Document Detail

Role of intraoperative transesophageal echocardiography in patients undergoing noncardiac surgery.
MedLine Citation:
PMID:  18799961     Owner:  NLM     Status:  MEDLINE    
Major perioperative cardiac complications, including cardiac death, nonfatal myocardial infarction and nonfatal cardiac arrest, can occur in patients undergoing noncardiac surgery. To reduce the risk of these complications, some authors have reported on the utility of intraoperative transesophageal echocardiography as a complementary monitoring tool in noncardiac surgery. However, although this approach is now well established in patients undergoing cardiac surgery, there are no guidelines for intraoperative transesophageal echocardiography application in noncardiac surgery, and little literature exists on patient outcome, logistics, financial impact, medico-legal implications and safety. In this review, we discuss published information about the use of intraoperative transesophageal echocardiography during noncardiac surgery with an attempt to clarify whether this approach may offer potential benefits compared with conventional intraoperative monitoring systems. In addition, perioperative risk determinants in noncardiac surgery are briefly summarized and information derived from intraoperative transesophageal echocardiography for evaluation of cardiac morphology and function is schematically presented.
Emanuele Catena; Donato Mele
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  9     ISSN:  1558-2027     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-18     Completed Date:  2008-10-30     Revised Date:  2009-05-28    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  993-1003     Citation Subset:  IM    
Cardiology Department 'A. De Gasperis', Cà Granda Niguarda Hospital, Milan, Italy.
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MeSH Terms
Cardiovascular Diseases / etiology,  physiopathology,  ultrasonography*
Echocardiography, Transesophageal*
Monitoring, Intraoperative / methods*
Risk Assessment
Risk Factors
Surgical Procedures, Operative / adverse effects*
Ventricular Function

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