{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T12:28:54Z","timestamp":1793795334501,"version":"4.6.1"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVES:<\/jats:title>\n                    <jats:p>To describe the utilization, feasibility, and operator-reported diagnostic and management impact of transesophageal lung ultrasound (TELUS) integrated into resuscitative transesophageal echocardiography (TEE) for the assessment of mechanically ventilated adults with shock.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DESIGN:<\/jats:title>\n                    <jats:p>Multicenter observational cohort study using prospectively collected data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SETTING:<\/jats:title>\n                    <jats:p>Twenty-three hospitals from the Resuscitative Transesophageal Echocardiography Collaborative Registry (rTEECoRe) network.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PATIENTS:<\/jats:title>\n                    <jats:p>From 1213 registry TEE examinations, 379 met the inclusion criteria for shock evaluation or hemodynamic monitoring in mechanically ventilated adults; 96 (25.3%) of these included TELUS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>INTERVENTIONS:<\/jats:title>\n                    <jats:p>None.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MEASUREMENTS AND MAIN RESULTS:<\/jats:title>\n                    <jats:p>\n                      TELUS integration was associated with significantly higher operator-reported identification of shock etiology compared with resuscitative TEE alone (86.5% vs. 75.3%; odds ratio [OR], 1.95; 95% CI, 1.02\u20133.72;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.04). Although overall clinical management changes were more frequently reported in the TELUS group, this difference did not reach statistical significance (78.1% vs. 71.7%; OR, 1.40; 95% CI, 0.82\u20132.41;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.22). TELUS examinations were associated with longer procedure duration (median 21.5 vs.19.0 min;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.01) and were predominantly performed by intensivists. Pulmonary findings, including B-lines, pleural effusions, consolidations, and A-line patterns, varied in frequency and were occasionally associated with specific respiratory or antimicrobial interventions. Procedure-related complications were rare and similar between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>In this multicenter cohort of mechanically ventilated adults with shock, adding TELUS to resuscitative TEE was associated with a higher rate of operator-reported identification of shock etiology and was feasible with minimal additional procedure time. Prospective studies with standardized TELUS acquisition and interpretation, independent adjudication, and evaluation of patient-centered outcomes are needed to define clinical scenarios of incremental value.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/ccm.0000000000007337","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T14:00:11Z","timestamp":1788530411000},"page":"2900-2910","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility and Operator-Reported Utility of Transesophageal Lung Ultrasound As an Adjunct to Resuscitative Transesophageal Echocardiography in the Evaluation of Shock: A Multicenter Observational Study"],"prefix":"10.1097","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2673-7353","authenticated-orcid":false,"given":"Vladyslav","family":"Dieiev","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Wake Forest University School of Medicine, Advocate Health, Winston-Salem, NC."},{"name":"Aurora Critical Care Services, Aurora St. Luke\u2019s Medical Center, Advocate Health, Milwaukee, WI."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro D.","family":"Salinas","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Wake Forest University School of Medicine, Advocate Health, Winston-Salem, NC."},{"name":"Aurora Critical Care Services, Aurora St. Luke\u2019s Medical Center, Advocate Health, Milwaukee, WI."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe","family":"Teran","sequence":"additional","affiliation":[{"name":"Translational Resuscitation Sciences (TRS) Laboratory, Department of Emergency Medicine, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clark G.","family":"Owyang","sequence":"additional","affiliation":[{"name":"Translational Resuscitation Sciences (TRS) Laboratory, Department of Emergency Medicine, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY."},{"name":"Division of Pulmonary and Critical Care Medicine, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dylan","family":"Rupska","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Advocate Christ Medical Center, Oak Lawn, IL."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aniruddh","family":"Kapoor","sequence":"additional","affiliation":[{"name":"Aurora Critical Care Services, Aurora St. Luke\u2019s Medical Center, Advocate Health, Milwaukee, WI."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zubair","family":"Siddiqui","sequence":"additional","affiliation":[{"name":"Aurora Critical Care Services, Aurora 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