Evidence map›Paper›PMID 39412464›Full record

Observational studyAnnals of emergency medicine2025

Development and Implementation of a Multicenter Registry for Resuscitation-Focused Transesophageal Echocardiography.

Felipe Teran, Clark G Owyang, Trenton C Wray, John E Hipskind, Justine Lessard, William Bédard Michel, Chantal Lanthier, Peiman Nazerian, Eleonora de Villa, Jonathan Nogueira and 49 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Annals of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
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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

59 authors.

Felipe TeranDepartment of Emergency Medicine, Weill Cornell Medicine, New York, NY. Electronic address: fet4003@med.cornell.edu.
Clark G OwyangDepartment of Emergency Medicine, Weill Cornell Medicine, New York, NY; Division of Pulmonary and Critical Care Medicine, Weill Cornell Medicine, New York, NY.
Trenton C WrayDivision of Critical Care, Department of Emergency Medicine, University of New Mexico Hospital, Albuquerque, NM.
John E HipskindDepartment of Emergency Medicine, Kaweah Health, Visalia, CA.
Justine LessardDepartment of Emergency Medicine Sacred Heart Hospital of Montréal, Montréal, QC, Canada.
William Bédard MichelDepartment of Emergency Medicine Sacred Heart Hospital of Montréal, Montréal, QC, Canada.
Chantal LanthierDepartment of Emergency Medicine Sacred Heart Hospital of Montréal, Montréal, QC, Canada.
Peiman NazerianDepartment of Emergency Medicine University Hospital Careggi, Florence, FI, Italy.
Eleonora de VillaDepartment of Emergency Medicine University Hospital Careggi, Florence, FI, Italy.
Jonathan NogueiraDepartment of Emergency Medicine, Virginia Tech Carilion School of Medicine, Roanoke, VA.
Daniel DoynowDepartment of Emergency Medicine, Virginia Tech Carilion School of Medicine, Roanoke, VA.
Michelle ClintonDepartment of Emergency Medicine, Virginia Tech Carilion School of Medicine, Roanoke, VA.
Frank MyslikDepartment of Emergency Medicine, London Health Sciences Centre, London, ON, Canada.
Ross PragerDivision of Critical Care Medicine, Western University, London, ON, Canada.
Robert ArntfieldMedicine, London Health Sciences Centre, London, ON, Canada.
Pedro D SalinasAurora Critical Care Services, Aurora St. Luke's Medical Center, Milwaukee, WI.
Vladyslav DieievAurora Critical Care Services, Aurora St. Luke's Medical Center, Milwaukee, WI.
Michael Y WooDepartment of Emergency Medicine The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada.
Rajiv ThavanathanDepartment of Emergency Medicine The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada.
Graeme PuskasDepartment of Emergency Medicine The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada.
Karan SinghDepartment of Medicine, Medical Center of Bowling Green, Bowling Green, KY.
Priyanka BhatDepartment of Medicine, Medical Center of Bowling Green, Bowling Green, KY.
Jackson HornWestern Kentucky Heart and Lung Research Foundation, Medical Center of Bowling Green, Bowling Green, KY.
Brian M BuchananDepartment of Critical Care Medicine University of Alberta Hospital, Edmonton, AB, Canada.
Nadia BaigDepartment of Critical Care Medicine University of Alberta Hospital, Edmonton, AB, Canada.
Katharine M BurnsDepartment of Emergency Medicine, Advocate Christ Medical Center, Oak Lawn, IL; Department of Emergency Medicine, University of Illinois at Chicago, Chicago, IL.
Kelsey KennedyDepartment of Emergency Medicine, Advocate Christ Medical Center, Oak Lawn, IL.
Lawrence HainesDepartment of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY.
Leily NaraghiDepartment of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY.
Harpriya SinghDepartment of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY.
Michael SeckoDepartment of Emergency Medicine, Stony Brook University Medical Center, Stony Brook, NY.
Daniel SingerDepartment of Emergency Medicine, Stony Brook University Medical Center, Stony Brook, NY.
Maria TaylorDepartment of Emergency Medicine, Stony Brook University Medical Center, Stony Brook, NY.
John M JoyceDepartment of Emergency Medicine, Virginia Commonwealth University, Richmond, VA.
Stephanie DeMasiDepartment of Emergency Medicine, Virginia Commonwealth University, Richmond, VA.
Zan M JafryDepartment of Emergency Medicine, Loma Linda University Medical Center, Loma Linda, CA.
Tammy PhanDepartment of Emergency Medicine, Loma Linda University Medical Center, Loma Linda, CA.
Natalie TruongDepartment of Emergency Medicine, Loma Linda University Medical Center, Loma Linda, CA.
Evan RobinsonDepartment of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI.
Korbin H HaycockDepartment of Emergency Medicine, Riverside University Health System, Moreno Valley, CA.
Allyson HansenDepartment of Emergency Medicine, University of South Florida, Tampa, FL.
Charlotte DerrDepartment of Emergency Medicine, University of South Florida, Tampa, FL.
Frances M WestDepartment of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA.
Mangala NarasimhanDivision of Pulmonary, Allergy and Critical Care, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.
James HorowitzDepartment of Medicine, New York University Langone Health, New York, NY.
Asad UsmanDepartment of Anesthesiology, University of Pennsylvania, Philadelphia, PA.
Kenton L AndersonDepartment of Emergency Medicine, Stanford University Hospital, Palo Alto, CA.
Yifan PengDepartment of Population Health Sciences, Weill Cornell Medical College, New York, NY.
Philippe RolaIntensive Care Unit, Santa Cabrini Hospital, Montréal, QC, Canada.
Phillip AndrusEmergency Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.
Junaid RazzakDepartment of Emergency Medicine, Weill Cornell Medicine, New York, NY.
Hugh C HemmingsDepartment of Anesthesiology, Weill Cornell Medicine, New York, NY.
Rohan PanchamiaDepartment of Anesthesiology, Weill Cornell Medicine, New York, NY.
Joanna PalaszDepartment of Emergency Medicine, Weill Cornell Medicine, New York, NY.
Aarthi KaviyarasuCenter for Resuscitation Science, Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA.
Nathaniel A SandsCenter for Resuscitation Science, Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA.
Robert M SuttonDepartment of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA.
Benjamin S AbellaCenter for Resuscitation Science, Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA.
Resuscitative TEE Collaborative Registry (rTEECoRe) Investigators

Funding

The Use of Transesophageal Echocardiography to Improve Cardiac Arrest Resuscitation CareK23HL165150 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Felipe Teran Merino · 2024 to 2026
$587k
NHLBI NIH HHS K23 HL165150NHLBI NIH HHS L30 HL159698
6 · The paper itself

Abstract

STUDY

objectiveTo evaluate the clinical effect, safety, and clinical outcomes of focused transesophageal echocardiography (TEE) in the evaluation of critically ill patients in the emergency department (ED) and ICUs.

methodsWe established a prospective, multicenter, observational registry involving adult critically ill patients in whom focused TEE was performed for evaluation of out-of-hospital cardiac arrest (OHCA), inhospital cardiac arrest, evaluation of undifferentiated shock, hemodynamic monitoring, and/or procedural guidance in the ED, ICU, or operating room setting. The primary objective of the current investigation was to evaluate the clinical influence and safety of focused, point-of-care TEE in critically ill patients. Data elements included patient and procedure characteristics, laboratory values, timing of interventions, clinical outcomes, and TEE video images.

resultsA total of 1,045 focused TEE studies were collected among 916 patients from 28 hospitals, including 585 (64%) intraarrest and postarrest OHCA and inhospital cardiac arrest, 267 (29%) initial evaluation of undifferentiated shock, 101 (11%) procedural guidance, and 92 (10%) hemodynamic monitoring. TEE changed management in 85% of patients with undifferentiated shock, 71% of patients with inhospital cardiac arrest, and 62% of patients with OHCA. There were no reported esophageal perforations or oropharyngeal injuries, and other procedural complications were rare.

conclusionsA prospective, multicenter, and multidisciplinary TEE registry was successfully implemented, and demonstrated that focused TEE is safe and clinically impactful across multiple critical care applications. Further studies from this research network will accelerate the development of outcome-oriented research and knowledge translation on the use of TEE in emergency and critical care settings.

Indexed as

Cardiopulmonary ResuscitationEchocardiography, TransesophagealOut-of-Hospital Cardiac ArrestRegistriesAdultAgedCritical IllnessEmergency Service, HospitalFemaleHumansIntensive Care UnitsMaleMiddle AgedProspective StudiesShock

Identifiers

PMID39412464
PMCPMC12643552

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Registered trials

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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.