NCT05226858

Transesophageal Echocardiography To Diagnose Blunt Traumatic Aortic Injury Traumatic Aortic Injury

Emergency Physician Performed Transesophageal Echocardiography To Diagnose Blunt Traumatic Aortic Injury

• Status: Recruiting
• Phase: —
• Study type: Observational
• Enrollment: 56 (estimated)
• Sponsor: Hospital Raja Permaisuri Bainun · Other Government
• Sex: All
• Age: 18 Years – 100 Years
• Healthy volunteers: Not accepted

Summary

To determine test performance of transesophageal echocardiography performed by emergency physician ultrasound for the identification of blunt traumatic aortic injury in chest trauma.

Detailed description

This is a multicentre prospective observational trial. All trauma patients with suspected BTAI at the emergency department (ED) will undergo resuscitative transesophageal echocardiography to evaluate the thoracic aorta. Resuscitative TEE is a minimally invasive procedure to evaluate all chest trauma patients. Besides the aorta, TEE can also provide other useful information regarding the hemodynamic status, cardiac function and lung pathology of the patient. Patients will be recruited into the study by investigators who take informed consent from the patient or next of kin prior to the TEE procedure. For all patients with suspected BTAI, CTA is mandatory to confirm the diagnosis of BTAI. TEE findings of BTAI will be compared to CTA which will be considered the reference standard unless confirmation is available from surgical procedures or autopsy. Inter-observer variability for normal or pathological TEE images interpretation is performed prior to the initiation of the study.

Conditions

• Trauma Chest

Interventions

Type	Name	Description
DIAGNOSTIC_TEST	Transesophageal echocardiography (TEE)	Sensitivity and specificity of TEE in identification of BTAI

Timeline

• Start date: 2022-03-15
• Primary completion: 2025-12-31
• Completion: 2025-12-31
• First posted: 2022-02-07
• Last updated: 2025-03-13

Locations

6 sites across 1 country: Malaysia