RescueTEE for In-hospital Cardiac Arrest (ReTEECA Trial)

Launched by UNIVERSITY OF PENNSYLVANIA · Jan 4, 2020

Keywords

ClinConnect Summary

This is a Phase II, single center, partially blinded, prospective, safety and efficacy pragmatic clinical trial comparing rescue transesophageal image guided ACLS versus conventional ACLS in adult patients with in-hospital cardiac arrest (IHCA). The ReTEECA Trial will use a recently published and validated focused 5-view RescueTEE protocol to evaluate patients with IHCA to obtain diagnostic and therapeutic information to aid in medical decision-making in a rapid fashion for those patients who are experiencing in-hospital arrest.1 Patients will be resuscitated with one of the following proto...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • All patients greater than 18 years of age;
• • Intubated or permanent tracheostomy in situ;
• • Experiencing extreme hemodynamic instability, cardiac arrest, or respiratory arrest and TTE is difficult or contraindicated
• • Rapid response, Code calls, ECMO stat evaluation
• • In-patients
• Exclusion Criteria:
• • Unsecured airway
• • On-going aspiration
• • History of tracheoesophageal injury
• • History of tracheoesophageal fistula
• • Esophagectomy
• • Active upper GI bleeding
• • Esophageal varices
• • Ongoing hemoptysis
• • Technically challenging TEE placement due to location of code - Small room, intrusive to the code team, airway trauma