Document Detail

Transesophageal echocardiography as an alternative for the assessment of the trauma and critical care patient.
MedLine Citation:
PMID:  12847947     Owner:  NLM     Status:  MEDLINE    
Transesophageal echocardiography was first described and used to monitor cardiac function in 1976. Initially adopted by cardiac anesthesiologists and cardiologists, it has gained acceptance as an important diagnostic tool in the monitoring and assessment of cardiac status in the critically ill and trauma patient population. Comparative data suggest that transesophageal echocardiography provides rapid real-time noninvasive monitoring of the critically ill and avoids the morbidity and mortality that is associated with more invasive methods of patient monitoring. In addition, transesophageal echocardiography affords the practitioner reliable cardiac filling volumes based on direct left ventricular assessment compared to pressure data that are based on indirect right ventricular and pulmonary occlusive pressures. In a healthcare environment that seeks optimum patient assessment while requiring an approach that encourages cost-effective, noninvasive, and minimal patient risk, those nurse anesthetists who work in institutions that have transesophageal echocardiographic capabilities should learn this newer technology and begin to incorporate it into their practice.
David D Rose
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  AANA journal     Volume:  71     ISSN:  0094-6354     ISO Abbreviation:  AANA J     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-07-09     Completed Date:  2003-09-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0431420     Medline TA:  AANA J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  223-8     Citation Subset:  N    
Department of Anesthesiology and Pain Management, University of California Davis Medical Center, Sacramento, Calif., USA.
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MeSH Terms
Catheterization, Swan-Ganz*
Critical Care / methods*
Critical Illness
Echocardiography, Transesophageal* / adverse effects
Monitoring, Physiologic / methods
Nurse Anesthetists
Wounds and Injuries / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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