Resuscitative TEE Collaborative Registry (rTEECoRe)

University of Pennsylvania

Status: Enrolling

Conditions: Shock; Hemodynamic Instability; Cardiac Arrest, Out-Of-Hospital; Cardiac Arrest Circulatory; Cardiac Arrest

Study type: Observational

Funder types: Other

Identifiers

NCT04972526

844522

Details and patient eligibility

About

The general objective of this study is to evaluate the clinical impact and safety of focused, point-of-care transesophageal echocardiography (TEE) used during the evaluation of critically-ill patients in the emergency and intensive care settings. The target population for this study are critically-ill patients over the age of 18 who as part of their routine clinical care are receiving a focused TEE.

The primary objective of this study is to determine the clinical impact and safety of TEE performed during the evaluation of critically-ill patients in the emergency department and intensive care settings.

The secondary objective(s) of this study are to characterize the use of this imaging modality in the subsets of critically-ill patients in shock and cardiac arrest; including but not limited to; description of the frequency of studies, clinical indications, clinician characteristics, echocardiography findings, timing of studies, procedure-related complications and patient outcomes.

Full description

Vision

The Resuscitative TEE Collaborative Registry aims to accelerate the development of outcome-oriented research and knowledge translation on the use of TEE in emergency and critical care settings.

Mission

The registry aims to catalyze clinical research involving the use of TEE in critically-ill patients through the following strategic initiatives:

Facilitate collaboration between different clinical teams and organizations across the entire spectrum of users of TEE in acute care setting, including emergency departments and intensive care units. Standardize data collection and reporting that enables multi-institutional data sharing. Provide an efficient research infrastructure that facilitates data capture, management and analysis, enabling teams around the world to conduct research studies in this field. Make shared data open and accessible to clinicians and researchers.

Enrollment: 1,000 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult critically-ill patients who as part of their routine clinical care receive focused TEE in the emergency department of intensive care setting.

Exclusion criteria

• Children (age under 18 years)
• Vulnerable populations

Trial design

1,000 participants in 5 patient groups

Out-of-hospital Cardiac Arrest

Description:

Patients receiving TEE as part of their clinical evaluation during cardiac arrest that occurred outside the hospital (e.g. in/at a home or residence, in a public area, during transport to the emergency department, etc.)

In-hospital Cardiac Arrest

Description:

Patients receiving TEE as part of the clinical evaluation during cardiac arrest that occurred within a hospital (e.g in the emergency department, an Intensive Care Unit, a hospital ward, the operating room, etc.)

Undifferentiated Shock or Acute Hemodynamic Decompensation

Description:

Patients receiving TEE as part of the initial evaluation of undifferentiated shock or acute hemodynamic decompensation

Hemodynamic Monitoring in a Critically Ill Patient

Description:

Critically ill patients receiving TEE as part of hemodynamic monitoring

Procedural Guidance

Description:

Patients receiving TEE as a means to assist providers performing procedures (e.g. intravenous pacemaker placement, veno-arterial or veno-venous extracorporeal membrane oxygenation [ECMO], impella heart pump placement, intra-aortic balloon pump placement, etc.)