Role of emergency intraoperative transesophageal echocardiography

R. R. Brandt, Jae Kuen Oh, M. D. Abel, R. L. Click, T. A. Orszulak, J. B. Seward

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Transesophageal echocardiography (TEE) has a definitive role in the diagnosis and management of critically ill patients with cardiovascular disease and patients undergoing cardiac operations. The diagnostic role of emergency intraoperative TEE and the impact on clinical outcome have not been evaluated. We reviewed the indications, findings, and impact of emergency intraoperative TEE in 66 patients over a 4-year period. The indications for emergency TEE were unexplained hemodynamic instability (36 patients), preoperative evaluation of patients having emergency surgery (19 patients), cardiac evaluation of trauma cases (6 patients), and unexplained intraoperative hypoxemia (5 patients). New findings were disclosed in 53 (80%) patients, with an alteration of the planned surgical procedure in 15 (23%). Despite the therapeutic impact, 24 patients (36%) did not survive to hospital dismissal. We recommend that TEE be considered as the diagnostic tool of choice when surgical patients have unexplained hemodynamic instability, when time does not permit complete preoperative evaluation, when cardiovascular injury is suspected in a trauma patient, and to evaluate unexplained hypoxemia.

Original languageEnglish (US)
Pages (from-to)972-977
Number of pages6
JournalJournal of the American Society of Echocardiography
Volume11
Issue number10
DOIs
StatePublished - 1998

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Transesophageal Echocardiography
Emergencies
Wounds and Injuries
Hemodynamics
Critical Illness
Cardiovascular Diseases

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Role of emergency intraoperative transesophageal echocardiography. / Brandt, R. R.; Oh, Jae Kuen; Abel, M. D.; Click, R. L.; Orszulak, T. A.; Seward, J. B.

In: Journal of the American Society of Echocardiography, Vol. 11, No. 10, 1998, p. 972-977.

Research output: Contribution to journalArticle

Brandt, R. R. ; Oh, Jae Kuen ; Abel, M. D. ; Click, R. L. ; Orszulak, T. A. ; Seward, J. B. / Role of emergency intraoperative transesophageal echocardiography. In: Journal of the American Society of Echocardiography. 1998 ; Vol. 11, No. 10. pp. 972-977.
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