Consenso sobre Ecocardiografia Transesofágica Perioperatória da Sociedade Brasileira de Anestesiologia e do Departamento de Imagem Cardiovascular da Sociedade Brasileira de Cardiologia

Abstract

Through the Life Cycle of Intraoperative Transesophageal Echocardiography (ETTI/SBA) the Brazilian Society of Anesthesiology, together with the Department of Cardiovascular Image of the Brazilian Society of Cardiology (DIC/SBC), createded a task force to standardize the use of intraoperative transesophageal echocardiography by Brazilian anesthesiologists and echocardiographers based on scientific evidence from the Society of Cardiovascular Anesthesiologists/American Society of Echocardiography (SCA/ASE) and the Brazilian Society of Cardiology.

Position Statement on Indications of Echocardiography in Adults - 2019

“…247,249 In the case of cardiovascular surgeries, the intraoperative echocardiography can also contribute with real-time dynamic information and images of the cardiac structures to plan, guide and evaluate the immediate result of the surgical intervention. 250…”

Use of software to guide the management of intraoperative hemodynamic instability

“…Focused cardiac point-of-care ultrasound is a well-established tool for hemodynamic monitoring during the management of patients admitted to the emergency room, intensive care unit, and operating room. 1 , 2 , 3 , 4 , 5 The focused cardiac point-of-care ultrasound protocol 1 , 2 , 5 comprises the assessment of the preload and filling of the ventricle, the analysis of left ventricle systolic and diastolic function, and the evaluation of right ventricle function. 1 , 2 , 3 , 4 , 5 Therefore, the protocol assists the decision-making process during the management of hemodynamically unstable patients.…”

“… 1 , 2 , 3 , 4 , 5 The focused cardiac point-of-care ultrasound protocol 1 , 2 , 5 comprises the assessment of the preload and filling of the ventricle, the analysis of left ventricle systolic and diastolic function, and the evaluation of right ventricle function. 1 , 2 , 3 , 4 , 5 Therefore, the protocol assists the decision-making process during the management of hemodynamically unstable patients.…”

“… With Transthoracic Echocardiogram (TTE), capture the apical 4-chamber view; 1 , 5 or with Transesophageal Echocardiography (TEE), capture the mid esophageal 4-chamber view. 3 The pulsed Doppler should be positioned at the point of coaptation of the mitral valve leaflets to calculate the velocity of the E wave. 2 , 3 , 4 With Transthoracic Echocardiogram (TTE), capture the apical 4-chamber view, 1 , 5 or with Transesophageal Echocardiography (TEE), acquire the mid esophageal 4-chamber view.…”

“… 3 The pulsed Doppler should be positioned at the point of coaptation of the mitral valve leaflets to calculate the velocity of the E wave. 2 , 3 , 4 With Transthoracic Echocardiogram (TTE), capture the apical 4-chamber view, 1 , 5 or with Transesophageal Echocardiography (TEE), acquire the mid esophageal 4-chamber view. 3 Then, the tissue Doppler is aligned to the lateral mitral annulus, and the velocity of both the lateral e’ wave and the lateral s’ wave is calculated.…”