The safety of intraoperative transesophageal echocardiography: a case series of 7200 cardiac surgical patients

Anesthesia and Analgesia
I J KallmeyerS K Shernan

Abstract

Transesophageal echocardiography (TEE) is an invaluable intraoperative diagnostic monitor that is considered to be relatively safe and noninvasive. Insertion and manipulation of the TEE probe, however, may cause oropharyngeal, esophageal, or gastric trauma. We report the incidence of intraoperative TEE-associated complications in a single-center series of 7200 adult cardiac surgical patients. Information related to intraoperative TEE-associated complications was obtained retrospectively from the intraoperative TEE data form, routine postoperative visits, and cardiac surgical morbidity and mortality data. The overall incidences of TEE-associated morbidity and mortality in the study population were 0.2% and 0%, respectively. The most common TEE-associated complication was severe odynophagia, which occurred in 0.1% of the study population. Other complications included dental injury (0.03%), endotracheal tube malpositioning (0.03%), upper gastrointestinal hemorrhage (0.03%), and esophageal perforation (0.01%). TEE probe insertion was unsuccessful or contraindicated in 0.18% and 0.5% of the study population, respectively. These data suggest that intraoperative TEE is a relatively safe diagnostic monitor for the management of cardiac...Continue Reading

References

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Citations

Jul 30, 2004·Anesthesia and Analgesia·Drew A MacGregorRobert D Riley
Aug 19, 2007·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Antje FippelFrank Wappler
Oct 9, 2008·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Geneviève Côté, André Denault
Mar 3, 2009·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Murat BitekerMehmet Ozkan
Apr 8, 2010·Anaesthesia and Intensive Care·C F LaiJ Graham
Aug 20, 2010·Interactive Cardiovascular and Thoracic Surgery·Christophoros Kotoulas
Mar 14, 2012·Anaesthesia·D L Greenhalgh, M R Patrick
May 20, 2014·Digestive Diseases and Sciences·Mitchell S CappellPalaniappian Manickam
Nov 19, 2015·Journal of Medical Ultrasonics·Shigeru ToyodaTeruo Inoue
Mar 1, 2005·Seminars in Cardiothoracic and Vascular Anesthesia·John FoxStanton Shernan
Nov 24, 2006·Anesthesia and Analgesia·Joseph P MathewUNKNOWN Council for Intraoperative Echocardiography of the American Society of Echocardiography
Jan 10, 2004·Medical Care·Maureen M O'BrienUNKNOWN VA Cooperative Study Group on Processes, Structures, and Outcomes of Care in Cardiac Surgery
Oct 2, 2007·Journal of Cardiovascular Medicine·Caterina SimonRiccardo Sinatra
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Sep 21, 2013·Journal of Clinical Monitoring and Computing·Tomohiro Yamamoto, Ehrenfried Schindler
Jun 19, 2013·Journal of Cardiovascular Electrophysiology·S P SalzbergM Castella

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