Document Detail


Transesophageal echocardiography: expanding indications for ICU use. How TEE can complement--or surpass--transthoracic techniques.
MedLine Citation:
PMID:  10171607     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Transesophageal echocardiography (TEE) is a Doppler technique that uses the esophagus as an acoustic window. In critically ill patients (particularly ventilated patients), TEE may be used to assess left ventricular function, valvular disease, endocarditis, and prosthetic valve dysfunction. It is also helpful in elucidating the cause of hypotension after cardiac surgery, and can detect chronic aortic dissection and transection, valve rupture, and myocardial contusion in trauma victims. TEE is superior to transthoracic echocardiography in evaluating a cardiac source of embolism. Contraindications to TEE include esophageal disorders and an uncorrected bleeding diathesis; a large hiatal hernia may cause suboptimal transgastric images.
Authors:
E O Ofili; A J Labovitz
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of critical illness     Volume:  7     ISSN:  1040-0257     ISO Abbreviation:  J Crit Illn     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1993-05-27     Completed Date:  1993-05-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8608118     Medline TA:  J Crit Illn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  85-96     Citation Subset:  T    
Affiliation:
St. Louis University Medical Center.
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MeSH Terms
Descriptor/Qualifier:
Echocardiography, Doppler* / instrumentation
Equipment Design
Esophagus
Evaluation Studies as Topic
Heart Diseases / therapy,  ultrasonography*
Humans
Intensive Care / methods*
Monitoring, Intraoperative

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


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