• Int Surg · Jan 2012

    Review

    Transesophageal echocardiography for the noncardiac surgical patient.

    • Annette Rebel, Oksana Klimkina, and Zaki-Udin Hassan.
    • Department of Anesthesiology, University of Kentucky Medical Center, Lexington, Kentucky 40536, USA. arebe2@email.uky.edu
    • Int Surg. 2012 Jan 1; 97 (1): 43-55.

    AbstractTransesophageal echocardiography (TEE) has been established as a very valuable asset for patient monitoring during cardiac surgery. The value of perioperative TEE for patients undergoing noncardiac surgery is less clear. This article reviews the technical aspects of TEE and comments on the potential benefit of using TEE as a monitoring modality apart from cardiac surgery. Based on patient's comorbidities and/or injury pattern, TEE is a fast and minimally invasive approach to obtain important hemodynamic information, especially useful in a hemodynamically unstable patient. However, certain requirements for the use of the technique are necessary, most important the development of sufficient echocardiographic skills by the anesthesiologists. Indications, skill requirements, and possible complications of the technique are reviewed.

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