Oral Gastric Suctioning Effect on Transesophageal Echo
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Transesophageal Echocardiography.
- Who it may be relevant to
- Registry conditions: TEE Image Quality. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
The Effect of Orogastric Suctioning on Quality of Transesophageal Echo Images in Cardiac Surgery
Overview
During heart surgery images of the heart are taken with transesophageal echocardiography. The images track how the heart is doing during surgery. It is normal practice to place an oral gastric tube in the stomach during heart surgery. The oral gastric tube is used to suction out stomach contents to avoid potential aspiration and avoid stomach acid build up. The purpose of this research study is to see if the images of the heart have better quality after your stomach has been emptied. This project hopes to help determine the best method to obtain the better quality images of the heart during cardiac surgery.
Detailed description
After induction, the transesophageal echocardiography (TEE) probe will be placed in the usual fashion for the cardiac surgery case. Five specific images that are part of a standard TEE exam will be obtained by TEE. An oral gastric (OG) tube will then be placed to suction stomach contents. The OG tube will then be removed and the same five images previously taken will be repeated. The five images reviewed from the TEE include mid esophageal four chamber, mid esophageal two chamber, transgastric basal, transgastric mid-papillary and deep transgastric. Two blinded and independent cardiologists who are echocardiography experts will review the before and after images and grade them for quality of the images. They will grade the images on a scale of 1-4 with 1 being excellent quality and 4 being very poor quality.
Interventions
- Diagnostic test Transesophageal Echocardiography
Transesophageal echocardiography images will be taken prior to and post oral gastric suction.
Primary outcome measures
- Quality of Mid Esophageal Four Chamber Images - Pre Oral Gastric Suction [Time frame: 60 minutes]
- Quality of Mid Esophageal Four Chamber Images - Post Oral Gastric Suction [Time frame: 60 minutes]
- Quality of Transgastric Basal Images - Pre Oral Gastric Suction [Time frame: 60 minutes]
- Quality of Transgastric Basal Images - Post Gastric Suction [Time frame: 60 minutes]
- Quality of Transgastric Mid Papillary Images - Pre Oral Gastric Suction [Time frame: 60 minutes]
- Quality of Transgastric Mid Papillary Images - Post Oral Gastric Suction [Time frame: 60 minutes]
- Quality of Mid Esophageal Two-Chamber Images - Pre Oral Gastric Suction [Time frame: 60 minutes]
- Quality of Mid Esophageal Two-Chamber Images - Post Oral Gastric Suction [Time frame: 60 minutes]
- Quality of Deep Transgastric Images - Pre Oral Gastric Suction [Time frame: 60 minutes]
- Quality of Deep Transgastric Images - Post Oral Gastric Suction [Time frame: 60 minutes]
Eligibility criteria
Inclusion criteria
\- Transesophageal echocardiography assisted cardiac surgery
Exclusion criteria
- hiatal hernia
- documented or suspected esophageal stricture
- contraindications to a TEE
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
United States · 1 center
- Atrium Health-Wake Forest Baptist — Winston-Salem
Identifiers
NCT: NCT07209293 · IRB00137024