Transnasal transesophageal echocardiography

Spencer, Kirk T.; Krauss, Daniel; Thurn, John D.; Mor‐Avi, Victor; Poppas, Athena; Vignon, Philippe; Connor, Brian G.; Lang, Roberto M.

doi:10.1016/s0894-7317(97)70116-0

Cited by 42 publications

(13 citation statements)

References 19 publications

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“…The device can be utilized continuously for up to 72 hours and provides a real-time qualitative and semiquantitative assessment of sudden hemodynamic changes [16]. Simplified insertion and improved tolerance are among the potential benefits for hemodynamically unstable patients requiring mechanical ventilation [17, 18]. In the intensive care unit setting, hTEE provides supplementary information to invasive monitoring [19] and displays good interrater reliability when performed by nonexperienced operators [20].…”

Section: Discussionmentioning

confidence: 99%

Hemodynamic Transesophageal Echocardiography-Guided Venous-Arterial Extracorporeal Membrane Oxygenation Support in a Case of Giant Cell Myocarditis

Ripoll

Ratzlaff

Menke

et al. 2016

Case Reports in Critical Care

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Giant cell myocarditis (GCM) is a rare and commonly fatal form of fulminant myocarditis. During the acute phase, while immunosuppressive therapy is initiated, venoarterial extracorporeal membrane oxygenation (VA-ECMO) support is commonly used as a bridge to heart transplantation or recovery. Until recently, conventional transesophageal echocardiography and transthoracic echocardiography were the tools available for hemodynamic assessment of patients on this form of mechanical circulatory support. Nevertheless, both techniques have their limitations. We present a case of a 54-year-old man diagnosed with GCM requiring VA-ECMO support that was monitored under a novel miniaturized transesophageal echocardiography (hTEE) probe recently approved for 72 hours of continuous hemodynamic monitoring. Our case highlights the value of this novel, flexible, and disposable device for hemodynamic monitoring, accurate therapy guidance, and potential VA-ECMO weaning process of patients with this form of severe myocarditis.

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Section: Discussionmentioning

confidence: 99%

Hemodynamic Transesophageal Echocardiography-Guided Venous-Arterial Extracorporeal Membrane Oxygenation Support in a Case of Giant Cell Myocarditis

Ripoll

Ratzlaff

Menke

et al. 2016

Case Reports in Critical Care

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“…To assess TEE tolerance, hemodynamic events (arrhythmias, increase of systolic blood pressure [30 mmHg or hypotension \95 mmHg), respiratory events (arterial desaturation in oxygen \90 %, aspiration) and digestive complications (vomiting, oropharyngeal bleeding) were systematically screened [9,27]. To assess TEE tolerance, hemodynamic events (arrhythmias, increase of systolic blood pressure [30 mmHg or hypotension \95 mmHg), respiratory events (arterial desaturation in oxygen \90 %, aspiration) and digestive complications (vomiting, oropharyngeal bleeding) were systematically screened [9,27].…”

Section: Transesophageal Echocardiographymentioning

confidence: 99%

Hemodynamic assessment of ventilated ICU patients with cardiorespiratory failure using a miniaturized multiplane transesophageal echocardiography probe

et al. 2015

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“…7). Improvements in transnasal TEE and intra-cardiac echocardiography technology may obviate the need for general anaesthesia in the future [55].…”

Section: Tee For Transcatheter Interventions (Tci)mentioning

confidence: 99%

Transesophageal Monitoring in Anaesthesia: An Update

Prabhu

George

2014

Curr Anesthesiol Rep

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Transesophageal echocardiography (TEE) is increasingly used for diagnosis and monitoring in a number of clinical areas for assessment of cardiac structure and function. The use of TEE is well established in cardiac surgery but in non-cardiac surgery, TEE is recommended in preexistent cardiovascular disease causing hemodynamic compromise or in the presence of refractory hemodynamic instability or hypoxemia. Real-time 3-dimensional TEE provides exceptional images and unique views which have been pivotal in the success of minimally invasive surgery and transcatheter interventions. Although TEE is a relatively safe procedure, guidelines for standardized training, techniques and research protocols are recommended by most august bodies. The use of simulation-based learning has aided training by providing structured training opportunities and sufficient training time. TEE is a semi-invasive, portable, safe and readily available imaging modality that is likely to see an upsurge due to innovations in technology, miniaturization and an increase in minimally invasive procedures.

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Transnasal transesophageal echocardiography

Cited by 42 publications

References 19 publications

Hemodynamic Transesophageal Echocardiography-Guided Venous-Arterial Extracorporeal Membrane Oxygenation Support in a Case of Giant Cell Myocarditis

Hemodynamic Transesophageal Echocardiography-Guided Venous-Arterial Extracorporeal Membrane Oxygenation Support in a Case of Giant Cell Myocarditis

Hemodynamic assessment of ventilated ICU patients with cardiorespiratory failure using a miniaturized multiplane transesophageal echocardiography probe

Transesophageal Monitoring in Anaesthesia: An Update

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