RT Book, Section
A1 Bouchez, Stefaan
A1 Shah, Svati H.
A1 Wouters, Patrick
A2 Mathew, Joseph P.
A2 Nicoara, Alina
A2 Ayoub, Chakib M.
A2 Swaminathan, Madhav
SR Print(0)
ID 1195104172
T1 Noncardiac Surgery
T2 Clinical Manual and Review of Transesophageal Echocardiography, 3e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071830232
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1195104172
RD 2024/04/19
AB While  cardiac  surgery  is  and  has  been  the  dominant  clinical  area  of  use  for  intraoperative  transesophageal  echocardiography  (TEE),  initial  studies  did  not  specifically  focus  on  this  field  of  expertise.  The  new  technology  was  expected  to  offer  incremental  value  in  noncardiac  surgery  as  a  tool  to  detect  intracardiac  emboli,  for  example,  during  craniotomies  in  sitting  position  and  orthopedic  surgery,1–4  as  a  noninvasive  and  continuous  hemodynamic  monitor  during  major  surgical  procedures5,6  and  as  a  sensitive  instrument  to  diagnose  myocardial  ischemia  in  high-risk  patients.7,8  While  subsequent  studies  confirmed  the  utility  of  TEE  for  such  indications,  the  enthusiasm  and  adoption  of  TEE  in  noncardiac  surgery  remained  modest  and  mainly  confined  to  the  practice  of  pioneers  in  the  field.  Reasons  for  this  slow  acceptance  included  a  limited  access  to  (heavy  and  expensive)  echo  equipment,  a  shortage  of  experienced  echo  trainers  in  anesthesia,  and,  most  importantly,  a  lack  of  prospective  outcome  studies  supporting  the  routine  use  of  perioperative  TEE  outside  the  cardiac  surgical  setting.