Feasibility and influence of hTEE monitoring on postoperative management in cardiac surgery patients

Treskatsch, Sascha; Balzer, Felix; Knebel, Fabian; Habicher, Marit; Braun, J.; Kastrup, Marc; Grubitzsch, Herko; Wernecke, KD; Spies, Claudia; Sander, Michael

doi:10.1007/s10554-015-0689-8

Cited by 15 publications

(6 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although there is a lack of hard outcome data, CCE is considered a routine application for the management of the pre-and postoperative cardiac surgery patient. Recently the use of a disposable 72-h TEE device, which provides more frequent monitoring, has been explored along the operative pathway and holds some promise [61,82].…”

Section: Cce In the Perioperative Settingmentioning

confidence: 99%

A decade of progress in critical care echocardiography: a narrative review

et al. 2019

View full text Add to dashboard Cite

Introduction: This narrative review focusing on critical care echocardiography (CCE) has been written by a group of experts in the field, with the aim of outlining the state of the art in CCE in the 10 years after its official recognition and definition. Results: In the last 10 years, CCE has become an essential branch of critical care ultrasonography and has gained general acceptance. Its use, both as a diagnostic tool and for hemodynamic monitoring, has increased markedly, influencing contemporary cardiorespiratory management. Recent studies suggest that the use of CCE may have a positive impact on outcomes. CCE may be used in critically ill patients in many different clinical situations, both in their early evaluation of in the emergency department and during intensive care unit (ICU) admission and stay. CCE has also proven its utility in perioperative settings, as well as in the management of mechanical circulatory support. CCE may be performed with very simple diagnostic objectives. This application, referred to as basic CCE, does not require a high level of training. Advanced CCE, on the other hand, uses ultrasonography for full evaluation of cardiac function and hemodynamics, and requires extensive training, with formal certification now available. Indeed, recent years have seen the creation of worldwide certification in advanced CCE. While transthoracic CCE remains the most commonly used method, the transesophageal route has gained importance, particularly for intubated and ventilated patients. Conclusion: CCE is now widely accepted by the critical care community as a valuable tool in the ICU and emergency department, and in perioperative settings.

show abstract

Section: Cce In the Perioperative Settingmentioning

confidence: 99%

A decade of progress in critical care echocardiography: a narrative review

et al. 2019

View full text Add to dashboard Cite

show abstract

“…TEE is already recommended in highrisk surgery and should always be used if unexplained life-threatening hypotension persists despite corrective therapy, as well as in unexplained hypoxemia [38]. Since perioperative TEE is usually performed by anesthesiologists in high-stress situations, straightforward protocols for the examination and a special training of the examiner are indispensable [68].…”

Section: Hemodynamics and Goal-directed Fluid Therapymentioning

confidence: 99%

Perioperative Management of Elderly Patients with Gastrointestinal Malignancies: The Contribution of Anesthesia

et al. 2017

View full text Add to dashboard Cite

Introduction: Elderly patients suffering from gastrointestinal malignancies are particularly prone to perioperative complications. Elderly patients often present with reduced physiological reserves, and comorbidities can limit treatment options and promote complications. Surgeons and anesthesiologists must be aware of strategies required to deal with this vulnerable subgroup. Methods: We provide a brief review of current and emerging perioperative strategies for the treatment of elderly patients with gastrointestinal malignancies and frequent comorbidities. Results: Especially in combination with advanced age, the effects of malignancies can be devastating, bringing new health challenges, exacerbating preexisting conditions, and exerting severe psychological strain. An interdisciplinary assessment and process planning provide an ideal setting to identify and prevent potential complications, especially in regards to frailty and cardiovascular risk. In addition, important perioperative considerations are presented, such as malnutrition, fasting, intraoperative neuromonitoring, and hemodynamic control, as well as postoperative early mobilization, pain, and delirium management. Conclusion: The decisions and interventions made in the perioperative stage can positively influence many intra- and postoperative factors, significantly improving the chances of successful treatment of elderly cancer patients. Appropriate management can help prevent or mitigate complications, secure a quick recovery, and improve short- and long-term outcomes.

show abstract

“…Auch die intraoperative transösophageale Echokardiografie (TEE) hat sich vor allem im Bereich der Herzchirurgie als ein unerlässliches Mittel zur Beurteilung der Herzfunktion etabliert. Die TEE erlaubt die Beurteilung der rechts-und linksventrikulären systolischen und diastolischen Funktion, der Klappenfunktion sowie der Volumenreagibilität und kann somit die Steuerung der hämodynamischen Therapie vereinfachen [22,27]. Des Weiteren findet die TEE zunehmend als Monitoringverfahren bei Hochrisikopatienten und bei hämodynamischer Instabilität bei nichtkardiochirurgischen Eingriffen Anwendung [27,28].…”

Section: Patienten Mit Frailty Und Kardiovaskulärer Einschränkungunclassified

Wie können postoperative Komplikationen bei Patienten mit Frailty vermieden werden?

Mörgeli¹,

Wollersheim²,

Spies³

et al. 2017

Anästhesiol Intensivmed Notfallmed Schmerzther

View full text Add to dashboard Cite

Frail patients are more prone to develop complications during and after surgery. As the syndrome becomes more common, recognition and special management of frail patients in the perioperative setting is becoming crucial to improve short- and long-term outcomes. Based on current literature and guidelines, we present a compilation of strategies that could be employed to reduce postoperative complication rates in frail patients. Due to their impaired response to stressors, potential perioperative hazards to frail patients are identified and discussed. This includes the risk of dehydration, hypothermia, cardiovascular decompensation, unusual drug reactions, and delirium. The benefits of early mobilization and nutritional support are also discussed. If frailty is detected preoperatively, thus alerting the team about the increased risk of complications, strategies can be implemented in the perioperative setting to improve the chances of successful recovery.

show abstract

Feasibility and influence of hTEE monitoring on postoperative management in cardiac surgery patients

Cited by 15 publications

References 51 publications

A decade of progress in critical care echocardiography: a narrative review

A decade of progress in critical care echocardiography: a narrative review

Perioperative Management of Elderly Patients with Gastrointestinal Malignancies: The Contribution of Anesthesia

Wie können postoperative Komplikationen bei Patienten mit Frailty vermieden werden?

Contact Info

Product

Resources

About