INTRAOPERATIVE TRANSESOPHAGEAL echocardiography (TEE) is well established within the
cardiac operating room. Confirmation of the preoperative diagnosis is sought and additional
relevant information is communicated to the surgeon. Following the procedure, the
results of surgery are examined together with any complications, and information from
echocardiography is used to optimize hemodynamic status. As the patient moves to the
cardiac critical care unit and the TEE probe is removed, this information is no longer
available. Echocardiography is indicated to troubleshoot unstable patients in the
immediate postoperative phase, but compared with intraoperative use, postoperative
use may occur less frequently. In comparison with some other types of surgery, cardiac
surgery has a low mortality, but complications are common and costly.
1
,
Society for Cardiothoracic Surgery in Great Britain and Ireland. Blue Book Online, 2013. http://bluebook.scts.org/
2
,
3
Good hemodynamic management should seek to reduce the incidence and impact of such
complications. There have been considerable developments in critical care monitoring
and echocardiography in recent years, and the authors review the implications for
adult cardiac critical care management.Key words
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Published online: December 16, 2013
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