Document Detail

Transesophageal echocardiography in unsedated outpatients: technique and patient tolerance.
MedLine Citation:
PMID:  2627439     Owner:  NLM     Status:  MEDLINE    
Transesophageal echocardiography is an important new imaging technique for the evaluation of heart disease. To maximize the number of patients who can be scanned in one outpatient session and to minimize the facilities needed, we elected to perform the technique on unsedated patients. To assess the tolerance of patients to this policy, we designed a questionnaire to evaluate the patients' own assessment of the technique. Overall, the technique was well tolerated by 79% of 204 patients, although 37% found swallowing the transducer unpleasant. The procedure was not tolerated as well by younger patients. When asked whether they would prefer to be sedated or unsedated, 83% preferred to be unsedated for an outpatient scan, and 73% preferred to be sedated for an inpatient scan. We concluded that the technique is well tolerated by most unsedated patients. Because a few patients preferred sedation, some outpatient facilities for patient recovery were necessary. We now ask young patients, selected inpatients, and patients undergoing repeat studies whether they would prefer sedation, but we otherwise perform the technique on unsedated patients.
M A de Belder; G Leech; A J Camm
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  2     ISSN:  0894-7317     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:    1989 Nov-Dec
Date Detail:
Created Date:  1990-04-19     Completed Date:  1990-04-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  375-9     Citation Subset:  IM    
Department of Cardiological Sciences, St. George's Hospital Medical School, University of London, England.
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MeSH Terms
Ambulatory Care*
Echocardiography / methods*
Heart Diseases / diagnosis*
Hypnotics and Sedatives
Middle Aged
Outpatients / psychology*
Patient Acceptance of Health Care
Patients / psychology*
Reg. No./Substance:
0/Hypnotics and Sedatives

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

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