Perioperative transoesophageal echocardiography: past, present &amp; future

Greenhalgh, Donna; Patrick, M.

doi:10.1111/j.1365-2044.2012.07103.x

Cited by 9 publications

(5 citation statements)

References 32 publications

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“…No other technology exists that can be used at the bedside by the cardiac intensivist for any duration of time and at any time of day for accurate monitoring of the ECMO patient. 19 TEE has been used as a gold standard for cardiac monitoring in the operating room in patients undergoing cardiac surgery, in particular for weaning of cardiopulmonary bypass. 11,20 In the ICU, the TEE could be an ideal modality for ECMO weaning because TEE would provide accurate information for ventricular filling and function.…”

Section: Discussionmentioning

confidence: 99%

“…22,23 In a practical hospital setting, TEE services have significant limitations regarding their availability because of the requirement of certified personnel and equipment. 19,22 The expense and time commitment from the TEE service dedicated to full weaning assessment at the bedside would be difficult. Transthoracic echocardiography (TTE) can be performed without limitation of personnel; however, the visualization of the ventricle could be limited by patient body habitus and/or technician's ability.…”

Section: Discussionmentioning

confidence: 99%

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Weaning of extracorporeal membrane oxygenation using continuous hemodynamic transesophageal echocardiography

Cavarocchi

Pitcher

Yang

et al. 2013

The Journal of Thoracic and Cardiovascular Surgery

149

138

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Weaning of extracorporeal membrane oxygenation using continuous hemodynamic transesophageal echocardiography

Cavarocchi

Pitcher

Yang

et al. 2013

The Journal of Thoracic and Cardiovascular Surgery

149

138

View full text Add to dashboard Cite

show abstract

“…An editorial called for a TEE probe that could remain indwelling 48 hours in critically ill patients. 6 To address these issues, a miniaturized hemodynamic TEE probe (hTEE probe, ImaCor, Garden City, NY) with a diameter of 5.5 mm was developed to provide hemodynamic management and assessment in critical care to aid in assessment of volume status…”

Section: Introductionmentioning

confidence: 99%

Initial Experience With ImaCor hTEE-Guided Management of Patients Following Transplant and Mechanical Circulatory Support

et al. 2012

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This study reviews an initial experience using a miniaturized transesophageal echocardiography (TEE) probe (ImaCor, Garden City, NY) with 3 patients in whom Imacor hTEE intervention was used as a point-of-care device to manage extracorporeal membrane oxygenation cannula placement, cardiac hemodynamics, and postoperative cardiac pathophysiology. The management of transplant or mechanical circulatory support (MCS) patients is especially challenging: Transplanted hearts pose unique pathophysiological challenges, and MCS signifi cantly alters pressure-volume-fl ow relationships. Realtime "hemodynamic" TEE (hTEE) can help provide effective management by direct visualization of cardiac fi lling and function and help guide hemodynamic management. In the authors' initial experience, hTEE can provide point-of-care management following transplant or MCS.

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“…Transoesophageal echocardiography (TOE) is an essential diagnostic and monitoring tool in patients undergoing cardiac surgery. The past decade has seen the use of TOE spread beyond the realm of cardiac surgery to areas such as intensive care and the peri‐operative management of high‐risk non‐cardiac surgical patients . Transoesophageal echocardiography provides real‐time information on cardiac anatomy and pathology, and can be used to guide the implementation and monitoring of therapeutic measures in the peri‐operative period .…”

mentioning

confidence: 99%

The impact of internet and simulation‐based training on transoesophageal echocardiography learning in anaesthetic trainees: a prospective randomised study

et al. 2013

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SummaryWith the increasing role of transoesophageal echocardiography in clinical fields other than cardiac surgery, we decided to assess the efficacy of multi-modular echocardiography learning in echo-na€ ıve anaesthetic trainees. Twenty-eight trainees undertook a pre-test to ascertain basic echocardiography knowledge, following which the study subjects were randomly assigned to two groups: learning via traditional methods such as review of guidelines and other literature (non-internet group); and learning via an internet-based echocardiography resource (internet group). After this, subjects in both groups underwent simulation-based echocardiography training. More tests were then conducted after a review of the respective educational resources and simulation sessions. Mean (SD) scores of subjects in the non-internet group were 28 (10)%, 44 (10)% and 63 (5)% in the pre-test, post-intervention test and post-simulation test, respectively, whereas those in the internet group scored 29 (8)%, 59 (10)%, (p = 0.001) and 72 (8)%, p = 0.005, respectively. The use of internet-and simulation-based learning methods led to a significant improvement in knowledge of transoesophageal echocardiography by anaesthetic trainees. The impact of simulation-based training was greater in the group who did not use the internet-based resource. We conclude that internet-and simulation-based learning methods both improve transoesophageal echocardiography knowledge in echo-na€ ıve anaesthetic trainees.

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Perioperative transoesophageal echocardiography: past, present & future

Cited by 9 publications

References 32 publications

Weaning of extracorporeal membrane oxygenation using continuous hemodynamic transesophageal echocardiography

Weaning of extracorporeal membrane oxygenation using continuous hemodynamic transesophageal echocardiography

Initial Experience With ImaCor hTEE-Guided Management of Patients Following Transplant and Mechanical Circulatory Support

The impact of internet and simulation‐based training on transoesophageal echocardiography learning in anaesthetic trainees: a prospective randomised study

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