Monitorización hemodinámica intraoperatoria con ecocardiografía transesofágica: Experiencia clínica

Background: Transesophageal echocardiography allows a semi-invasive hemodynamic monitoring, during cardiac and non cardiac surgery. The benefits of such surveillance must be assessed, since it may help to change patient management. Aim: To assess the usefulness of transesophageal echocardiography du...

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Autores principales:	Cabrera Sch,M Carolina, Santelices C,Emilio, Hernández V,Rodrigo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2004
Materias:	Echocardiography transesophageal Surgery Thoracic surgery
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000700006
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spelling	oai:scielo:S0034-988720040007000062004-12-13Monitorización hemodinámica intraoperatoria con ecocardiografía transesofágica: Experiencia clínicaCabrera Sch,M CarolinaSantelices C,EmilioHernández V,Rodrigo Echocardiography transesophageal Surgery Thoracic surgery Background: Transesophageal echocardiography allows a semi-invasive hemodynamic monitoring, during cardiac and non cardiac surgery. The benefits of such surveillance must be assessed, since it may help to change patient management. Aim: To assess the usefulness of transesophageal echocardiography during surgical procedures in critical patients. Material and methods: Based on the indications of the North American Societies of Cardiology and Anesthesiology, 264 patients were monitored using a multiplanar transducer. The type of surgery, insertion difficulties, quality of visualization, complications and usefulness of the method were recorded. Results: One hundred eleven cardiac and 153 non cardiac surgical procedures were monitored. In 97% of cases, visualization was good. In 2 cases, it was impossible to obtain a transgastric axis. No complications of the procedure were recorded. The method was useless in nine patients, helpful to change drug and volume management in 126 (48%) patients, helpful to change perioperative management in 49 (19%) patients and was a substitute for pulmonary artery catheterization in 79 (30%) patients. Conclusions: Intraoperative transesophageal echocardiography is a safe technique that renders high quality images, with a low incidence of complications and that, when well indicated, orients therapeutic changes in 98% of patients (Rev Méd Chile 2004: 132: 823-31)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.7 20042004-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000700006es10.4067/S0034-98872004000700006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Echocardiography transesophageal Surgery Thoracic surgery
spellingShingle	Echocardiography transesophageal Surgery Thoracic surgery Cabrera Sch,M Carolina Santelices C,Emilio Hernández V,Rodrigo Monitorización hemodinámica intraoperatoria con ecocardiografía transesofágica: Experiencia clínica
description	Background: Transesophageal echocardiography allows a semi-invasive hemodynamic monitoring, during cardiac and non cardiac surgery. The benefits of such surveillance must be assessed, since it may help to change patient management. Aim: To assess the usefulness of transesophageal echocardiography during surgical procedures in critical patients. Material and methods: Based on the indications of the North American Societies of Cardiology and Anesthesiology, 264 patients were monitored using a multiplanar transducer. The type of surgery, insertion difficulties, quality of visualization, complications and usefulness of the method were recorded. Results: One hundred eleven cardiac and 153 non cardiac surgical procedures were monitored. In 97% of cases, visualization was good. In 2 cases, it was impossible to obtain a transgastric axis. No complications of the procedure were recorded. The method was useless in nine patients, helpful to change drug and volume management in 126 (48%) patients, helpful to change perioperative management in 49 (19%) patients and was a substitute for pulmonary artery catheterization in 79 (30%) patients. Conclusions: Intraoperative transesophageal echocardiography is a safe technique that renders high quality images, with a low incidence of complications and that, when well indicated, orients therapeutic changes in 98% of patients (Rev Méd Chile 2004: 132: 823-31)
author	Cabrera Sch,M Carolina Santelices C,Emilio Hernández V,Rodrigo
author_facet	Cabrera Sch,M Carolina Santelices C,Emilio Hernández V,Rodrigo
author_sort	Cabrera Sch,M Carolina
title	Monitorización hemodinámica intraoperatoria con ecocardiografía transesofágica: Experiencia clínica
title_short	Monitorización hemodinámica intraoperatoria con ecocardiografía transesofágica: Experiencia clínica
title_full	Monitorización hemodinámica intraoperatoria con ecocardiografía transesofágica: Experiencia clínica
title_fullStr	Monitorización hemodinámica intraoperatoria con ecocardiografía transesofágica: Experiencia clínica
title_full_unstemmed	Monitorización hemodinámica intraoperatoria con ecocardiografía transesofágica: Experiencia clínica
title_sort	monitorización hemodinámica intraoperatoria con ecocardiografía transesofágica: experiencia clínica
publisher	Sociedad Médica de Santiago
publishDate	2004
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000700006
work_keys_str_mv	AT cabreraschmcarolina monitorizacionhemodinamicaintraoperatoriaconecocardiografiatransesofagicaexperienciaclinica AT santelicescemilio monitorizacionhemodinamicaintraoperatoriaconecocardiografiatransesofagicaexperienciaclinica AT hernandezvrodrigo monitorizacionhemodinamicaintraoperatoriaconecocardiografiatransesofagicaexperienciaclinica
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Monitorización hemodinámica intraoperatoria con ecocardiografía transesofágica: Experiencia clínica

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