INTRAOPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY PERFORMED BY ANESTHESIOLOGISTS: UTILITY FOR HEMODYNAMIC MONITORING

Abstract
Background: Intraoperative transesophageal echocardiography (TEE) is a non invasive hemodynamic monitor that enables exact and direct assessment of the heart, valves, volume, pressures and cardiac velocities. Objective: Evaluation of the utility of intraoperative TEE performed by anesthesiologists. Material and methods: Cardiac and noncardiac surgery patients were studied. When monitoring finished, each patient was classified in one of four groups. Group 1 = optimizing intracardiac volumes with TEE, group 2 = TEE useful for drug therapy, group 3 = new diagnosis and group 4 = TEE used as a substitute of a pulmonary catheter. Results: 523 adults were studied. Group distribution was in group 1 = 162 (31%), group 2, 115 patients (22%), group 3, 109 cases (21%) and group 4, 137 (26%). Conclusion: Hemodynamic assessment and physiologic management with intraoperative TEE is useful as it permits to study volumes, pressures and miocardic global function.

Key words
intraoperative transesophageal echocardiography, monitoring, hemodynamic

Bibliografía del artículo
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