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Chapter-09 Perioperative Transesophageal Echocardiography

BOOK TITLE: Monitoring in Anesthesia and Critical Care

Author
1. Mehta Yatin
2. Arora Dheeraj
ISBN
9789352700431
DOI
10.5005/jp/books/18044_10
Edition
1/e
Publishing Year
2018
Pages
16
Author Affiliations
1. Institute of Critical Care and Anesthesia, Medanta—The Medicity, Gurugram, Haryana, India, Medanta – The Medicity, Gurugram, Haryana, India, The Simulation Society (TSS); Medanta—The Medicity, Gurugram, Haryana, India, Medanta Institute of Critical Care and Anesthesiology, Medanta—The Medicity, Gurugram, Haryana, India, Medanta Institute of Critical Care and Anesthesiology, Medanta–The Medicity, Gurugram, Haryana, India, Medanta—The Medicity, Gurugram, Haryana, India, NBE; ISCCM; Medanta Institute of Critical Care and Anesthesiology; Medanta—The Medicity, Gurugram, Haryana, India, Institute of Critical Care Anesthesiology, Medanta —The Medicity, Gurugram, Haryana, India, Medanta Institute of Critical Care and Anesthesiology, Medanta—The Medicity, Gurugram, Haryana, India, ISCCM; Medanta Institute of Critical Care and Anesthesiology, Medanta–The Medicity, Gurugram, Haryana, India
2. Institute of Critical Care and Anesthesia, Medanta The Medicity, Gurgaon, Haryana, India, Medanta - The Medicity, Gurgaon, Haryana, India, Medanta—The Medicity, Gurugram, Haryana, India, Medanta Institute of Critical Care and Anesthesiology, Medanta—The Medicity, Gurugram, Haryana, India, Medanta Institute of Critical Care and Anesthesiology, Medanta–The Medicity, Gurugram, Haryana, India, Institute of Critical Care and Anesthesia, Medanta—The Medicity, Gurugram, Haryana, India, Amrita Institute of Medical Sciences and Amrita Hospitals, Faridabad, Haryana, India
Chapter keywords
Transesophageal echocardiography, TEE, precardiopulmonary bypass, CPB, perioperative echocardiography technique, TEE probe, right ventricular function

Abstract

This chapter discusses the perioperative transesophageal echocardiography. Transesophageal echocardiography is the main modality used intraoperatively. Transesophageal echocardiography provides real-time, noninvasive imaging of the heart and great vessels while simultaneously allowing quantification of blood flow and overall cardiac assessment without interrupting the surgical procedure. Perioperative echocardiography is used for diagnosis, to guide the surgical procedure, assess immediate results, detect complications, and monitor left ventricular function. It provides diagnostic advantages in certain clinical scenarios where the image quality of transthoracic echocardiography is impaired. It is routinely used in cardiac surgical operating rooms and an emerging technology in noncardiac surgery and critical care units. There are various guidelines from ASE/EAE for quantification of the diseases and improving the quality in intraoperative echocardiography.

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