Segurança da ecocardiografia transesofágica em adultos: estudo em um hospital multidisciplinar

Abstract

SummaryBackground: TEE is a semi-invasive tool broadly used and its utilization associated to sedatives drugs might to affect the procedure safety.

A review of cardiopulmonary research in Brazilian medical journals: clinical, surgical and epidemiological data

“…Cury et al addressed its safety,17 and Vieira et al assessed its utility for measuring left ventricular ejection fraction 18…”

Fatores Relacionados à Utilização de Flumazenil em Pacientes Hospitalizados

“…Por este motivo, a associação de depressores do sistema nervoso central em idosos ou em pacientes com insuficiência renal, cardíaca ou hepática deve ser monitorada, sendo indicado o uso de doses menores que as usuais. Os efeitos sobre o sistema cardiovascular são geralmente provocados por diminuição da resistência vascular periférica, depressão miocárdica e redução do débito cardíaco 36 .…”

Eco transesofágico: segurança total?

“…However, most of the 10,419 patients included in the study by Daniel Ideally, the hemodynamic parameters must be monitored during the TEE, as carried out by Cury et al 1 , who monitored the blood pressure and oxymetry. A previous study that monitored the blood pressure in 54 non-sedated patients, showed an increase in the blood pressure in 77% of the cases and a decrease in 22%.…”

“…The authors concluded that dyspnea, coughing, odynophagia and hemoptysis symptoms after a TEE suggest the diagnosis of perforation and must be rapidly investigated 6 . Although the study by Cury et al 1 does not mention the use of anticoagulants, the literature suggests that the TEE is safe in patients using them. However, there has been a report of a case of esophageal hemorrhage in a patient that received thrombolytic therapy for the treatment of prosthesis thrombosis diagnosed by the TEE, suggesting that the thrombolytic therapy immediately after the TEE can be associated to a higher risk of bleeding 2 .…”