Focused Cardiac Ultrasound and the Periresuscitative Period: A Case Series of Resident-Performed Echocardiographic Assessment Using Subcostal-Only View in Advanced Life Support

Nibras Bughrara, Susan L. Herrick, Elizabeth Leimer, Krishnaveni Sirigaddi, Kevin Roberts, Aliaksei Pustavoitau

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)e01278
JournalA&A practice
Volume14
Issue number10
DOIs
StatePublished - Aug 1 2020

ASJC Scopus subject areas

  • Medicine(all)

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