Diagnostic usefulness and impact on management of transesophageal echocardiography in surgical intensive care units

Bruch, Christian; Comber, Maurice; Schmermund, Axel; Eggebrecht, Holger; Bartel, Thomas; Erbel, Raimund

doi:10.1016/s0002-9149(02)03264-2

Cited by 33 publications

(13 citation statements)

References 9 publications

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“…There are several studies that confirm the utility of TEE in properly diagnosing the etiology of PCT, particularly following cardiac surgery. 3,4,[9][10][11] In our study, although echocardiographic evaluations with TTE revealed no PCT pathology in seven of our early-phase PCT patients, these patients did end up having pericardial accumulation of thrombi, leading to the development of PCT. In cases such as these, thrombi can only be diagnosed using TEE.…”

Section: Discussioncontrasting

confidence: 54%

The Importance of Transesophageal Echocardiography in Diagnosis of Pericardial Tamponade After Cardiac Surgery

İmren

Taşoğlu

Oktar

et al. 2008

Journal of Cardiac Surgery

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The role of echocardiography in PCT diagnosis is shown to be extremely important in some clinical cases, such as in patients during the postoperative period after cardiac surgery. Furthermore, particularly when TTE does not provide complete imaging of the pericardial sac, TEE should be mandatory. We recommend that even patients with a negative diagnosis of PCT from TTE should undergo further evaluation with TEE.

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Section: Discussioncontrasting

confidence: 54%

The Importance of Transesophageal Echocardiography in Diagnosis of Pericardial Tamponade After Cardiac Surgery

İmren

Taşoğlu

Oktar

et al. 2008

Journal of Cardiac Surgery

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“…Bruch et al . reported a prospective study of surgical ICU patients where echocardiography was shown to alter management in 43% patients ( n = 115) 50 . Alterations in management induced by the echocardiography findings included administration of fluids and initiation or discontinuation of inotropic agents.…”

Section: Echocardiographymentioning

confidence: 99%

Review article: Part one: Goal‐directed resuscitation – Which goals? Haemodynamic targets

Holley

Lukin

Paratz

et al. 2012

Emerg Medicine Australasia

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The use of appropriate resuscitation targets or end-points may facilitate early detection and appropriate management of shock. There is a fine balance between oxygen delivery and consumption, and when this is perturbed, an oxygen debt is generated. In this narrative review, we explore the value of global haemodynamic resuscitation end-points, including pulse rate, blood pressure, central venous pressure and mixed/central venous oxygen saturations. The evidence supporting the reliability of these parameters as end-points for guiding resuscitation and their potential limitations are evaluated.

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“…A substantial early literature suggested that FCCE was important because it "changed management" in patients with cardiopulmonary failure. [23][24][25][26][27][28] This literature is not as useful as it might appear at first blush. Many of these studies occurred in cardiothoracic ICUs, in which the most common management change was repeat sternotomy for hemorrhage causing tamponade, a highly specific setting in which FCCE is very likely to be useful.…”

Section: Fcce For Diagnosis Including Undifferentiated Shockmentioning

confidence: 98%

Bedside Ultrasound in the Intensive Care Unit: Where Is the Evidence?

Brown

Kasal

2015

Semin Respir Crit Care Med

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Interest in bedside ultrasound in the intensive care unit and emergency department has exploded in recent years. This interest is driven in part by the utility of ultrasound for procedural guidance. In most cases, enthusiasm outstrips current evidence. While ultrasound is often felt to be risk-free, the important risk of ultrasound is the chance of false diagnosis. The vividness of visual images may make practitioners especially prone to cognitive errors in interpretation. Possible applications of ultrasound include management of shock and respiratory failure, two complex syndromes with multiple aspects. Reasonable evidence supports use of ultrasound to guide volume expansion, although its value remains to be demonstrated in an explicit protocol. Other possibilities include ventilator titration and guidance of diuresis. While the literature is more complicated, there is some early evidence that lung ultrasound may improve the diagnosis of dyspnea, although these results have not been well validated. Centers should avoid premature loss of equipoise and participate in studies of explicit protocols that incorporate ultrasound.

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Diagnostic usefulness and impact on management of transesophageal echocardiography in surgical intensive care units

Cited by 33 publications

References 9 publications

The Importance of Transesophageal Echocardiography in Diagnosis of Pericardial Tamponade After Cardiac Surgery

The Importance of Transesophageal Echocardiography in Diagnosis of Pericardial Tamponade After Cardiac Surgery

Review article: Part one: Goal‐directed resuscitation – Which goals? Haemodynamic targets

Bedside Ultrasound in the Intensive Care Unit: Where Is the Evidence?

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