Transoesophageal echocardiography in cardiac anaesthesia and intensive care期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

Transoesophageal echocardiography in cardiac anaesthesia and intensive care

Affiliation:	1. Department of Cardio-Thoracic Surgery, Chengdu Second People''s Hospital, Chengdu, Sichuan, 610017, China;2. Department of Anesthesiology, West China Hospital of Sichuan University, Sichuan, Chengdu, 610041, China;3. Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Sichuan, 610041, China;1. College of Architecture and Urban-Rural Planning, Sichuan Agricultural University, No. 288, Jianshe Road, Dujiangyan, Chengdu, Sichuan Province 610065, PR China;2. Biogas Institute of Ministry of Agriculture, Chengdu 610041, PR China;3. College of Architecture and Environment, Sichuan University, Chengdu 610065, PR China;1. Department of Anaesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea;2. Department of Anaesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul, Republic of Korea;3. Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea;1. Department of Internal Medicine, Division of Cardiology, Baylor Scott and White Heart and Vascular Hospitals, Dallas, Texas, USA;2. Department of Internal Medicine, Division of Cardiology, Baylor Scott and White Heart and Vascular Hospitals, Plano, Texas, USA;3. Department of Internal Medicine, Division of Cardiology, Northwestern University Medical School, Chicago, Illinois, USA

Abstract:	Transoesophageal echocardiography (TOE) is being increasingly used throughout the field of anaesthesia and intensive care and nowhere has its impact been greater than in cardiac practice. This article outlines the main uses for TOE in current practice and explores the different ways in which it may affect anaesthetic and surgical management. Use of TOE for diagnostic purposes includes the assessment of valvular and other pathologies as well as for the rapid diagnosis of acute hypotension. Its use as a monitor for ischaemia and haemodynamic disturbances is also discussed. The importance of training and quality assurance are examined from a user's perspective and lastly a glimpse into the future reveals the enticing prospect of real-time 3 dimensional cardiac imaging.

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