Focused Transthoracic Echocardiography in the Perioperative Setting.

07:00 EST 1st February 2019 | BioPortfolio

Summary of "Focused Transthoracic Echocardiography in the Perioperative Setting."

With focused transthoracic echocardiography (TTE) we rapidly and non-invasively receive up-to-date information on a patient's hemodynamic status. These can subsequently influence our therapy and thus our risk management. Postoperatively, TTE has proved its worth as an examination method in the recovery room and in the intensive care unit to promptly diagnose life-threatening causes of circulatory depression. Acute pathology such as a pericardial tamponade or fulminant pulmonary artery embolism can be detected quickly and thus possibly time-consuming transport to a CT can be avoided. Also, preoperatively, the use of TTE may be useful for assessing volume status, pumping function, or hemodynamically relevant heart defects. Especially in surgical interventions with a high perioperative risk of complications, these findings can be incorporated into a goal-directed therapy. Corresponding algorithms for enhanced hemodynamic monitoring and volume management already exist in many areas, but they are often not consistently implemented in the processes of their own clinic. In this article, we demonstrate the utility and relevance of TTE hemodynamic evaluation at every stage of patient care. We also present a possible algorithm for the care of critically ill patients, based on the main transthoracic and hemodynamic measurements. It is intended to provide assistance in the meaningful use of TTE in everyday clinical practice and especially for those on on-call duty.


Journal Details

This article was published in the following journal.

Name: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
ISSN: 1439-1074
Pages: 90-106


DeepDyve research library

PubMed Articles [6561 Associated PubMed Articles listed on BioPortfolio]

A Case Report Describing the Use of Point of Care Ultrasound to Guide Successful Cardiopulmonary Resuscitation After Unanticipated Arrest in Ambulatory Surgery.

We present a case of a 41-year-old man who suffered cardiac arrest after induction of general anesthesia for an ambulatory ophthalmologic procedure. In this report, we highlight the use of focused tra...

Application of transthoracic echocardiography in patients receiving intermediate- or high-risk noncardiac surgery.

Cardiovascular events are the leading cause of perioperative complications among patients undergoing noncardiac surgery. However, the role of echocardiography for preoperative cardiac risk stratificat...

Intraoperative Transthoracic Echocardiography for a Neonate Using an Adult Multiplane Transesophageal Echocardiography Probe.

Level of agreement in three-dimensional planimetric measurement of mitral valve area between transthoracic and transesophageal echocardiography.

Echocardiographic measurement of mitral valve area (MVA) is critical prior to percutaneous transmitral commissurotomy (PTMC). This study aimed to compare the agreement between transthoracic (TTE) and ...

System-Based Intervention Using Electronic Medical Records and Its Potential to Decrease the Overuse of Transthoracic Echocardiography.

Clinical Trials [4937 Associated Clinical Trials listed on BioPortfolio]

The Impact of Focused Transthoracic Echocardiography in Urgent Abdominal Surgery for Septic Patients

The aim of the study is to identify the diagnostic value of the focused assessed echocardiography protocol (FATE - Holm et al 2012) for patients undergoing urgent abdominal surgery and hav...

The Effect of Age on Intranasal Dexmedetomidine Sedation for Pediatric Transthoracic Echocardiography: A Dose-response Study

Increasing evidences suggest that dexmedetomidine pharmacokinetic are different in children. The investigators performed a two-stage study to determine the ED50 and the ED95 of intranasal ...

Comparative Effectiveness Study of Transthoracic and Transesophageal Echocardiography in Stroke

The Comparative Effectiveness Study of Transthoracic and Transesophageal Echocardiography in Stroke (CONTEST) aims at assessing the diagnostic value of transesophageal echocardiography (TE...

Quantification of Right Ventricular Function Using Simultaneous Transthoracic and Transoesophageal Echocardiography

The aims of this study are to evaluate the usefulness of various methods of quantifying right ventricular (RV) function using perioperative transoesophageal echocardiographic (TOE), compar...

Echocardiography Findings and Perioperative Outcomes in Children

This study evaluates the association between perioperative echocardiographic Doppler findings and clinical outcomes in pediatric patients undergoing cardiac surgery. In our center, anesthe...

Medical and Biotech [MESH] Definitions

Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic.

Echocardiography amplified by the addition of depth to the conventional two-dimensional ECHOCARDIOGRAPHY visualizing only the length and width of the heart. Three-dimensional ultrasound imaging was first described in 1961 but its application to echocardiography did not take place until 1974. (Mayo Clin Proc 1993;68:221-40)

Echocardiography applying the Doppler effect, with the superposition of flow information as colors on a gray scale in a real-time image.

Dynamic three-dimensional echocardiography using the added dimension of time to impart the cinematic perception of motion. (Mayo Clin Proc 1993;68:221-40)

A method of examining and setting levels of payments.

Quick Search

DeepDyve research library

Relevant Topics

Cardiology is a specialty of internal medicine.  Cardiac electrophysiology : Study of the electrical properties and conduction diseases of the heart. Echocardiography : The use of ultrasound to study the mechanical function/physics of the h...

An anesthesiologist (US English) or anaesthetist (British English) is a physician trained in anesthesia and perioperative medicine. Anesthesiologists are physicians who provide medical care to patients in a wide variety of (usually acute) situations. ...

Searches Linking to this Article