The adequacy of basic intraoperative transesophageal echocardiography performed by experienced anesthesiologists

Anesthesia and Analgesia
J P MillerM K Cahalan

Abstract

Transesophageal echocardiography (TEE) may improve intraoperative decision-making and patient outcome if it is performed and interpreted correctly. After revising our TEE examination to fulfill the published guidelines for basic TEE practitioners, we prospectively evaluated the ability of our cardiac anesthesiologists (all very experienced with TEE) to record and interpret this revised examination. Educational aids and regular TEE performance feedback were provided to the anesthesiologists. Their interpretations were compared with the independently determined results of experts. Compared with their own historical controls (42% recording rate), all anesthesiologists showed significant improvement in their ability to record a basic intraoperative TEE examination resulting in 81% (P < 0.0001) of all required images being recorded: 88% before cardiopulmonary bypass, 77% immediately after bypass, and 64% after chest closure. Seventy-nine percent of the images recorded at baseline were correctly interpreted, 6% were incorrectly interpreted, and 15% were not evaluated. Our attempt to assess compliance with published guidelines for basic intraoperative TEE resulted in a marked improvement in our intraoperative TEE practice. Most, but n...Continue Reading

References

Aug 1, 1991·Journal of Cardiothoracic and Vascular Anesthesia·P M ShahR Omoto
Apr 1, 1987·Journal of the American College of Cardiology·G J PerryB Soto
Jan 1, 1981·Clinical Pharmacology and Therapeutics·M S Kramer, A R Feinstein
May 1, 1995·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·G I CohenK L Chan
Aug 1, 1997·The Annals of Thoracic Surgery·R M SavageF D Loop
May 8, 1999·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·D Fyfe
Nov 7, 1999·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·I M RussellM K Cahalan
Nov 7, 1999·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·D A Fyfe

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Citations

Jan 13, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Sasha K ShillcuttSteven J Lisco
Jun 20, 2002·Critical Care Medicine·Theodore A Alston
Dec 4, 2003·Echocardiography·Yan KatsnelsonValluvan Jeevanandam
Nov 24, 2006·Anesthesia and Analgesia·Joseph P MathewUNKNOWN Council for Intraoperative Echocardiography of the American Society of Echocardiography
Mar 14, 2012·Anaesthesia·D L Greenhalgh, M R Patrick
Sep 17, 2004·Seminars in Cardiothoracic and Vascular Anesthesia·Ivan IglesiasJohn Murkin
Nov 26, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Benjamin SohmerViren Naik
May 26, 2009·Journal of Cardiothoracic and Vascular Anesthesia·Ravi TanejaDaniel T Bainbridge

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