ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2022
Feasibility, utility, and safety of fully incorporating transesophageal echocardiography into emergency medicine practice.
Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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.
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.
Who cites it
14 citing papers in PubMed, 36 citations in OpenAlex.
- Clinical and Operational Considerations for Rescue Transesophageal Echocardiography.Journal of cardiothoracic and vascular anesthesia · 2026Article
- Transesophageal echocardiography in cardiac arrest: why, how, when, and where in clinical practice.Journal of anesthesia, analgesia and critical care · 2026Review
- Application of an artificial-intelligence-based transesophageal echocardiography simulation system in residency training.Frontiers in surgery · 2026Article
- Critical Reflections on the Role of Transesophageal Echocardiography in Guiding Left Atrial Appendage Occlusion in Patients With Non-Organic Heart Disease.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2025Article
- [Future-oriented further development and approaches to "individualised" cardiopulmonary resuscitation].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Review
- Role of Transesophageal Echocardiography in Guiding and Evaluating Left Atrial Appendage Occlusion in Patients With Non-Organic Heart Disease.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2025Observational
- Low Frequency, High Complexity: Assessing Skill Decay in Transesophageal Echocardiography Post-Simulation Training.The western journal of emergency medicine · 2025Article
- Diagnostic value of transesophageal echocardiography on morphology and function of left atrial appendage in patients with unclosed foramen ovale complicated with atrial fibrillation.BMC cardiovascular disorders · 2025Article
- Development and Implementation of a Multicenter Registry for Resuscitation-Focused Transesophageal Echocardiography.Annals of emergency medicine · 2025Observational
- Transesophageal echocardiography (TEE)-guided transvenous pacing (TVP) in emergency department.The ultrasound journal · 2023Article
- ANMCO-SIMEU consensus document: appropriate management of atrial fibrillation in the emergency department.European heart journal supplements : journal of the European Society of Cardiology · 2023Article
- Transesophageal echocardiography in the emergency department: A comprehensive guide for acquisition, implementation, and quality assurance.Journal of the American College of Emergency Physicians open · 2022Article
- Feasibility, utility, and safety of fully incorporating transesophageal echocardiography into emergency medicine practice.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022Article
- Intraoperative transesophageal echocardiography in liver transplantation: A systematic review of clinical utility in managing hemodynamic challenges and complications.Tzu chi medical journalReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
17 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTransthoracic echocardiography (TTE) is a standard procedure for emergency physicians (EPs). Transesophageal echocardiography (TEE) is known to have great utility in patients who are critically ill or in cardiac arrest and has been used by some EPs with specialized ultrasound (US) training, but it is generally considered outside the reach of the majority of EPs. We surmised that all of our EPs could learn to perform focused TEE (F-TEE), so we trained and credentialed all of the physicians in our group.
methodsWe trained 52 EPs to perform and interpret F-TEEs using a 4-h simulator-based course. We kept a database of all F-TEE examinations for quality assurance and continuous quality feedback. Data are reported using descriptive statistics.
resultsEmergency physicians attempted 557 total F-TEE examinations (median = 10, interquartile range = 5-15) during the 42-month period following training. Clinically relevant images were obtained in 99% of patients. EPs without fellowship or other advanced US training performed the majority of F-TEEs (417, 74.9%) and 94.3% (95% confidence interval [CI] = 91.4%-96.3%) had interpretable images recorded. When TTE and TEE were both performed (n = 410), image quality of TEE was superior in 378 (93.3%, 95% CI = 89.7%-95%). Indications for F-TEE included periarrest states (55.7%), cardiac arrest (32.1%), and shock (12.2%). There was one case of endotracheal tube dislodgement during TEE placement, but this was immediately identified and replaced without complication.
conclusionAfter initiating a mandatory group F-TEE training and credentialing program, we report the largest series to date of EP-performed resuscitative F-TEE. The majority of F-TEE examinations (75%) were performed by EPs without advanced US training beyond residency.
Indexed as
Identifiers
What OpenQuestion holds
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.