RT Book, Section
A1 Christie, Angus
A1 Lombard, Frederick W.
A2 Mathew, Joseph P.
A2 Swaminathan, Madhav
A2 Ayoub, Chakib M.
SR Print(0)
ID 6919756
T1 Chapter 21. TEE for Noncardiac Surgery
T2 Clinical Manual and Review of Transesophageal Echocardiography, 2e
YR 2010
FD 2010
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-163476-2
LK accessanesthesiology.mhmedical.com/content.aspx?aid=6919756
RD 2024/04/23
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