    Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. COVID-19 cardiac arrest management: A review for emergency clinicians.The American journal of emergency medicine · 2020
    Review
  16. Article
  17. Article
  18. A Severe COVID-19 Case Complicated by Right Atrium Thrombus.The American journal of case reports · 2020
    Review
  19. 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

13 authors at 10 institutions in 2 countries.

Felipe TeranDivision of Emergency Ultrasound and Center for Resuscitation Science, Department of Emergency Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: felipeteran@gmail.com.
Katharine M BurnsDepartment of Emergency Medicine, Advocate Christ Medical Center, Oak Lawn, Illinois; University of Illinois at Chicago, Chicago, Illinois.
Mangala NarasimhanDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, New York.
Alberto GoffiLi Ka Shing Knowledge Institute, Department of Critical Care Medicine, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada; Department of Medicine and Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada.
Paul MohabirDivision of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, California.
James M HorowitzLeon H. Charney Division of Cardiology, Department of Medicine, NYU Langone Medical Center, New York, New York.
Eugene YuriditskyLeon H. Charney Division of Cardiology, Department of Medicine, NYU Langone Medical Center, New York, New York.
Arun NagdevDivision of Emergency Ultrasound, Department of Emergency Medicine, Highland General Hospital, Oakland, California.
Nova PanebiancoDivision of Emergency Ultrasound, Department of Emergency Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Eric J ChinDepartment of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas.
Michael GottliebDepartment of Emergency Medicine, Rush University Medical Center, Chicago, Illinois.
Seth KoenigDivision of Pulmonary, Department of Medicine, Albert Einstein School of Medicine, Bronx, New York.
Robert ArntfieldDivision of Critical Care Medicine, Department of Medicine, Victoria Hospital, Critical Care Trauma Centre, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
NYU Langone Health · USUniversity of Pennsylvania · USAlbert Einstein College of Medicine · USBrooke Army Medical Center · USHofstra University · USRush University Medical Center · USStanford University · USSt. Michael's Hospital · CAUniversity of Illinois Chicago · USWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has placed an extraordinary strain on healthcare systems across North America. Defining the optimal approach for managing a critically ill COVID-19 patient is rapidly changing. Goal-directed transesophageal echocardiography (TEE) is frequently used by physicians caring for intubated critically ill patients as a reliable imaging modality that is well suited to answer questions at bedside.

methodsA multidisciplinary (intensive care, critical care cardiology, and emergency medicine) group of experts in point-of-care echocardiography and TEE from the United States and Canada convened to review the available evidence, share experiences, and produce a consensus statement aiming to provide clinicians with a framework to maximize the safety of patients and healthcare providers when considering focused point-of-care TEE in critically ill patients during the COVID-19 pandemic.

resultsAlthough transthoracic echocardiography can provide the information needed in most patients, there are specific scenarios in which TEE represents the modality of choice. TEE provides acute care clinicians with a goal-directed framework to guide clinical care and represents an ideal modality to evaluate hemodynamic instability during prone ventilation, perform serial evaluations of the lungs, support cardiac arrest resuscitation, and guide veno-venous ECMO cannulation. To aid other clinicians in performing TEE during the COVID-19 pandemic, we describe a set of principles and practical aspects for performing examinations with a focus on the logistics, personnel, and equipment required before, during, and after an examination.

conclusionsIn the right clinical scenario, TEE is a tool that can provide the information needed to deliver the best and safest possible care for the critically ill patients.

Indexed as

CanadaConsensusCoronavirus InfectionsCOVID-19Critical CareCross InfectionEchocardiography, TransesophagealFemaleHumansInfection ControlMaleNorth AmericaPandemicsPatient PositioningPneumonia, ViralPoint-of-Care SystemsAcute respiratory syndrome associated with COVID-19COVID-19Novel coronavirusPoint-of-care ultrasoundSARS-CoV-2Transesophageal echocardiography

Identifiers

PMID32600742
PMCPMC7245221
OpenAlexW3027730758

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.