A Review of 364 Perioperative Rescue Echocardiograms: Findings of an Anesthesiologist-Staffed Perioperative Echocardiography Service

A systematic review of transthoracic and transesophageal echocardiography in non-cardiac surgery: implications for point-of-care ultrasound education in the operating room

“…Nevertheless, the growing number of perioperative practitioners with advanced TTE training has allowed studies to be published on the possible diagnoses affecting these patients. 21 Importantly, evidence-based curricula for POCU in the perioperative setting have not yet been widely developed.…”

“…This also means that any curriculum should be diverse and multipurpose as the practice of anesthesiology occurs in many unique settings, such as in the pre-assessment clinic, during the immediate preoperative assessment, in the perioperative environment, and in the postanesthesia care unit. 2,21,22 Therefore, existing POCU curricula may not be adequate for the anesthesiologist. This review suggests that there is a need for more ''advanced'' training such as that required for diagnosing valvulopathy.…”

Perioperative Management of Adrenalectomy and Inferior Vena Cava Reconstruction in a Patient With a Large, Malignant Pheochromocytoma With Vena Caval Extension

“…73,74 Several studies suggested TEE may be beneficial in noncardiac surgical patients with hemodynamic instability, explaining its strong endorsement for this setting in recent guidelines. [77][78][79] These clinical studies implied that TEE may be a more sensitive tool, not only for quickly and accurately diagnosing the etiology of hemodynamic instability, but also for providing a means to monitor the effects of early intervention. [77][78][79] Although TEE offers major value in this setting, it is accompanied by several disadvantages.…”

“…[77][78][79] These clinical studies implied that TEE may be a more sensitive tool, not only for quickly and accurately diagnosing the etiology of hemodynamic instability, but also for providing a means to monitor the effects of early intervention. [77][78][79] Although TEE offers major value in this setting, it is accompanied by several disadvantages. First, an experienced clinician trained and certified in TEE is required to guide the performance and interpretation of the comprehensive examination.…”

FOCUS in Thoracic Surgery: Does Feasibility Mean Functionality?

“…In such cases, transesophageal echocardiography would present a significant advantage over TTE because it offers an extensive cardiovascular examination via multiple views and permits the surgeon and the anesthesiologist to work in parallel and uninterrupted. 17 Although the study is neither designed nor powered to correlate the utility of intraoperative TTE with postoperative outcomes, it is still important to understand whether the change in management prompted by the FOCUS findings led to favorable outcomes. This information is not available in this study.…”