TY - CHAP M1 - Book, Section TI - Chapter 21. TEE for Noncardiac Surgery A1 - Christie, Angus A1 - Lombard, Frederick W. A2 - Mathew, Joseph P. A2 - Swaminathan, Madhav A2 - Ayoub, Chakib M. PY - 2010 T2 - Clinical Manual and Review of Transesophageal Echocardiography, 2e AB - 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 SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=6919756 ER -