Skip to Main Content

++

Transesophageal echocardiography (TEE) is remarkably efficient and effective in revealing a wide spectrum of new findings and information during periods of hemodynamic instability. Since TEE technology is now readily accessible in most settings, TEE is increasingly used during noncardiac surgical procedures. However, in contrast to the cardiac surgery setting, little evidence supports the routine use of TEE in noncardiac surgery. This is largely due to the fact that the validated indications for intraoperative TEE are for use as a diagnostic tool, and not a monitor (Table 21–1). The majority of established indications in cardiac surgery directly pertain to the planned surgical procedure, or the assessment of relevant anatomical structures. To date, no large randomized trials have assessed the impact of intraoperative TEE on outcome in noncardiac surgery. Several reviews, however, have debated the use of TEE in noncardiac surgery.1–8

++
Table Graphic Jump Location
Table 21–1. Recommendations for the Use of TEE in the Perioperative Period.
++

Life-threatening intraoperative hemodynamic collapse is an indication for the use of TEE (ASA/SCA guidelines).9 TEE in this setting could rapidly identify abnormalities and help in establishing a diagnosis, monitor the response to treatment, and may have some prognostic value.

++

The etiology of precipitating events may be difficult to diagnose, since these are often only transiently manifested. Nevertheless, TEE can be useful in diagnosing the majority of specific cardiovascular abnormalities associated ...

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessAnesthesiology Full Site: One-Year Subscription

Connect to the full suite of AccessAnesthesiology content and resources including procedural videos, interactive self-assessment, real-life cases, 20+ textbooks, and more

$995 USD
Buy Now

Pay Per View: Timed Access to all of AccessAnesthesiology

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.