ArticleJournal of intensive care medicine2023
Indications, Clinical Impact, and Complications of Critical Care Transesophageal Echocardiography: A Scoping Review.
Article in Journal of intensive care medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 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
16 citing papers in PubMed.
- Real-time transesophageal echocardiography for guiding prolonged cardiopulmonary resuscitation.World journal of emergency medicine · 2026Article
- Right ventricular-protective ventilation in acute respiratory distress syndrome: phenotypes, monitoring and ventilatory management.European respiratory review : an official journal of the European Respiratory Society · 2026Review
- Cardiac Tamponade Under Positive-Pressure Ventilation: Pathophysiological Insights and Implications for Diagnosis.Reviews in cardiovascular medicine · 2026Review
- The Emerging Role and Clinical Utility of Transnasal Transesophageal Echocardiography.Echocardiography (Mount Kisco, N.Y.) · 2026Review
- Transesophageal echocardiography in cardiac arrest: why, how, when, and where in clinical practice.Journal of anesthesia, analgesia and critical care · 2026Review
- Resuscitative Transesophageal Echocardiography in Critical Care.Journal of intensive care medicine · 2025Review
- Point-of-Care Transesophageal Echocardiography in Emergency and Intensive Care: An Evolving Imaging Modality.Biomedicines · 2025Review
- Optimizing Ultrasound-Guided Placement of Cardiac Implantable Electronic Devices: Current Uses and Challenges.Echocardiography (Mount Kisco, N.Y.) · 2025Review
- Diagnostic scope: the AI can't see what the mind doesn't know.Diagnosis (Berlin, Germany) · 2025Review
- Development and Implementation of a Multicenter Registry for Resuscitation-Focused Transesophageal Echocardiography.Annals of emergency medicine · 2025Observational
- Critical care echocardiography: training, imaging, and indications.BJA education · 2024Review
- A Comprehensive Review of Percutaneous and Surgical Left Atrial Appendage Occlusion.Journal of cardiovascular development and disease · 2024Review
- Hemodialysis Catheter-Associated Right Atrial Thrombus Diagnosed via Point of Care Transesophageal Echocardiogram.POCUS journal · 2024Article
- Point-of-Care Echocardiography in the Difficult-to-Image Patient in the ICU: A Narrative Review.Critical care explorations · 2024Review
- Feasibility of resuscitative transesophageal echocardiography at out-of-hospital emergency scenes of cardiac arrest.Scientific reports · 2023Article
- Blood Pressure Goals in Critically Ill Patients.Methodist DeBakey cardiovascular journal · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCritical care transesophageal echocardiography (ccTEE) is an increasingly popular tool used by intensivists to characterize and manage hemodynamics at the bedside. Its usage appears to be driven by expanded diagnostic scope as well as the limitations of transthoracic echocardiography (TTE) - lack of acoustic windows, patient positioning, and competing clinical interests (eg, the need to perform chest compressions). The objectives of this scoping review were to determine the indications, clinical impact, and complications of ccTEE.
methodsMEDLINE, EMBASE, Cochrane, and six major conferences were searched without a time or language restriction on March 31
resultsOf the 4403 abstracts screened, 289 studies underwent full-text review, with 108 studies (6739 patients) included. Most studies were retrospective (66%), performed in academic centers (84%), in the intensive care unit (73%), and were observational (55%). The most common indications for ccTEE were hemodynamic instability, trauma, cardiac arrest, respiratory failure, and procedural guidance. Across multiple indications, ccTEE was reported to change the diagnosis in 52% to 78% of patients and change management in 32% to79% patients. During cardiac arrest, ccTEE identified the cause of arrest in 25% to 35% of cases. Complications of ccTEE included two cases of significant gastrointestinal bleeding requiring intervention, but no other major complications (death or esophageal perforation) reported.
conclusionsThe use of ccTEE has been described for the diagnosis and management of a broad range of clinical problems. Overall, ccTEE was commonly reported to offer additional diagnostic yield beyond TTE with a low observed complication rate. Additional high quality ccTEE studies will permit stronger conclusions and a more precise understanding of the trends observed in this scoping review.
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