Focused Cardiac Ultrasound and the Periresuscitative Period: A Case Series of Resident-Performed Echocardiographic Assessment Using Subcostal-Only View in Advanced Life Support. Issue 10 (August 2020)

• Record Type: Journal Article
• Authors: Bughrara, Nibras; Herrick, Susan L.; Leimer, Elizabeth; Sirigaddi, Krishnaveni; Roberts, Kevin; Pustavoitau, Aliaksei
• Is Part Of: A & A practice. Volume 14:Issue 10(2020)
• Publication Date: 2020-08
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000001278
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : When incorporated into the 10-second pulse/rhythm check of the advanced life support (ALS) protocol, focused cardiac ultrasound is a useful adjunct to cardiopulmonary resuscitation. In this case series, we demonstrated the feasibility of echocardiographic assessment using subcostal-only view in ALS (EASy-ALS) performed by anesthesiology residents during the periresuscitative period after structured training. Residents obtained diagnostic quality images in 100% of the self-reported cases, which enabled them to identify cardiac motion and potentially reversible causes of hemodynamic instability. Implementation of EASy-ALS into practice requires system-wide changes in cardiac arrest management for consistency, quality, and further evaluation of patient outcomes. Abstract : Supplemental Digital Content is available in the text.