Document Detail

Intraoperative transoesophageal echocardiography: impact on adult cardiac surgery.
MedLine Citation:
PMID:  9619224     Owner:  NLM     Status:  MEDLINE    
Although multiple case reports have demonstrated the capability of transoesophageal echocardiography (TOE) to detect unsuspected cardiac pathology with important therapeutic implications, few studies have examined the effect of real-time interpretation of routine TOE on clinical management of a typical series of cardiac surgery patients. To assess the impact of intraoperative TOE on cardiac surgical management, we conducted a prospective observational study on 238 consecutive patients undergoing intraoperative TOE during adult cardiac surgery. Potentially important new diagnostic information was detected in 39 of 184 (21%) routine and in 53 of 54 requested TOE examinations, and led directly to different surgical procedures in 11 of 184 (6%) routine and in 12 of 54 (22%) requested TOE examinations. Our data suggests that intraoperative TOE may be a valuable tool in the routine management of adult cardiac surgical patients.
D C Sutton; R Kluger
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  26     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-08-31     Completed Date:  1998-08-31     Revised Date:  2006-08-28    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  287-93     Citation Subset:  IM    
Department of Anaesthesia, St Vincent's Hospital, Melbourne, Victoria.
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MeSH Terms
Aged, 80 and over
Cardiac Surgical Procedures* / methods
Coronary Artery Bypass
Echocardiography, Transesophageal*
Heart Diseases / ultrasonography*
Middle Aged
Monitoring, Intraoperative
Prospective Studies

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