Alta utilidad de monitorización hemodinámica con ecocardiografía transesofágica intraoperatoria en cirugía ortopédica

Background: Orthopedic surgery is commonly performed in elderly patients with higher cardiovascular surgical risk. Hemodynamic monitoring in these patients may prevent períoperative complications. Aim: To assess the usefulness of transesophageal echocargiography (TEE) for intraoperative cardiovascul...

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Autores principales:	Cabrera Sen,María Carolina, Vega S,Raúl, Díaz Valdés A,Victoria, Bermúdez B,Ernesto, Santelices C,Emilio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2008
Materias:	Aged Echocardiography transesophageal Hemodynamics
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000900006
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spelling	oai:scielo:S0034-988720080009000062008-11-12Alta utilidad de monitorización hemodinámica con ecocardiografía transesofágica intraoperatoria en cirugía ortopédicaCabrera Sen,María CarolinaVega S,RaúlDíaz Valdés A,VictoriaBermúdez B,ErnestoSantelices C,Emilio Aged Echocardiography transesophageal Hemodynamics Background: Orthopedic surgery is commonly performed in elderly patients with higher cardiovascular surgical risk. Hemodynamic monitoring in these patients may prevent períoperative complications. Aim: To assess the usefulness of transesophageal echocargiography (TEE) for intraoperative cardiovascular monitoring duríng orthopedic surgery. Material and methods: Patients older than 65 years subjected to orthopedic surgery using general anesthesia and with a high cardiovascular risk were studied. Intraoperative TEE was performed to assess intravascular volume, myocardial contractility and the presence of myocardial ischemia. Results: Fifty three patients aged 72±5 years were studied. Hemodynamic stability was detected in 68% of patients, mainly reñected as episodes of hypovolemia. Myocardial ischemia was detected in two patients and embolic episodes in six (11%). Conclusions: Intraoperative TEE was useful for the hemodynamic evaluation of patients with high cardiovascular risk.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.9 20082008-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000900006es10.4067/S0034-98872008000900006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aged Echocardiography transesophageal Hemodynamics
spellingShingle	Aged Echocardiography transesophageal Hemodynamics Cabrera Sen,María Carolina Vega S,Raúl Díaz Valdés A,Victoria Bermúdez B,Ernesto Santelices C,Emilio Alta utilidad de monitorización hemodinámica con ecocardiografía transesofágica intraoperatoria en cirugía ortopédica
description	Background: Orthopedic surgery is commonly performed in elderly patients with higher cardiovascular surgical risk. Hemodynamic monitoring in these patients may prevent períoperative complications. Aim: To assess the usefulness of transesophageal echocargiography (TEE) for intraoperative cardiovascular monitoring duríng orthopedic surgery. Material and methods: Patients older than 65 years subjected to orthopedic surgery using general anesthesia and with a high cardiovascular risk were studied. Intraoperative TEE was performed to assess intravascular volume, myocardial contractility and the presence of myocardial ischemia. Results: Fifty three patients aged 72±5 years were studied. Hemodynamic stability was detected in 68% of patients, mainly reñected as episodes of hypovolemia. Myocardial ischemia was detected in two patients and embolic episodes in six (11%). Conclusions: Intraoperative TEE was useful for the hemodynamic evaluation of patients with high cardiovascular risk.
author	Cabrera Sen,María Carolina Vega S,Raúl Díaz Valdés A,Victoria Bermúdez B,Ernesto Santelices C,Emilio
author_facet	Cabrera Sen,María Carolina Vega S,Raúl Díaz Valdés A,Victoria Bermúdez B,Ernesto Santelices C,Emilio
author_sort	Cabrera Sen,María Carolina
title	Alta utilidad de monitorización hemodinámica con ecocardiografía transesofágica intraoperatoria en cirugía ortopédica
title_short	Alta utilidad de monitorización hemodinámica con ecocardiografía transesofágica intraoperatoria en cirugía ortopédica
title_full	Alta utilidad de monitorización hemodinámica con ecocardiografía transesofágica intraoperatoria en cirugía ortopédica
title_fullStr	Alta utilidad de monitorización hemodinámica con ecocardiografía transesofágica intraoperatoria en cirugía ortopédica
title_full_unstemmed	Alta utilidad de monitorización hemodinámica con ecocardiografía transesofágica intraoperatoria en cirugía ortopédica
title_sort	alta utilidad de monitorización hemodinámica con ecocardiografía transesofágica intraoperatoria en cirugía ortopédica
publisher	Sociedad Médica de Santiago
publishDate	2008
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000900006
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Alta utilidad de monitorización hemodinámica con ecocardiografía transesofágica intraoperatoria en cirugía ortopédica

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