Basic perioperative transesophageal echocardiography: an education opportunity and a dilemma.

Progress in perioperative echocardiography: focus on safety, clinical outcomes, 3-dimensional imaging, and education.

Gastric decompression with an orogastric tube after anesthetic induction does not appear to enhance image quality for routine cases. The insertion of a transesophageal echocardiographic (TEE) probe can cause significant upper-airway trauma, which can be minimized with rigid laryngoscopy. Limited TEE imaging without transgastric views appears to be safe and clinically adequate in patients with a...

[Transesophageal echocardiography to monitor fluid administration during the perioperative period].

BACKGROUND During the perioperative period an adequate intravascular volume must be maintained. Current recommendations overestimate perioperative volume requirements. AIM To compare perioperative volume administration using standard monitoring methods or guided by left ventricular filling parameters. MATERIAL AND METHODS Twenty-four patients subjected to colon resection were randomized to ...

American Society of Echocardiography and Society of Cardiovascular Anesthesiologists task force guidelines for training in perioperative echocardiography.

Introduction and Overview When expertly utilized, perioperative echocardiography can lead to improved outcome in patients requiring cardiovascular surgery and in those suffering perioperative cardiovascular instability. However, prior publications have not specified the requisite training for perioperative echocardiography. Therefore, the American Society of Echocardiography (ASE) and the Socie...

Cardiac output monitoring by echocardiography: should we pass on Swan-Ganz catheters?

Transesophageal echocardiography offers a noninvasive technique for the continuous monitoring of cardiac performance. The combination of 2-dimensional echocardiography and Doppler velocitometry provide assessment of cardiac anatomy, valve function and, ventricular loading conditions. Although transesophageal echocardiography has become accepted for perioperative monitoring, it is typically used...

Progress through cooperation: securing a sound training pathway for perioperative transesophageal echocardiography.