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Prognostication with Point-of-Care Echocardiography During Cardiac Arrest (ALS)

Prognostication with Point-of-Care Echocardiography During Cardiac Arrest (ALS)

This topic was prioritized by the ALS Task Force based on the high prevalence of point-of-care echocardiography during cardiac arrest without recognizing the potential pitfalls for misinterpretation as an adjunct prognostic tool.

Given the increasing popularity of point-of-care echocardiography during cardiac arrest into current clinical practice, a comprehensive and rigorous summary of its intra-arrest prognostic capabilities provides valuable information to both the resuscitation science community and bedside clinicians.

We suggest against using point-of-care echocardiography for prognostication during cardiopulmonary resuscitation (weak recommendation, very low certainty of evidence).

There is no standardized or uniform definition of cardiac motion visualized on point-of-care echocardiography during cardiac arrest.

There are very few prognostic factor studies of point-of-care echocardiography during cardiac arrest performed with methodology that minimizes risk of bias.

CriticalCare.news
January 14, 2020

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